Wisconsin requires its own open-book Statutes and Rules exam alongside a national counseling exam.

West Virginia's Board is in the process of adopting new Counseling Compact conversion rules as of early 2026.

Washington State licenses counselors as LMHCs through the Department of Health rather than a separate counseling board.

Virginia calls its supervised stage a Residency, requiring 2,000 hours of direct client contact.

Vermont requires both the NCE and NCMHCE, and keeps its counseling license structure to a single tier.

Utah licenses counselors as CMHCs and is a member of the Counseling Compact.

Texas requires a national exam plus its own jurisprudence exam, all processed through the BHEC.

Tennessee's clinical credential, the LPC/MHSP, requires two national exams plus a state jurisprudence exam.

South Dakota's clinical LPC-MH credential requires a second national exam beyond the base LPC.

South Carolina requires only 1,500 supervised hours, lighter than most states' 3,000-hour standard.

Rhode Island licenses counselors as LCMHCs through its Department of Health rather than a separate counseling board.

Pennsylvania's LPC requirements track closely with national norms, with a straightforward single-exam path.

Oregon requires a national exam plus its own Law and Rules Examination before issuing an LPC.

Oklahoma requires both the national NCE and its own state jurisprudence exam, the OLERE.

Ohio just gave applicants more exam flexibility, letting either the NCE or NCMHCE qualify for both LPC and LPCC.

North Dakota runs a three-tier system, with the LPCC as an optional specialty beyond the standard LPC.

North Carolina requires a jurisprudence exam alongside a national counseling exam.

New York licenses counselors as LMHCs through the State Education Department, not a health board.

New Mexico's clinical credential is the LPCC, reached through an LMHC transitional license first.

New Jersey requires 4,500 supervised hours over three to six years, longer than most states' 3,000-hour standard.