Becoming a Licensed Mental Health Counselor (LMHC) in Washington State positions you in one of the nation's most progressive mental health landscapes. From the bustling Seattle metropolitan area to the diverse communities of Spokane, Tacoma, and beyond, Washington offers exceptional opportunities for mental health professionals. This comprehensive guide walks you through every requirement, timeline, and strategy for successful licensure in the Evergreen State.
Washington's counselor licensure is administered by the Department of Health, which maintains standards designed to protect public safety while supporting professional development. The state uses the LMHC title (Licensed Mental Health Counselor) and offers the LMHCA (Licensed Mental Health Counselor Associate) credential for those completing supervised experience. Understanding this pathway is essential for efficient progress toward your professional goals.
Understanding Washington State Licensure
The Washington State Department of Health oversees the licensure of mental health counselors through its Health Systems Quality Assurance division. Washington was among the early states to establish counselor licensure, and the profession has grown significantly as the state has expanded mental health parity laws and increased access to care.
Washington's approach to mental health counselor licensure emphasizes both academic preparation and substantial supervised clinical experience. The state recognizes that competent counselors require extensive training before practicing independently, which is why the 3,000-hour supervised experience requirement is a cornerstone of the licensure pathway.
Department Contact Information
- ● Agency: Washington State Department of Health
- ● Address: P.O. Box 47852, Olympia, WA 98504
- ● Phone: (360) 236-4700
- ● Website: doh.wa.gov
License Types Issued
- ● LMHCA: Licensed Mental Health Counselor Associate
- ● LMHC: Licensed Mental Health Counselor (full licensure)
- ● Approved Supervisor: Supervisor designation for LMHCs
- ● Telehealth: Washington has specific telehealth provisions
Education Requirements for Washington LMHC
Washington requires a master's degree in mental health counseling, counseling psychology, or a related field from a regionally accredited institution. While the state does not mandate a specific number of semester hours, your program must cover specific content areas essential for competent practice. Programs accredited by CACREP (Council for Accreditation of Counseling and Related Educational Programs) are preferred and may simplify your application process.
Your graduate program must include coursework in core areas that Washington considers essential for mental health counseling practice. Programs that do not cover all required areas may require supplemental coursework before you can apply for licensure.
Required Coursework Areas
Graduate Programs in Washington
Washington has several excellent counseling programs, including CACREP-accredited options at Seattle Pacific University, Gonzaga University, Seattle University, and Washington State University. These programs provide comprehensive preparation for both the licensure examination and clinical practice in Washington's diverse communities.
Out-of-state programs are equally accepted, provided they meet Washington's content requirements. If you are considering relocation to Washington, having your transcripts evaluated early can help identify any supplemental coursework needed before you can apply for licensure.
Licensed Mental Health Counselor Associate (LMHCA)
The LMHCA credential is Washington's pathway for graduates to practice mental health counseling while completing their supervised experience requirements. This associate license allows you to provide counseling services under supervision while accumulating the 3,000 hours needed for full LMHC licensure.
LMHCA Time Limitation
Your LMHCA credential is valid for up to six years. You must complete all supervised experience requirements and obtain full LMHC licensure within this timeframe. Plan your supervision arrangement carefully to ensure you can complete the requirements efficiently while developing strong clinical skills.
LMHCA Application Requirements
To apply for your LMHCA, you must submit documentation of your education, verification of your supervisor arrangement, and pay the applicable fees. Washington's online licensing system makes it relatively straightforward to submit your application and track its progress.
LMHCA Application Checklist
Supervised Experience Requirements: 3,000 Hours
Washington requires 3,000 hours of supervised mental health counseling experience for full LMHC licensure. These hours must be completed under the supervision of an approved supervisor, with at least 100 hours of direct supervision. This requirement ensures thorough preparation for independent practice.
The 3,000 hours must be post-graduate experience completed while holding your LMHCA credential. Internship hours from your graduate program do not count toward this requirement. Most LMHCAs complete their hours in two to four years, depending on their work setting and client caseload.
Hour Requirements Breakdown
- ● Total Hours: 3,000 minimum supervised experience
- ● Supervision Hours: Minimum 100 hours required
- ● Direct Client Contact: Majority must be client services
- ● Maximum Duration: 6 years as LMHCA
Approved Supervisors
- ● LMHC: With approved supervisor status
- ● Psychologist: Licensed in Washington
- ● Psychiatrist: Licensed physician
- ● LICSW: Licensed Independent Clinical Social Worker
Supervision Requirements and Expectations
Your supervision must include regular meetings with your approved supervisor where you discuss clinical cases, receive feedback on your work, and develop your professional competencies. Washington requires that at least one hour of supervision be provided for every 40 hours of client contact, with a minimum of 100 total supervision hours over the course of your LMHCA experience.
Supervision may be provided in individual or group format. Individual supervision offers more personalized feedback, while group supervision provides opportunities to learn from peers. Many LMHCAs receive a combination of both formats. Your supervisor must be approved by the Department of Health as a qualified supervisor for mental health counseling.
Supervision Documentation Requirements
Examination Requirements: NCE or NCMHCE
Washington accepts either the National Counselor Examination (NCE) or the National Clinical Mental Health Counseling Examination (NCMHCE) for LMHC licensure. Both exams are administered by the National Board for Certified Counselors (NBCC) and test core competencies in professional counseling. You may choose which exam to take based on your preferences and career goals.
Many candidates choose to take the exam shortly after graduation while coursework is fresh in their minds, though you can take it at any point before applying for full LMHC licensure. Both exams require preparation, and most successful candidates use review courses, study guides, and practice tests.
NCE Overview
- ● Format: 200 multiple-choice questions
- ● Time: 3 hours 45 minutes
- ● Content: 8 CACREP core areas
- ● Fee: $335
- ● Best For: General counseling preparation
NCMHCE Overview
- ● Format: Clinical simulations and scenarios
- ● Time: 3 hours 15 minutes
- ● Content: Clinical decision-making
- ● Fee: $395
- ● Best For: Clinical mental health focus
Choosing Between NCE and NCMHCE
The NCE is a knowledge-based exam covering the eight core CACREP areas, using a multiple-choice format. It tests your foundational knowledge of counseling theory, ethics, assessment, and practice. The NCMHCE, by contrast, uses clinical simulations that test your ability to make clinical decisions in realistic scenarios.
Many candidates find the NCE more predictable and easier to prepare for using traditional study methods. The NCMHCE requires a different preparation approach, focusing on clinical reasoning and decision-making skills. Consider your learning style, clinical experience, and career goals when choosing between the exams. Both are valid pathways to licensure in Washington.
Full LMHC License Application
After completing your 3,000 supervised hours and passing either the NCE or NCMHCE, you are eligible to apply for full LMHC licensure. This milestone represents the culmination of your training and enables you to practice independently as a Licensed Mental Health Counselor in Washington.
Full LMHC Application Checklist
License Renewal and Continuing Education
Washington LMHC licenses must be renewed annually on your birthday. To maintain your license, you must complete 36 hours of continuing education every two years. This includes specific requirements for ethics, suicide prevention, and other topics designated by the Department of Health.
Continuing education must be from approved providers and cover topics relevant to mental health counseling practice. Washington accepts courses from a wide range of providers, including national organizations, universities, and approved continuing education sponsors.
CE Requirements
- ● Total Hours: 36 hours per two-year period
- ● Ethics: 6 hours required per cycle
- ● Suicide Prevention: Training required
- ● HIV/AIDS: Initial training required
Renewal Information
- ● Renewal Fee: $150 annually
- ● Due Date: Your birthday each year
- ● Late Renewal: Additional fees apply
- ● Online Renewal: Through DOH portal
Licensure by Endorsement
If you hold an LMHC, LPC, or equivalent license in another state, Washington offers licensure by endorsement. This pathway allows experienced counselors to transfer their credentials without repeating all original requirements. However, you must demonstrate that your education and experience meet Washington's standards.
Endorsement applications require verification of your current license, official transcripts, and documentation of your supervised experience. Washington evaluates each application individually to ensure out-of-state credentials meet state requirements. Passage of the NCE or NCMHCE is required regardless of endorsement pathway.
Endorsement Processing
Endorsement applications typically take four to six weeks to process once all required documents are received. Request license verifications from your current state well in advance, as some boards have lengthy processing times. Incomplete applications are the most common cause of delays.
Fees Summary
Understanding the complete cost of licensure helps you plan your professional development budget. Washington's fees are moderate, and the annual renewal cycle makes budgeting straightforward.
| Fee Type | Amount | Notes |
|---|---|---|
| LMHCA Application | $150 | Associate license initial fee |
| LMHC Application | $150 | Full licensure application |
| License Renewal (annual) | $150 | Due on your birthday |
| NCE Examination | $335 | Paid to NBCC |
| NCMHCE Examination | $395 | Alternative to NCE, paid to NBCC |
| Licensure by Endorsement | $150 | Out-of-state transfers |
Career Opportunities in Washington
Washington offers exceptional career opportunities for Licensed Mental Health Counselors. The Seattle metropolitan area has particularly strong demand for mental health professionals, driven by major employers, a growing population, and strong mental health parity laws. Other regions including Spokane, Tacoma, and smaller communities throughout the state also have growing demand for counseling services.
Washington has been a leader in mental health parity and telehealth legislation, creating diverse practice opportunities. The state's integrated care initiatives have expanded opportunities for counselors in primary care settings, while traditional practice settings including community mental health centers, private practices, and hospitals continue to offer strong employment prospects.
Practice Settings
- ● Private practice (solo or group)
- ● Community mental health agencies
- ● Integrated primary care settings
- ● Hospitals and health systems
- ● Schools and universities
Salary Expectations
- ● Entry Level: $50,000 to $62,000
- ● Mid-Career: $62,000 to $78,000
- ● Experienced: $78,000 to $100,000+
- ● Private Practice: Varies by caseload
- ● Seattle Metro: 15-25% above state average
Frequently Asked Questions
How long does it take to become an LMHC in Washington?
The typical timeline is four to six years: two to three years for your master's degree, followed by two to three years completing your 3,000 supervised hours as an LMHCA. The exact timeline depends on your program length and pace through the supervised experience requirement.
Should I take the NCE or NCMHCE?
Both exams are accepted in Washington. The NCE is a knowledge-based multiple-choice exam covering foundational counseling topics. The NCMHCE uses clinical simulations to test decision-making skills. Consider your learning style and strengths when choosing. Many candidates find the NCE more straightforward to prepare for.
Can I provide telehealth services in Washington?
Yes, Washington has progressive telehealth laws and allows LMHCs to provide telehealth services. The state has specific guidelines for telehealth practice, including informed consent requirements and documentation standards. LMHCAs can also provide telehealth services under appropriate supervision.
How do I find a supervisor in Washington?
Many LMHCAs find supervisors through their employment settings. Community mental health agencies, private practices, and hospitals often provide supervision as part of employment. The Washington Mental Health Counselors Association can also help connect you with potential supervisors, and private supervision arrangements are available.
Is Washington part of the Counseling Compact?
As of 2025, Washington has not yet joined the Counseling Compact. However, legislation is being considered, and the state has historically been supportive of licensure portability initiatives. Check the Department of Health website for current status updates.
What are the differences between LMHC, LPC, and LMFT in Washington?
LMHC (Licensed Mental Health Counselor) is the primary credential for mental health counselors in Washington. The state does not use the LPC title. LMFT (Licensed Marriage and Family Therapist) is a separate credential for those specializing in marriage and family therapy, with its own education and supervised experience requirements.
Professional Resources
Connecting with professional organizations enhances your career development and provides networking, advocacy, and continuing education opportunities throughout your career in Washington.
State Organizations
- ● WMHCA: Washington Mental Health Counselors Association
- ● WCA: Washington Counseling Association
- ● WSCA: Washington School Counselor Association
National Organizations
- ● ACA: American Counseling Association
- ● NBCC: National Board for Certified Counselors
- ● AMHCA: American Mental Health Counselors Association
Next Steps for Your Washington LMHC Journey
Pursuing LMHC licensure in Washington requires dedication and planning, but the rewards of a counseling career in the Evergreen State make the journey worthwhile. Whether you are just beginning your graduate education or preparing for your full licensure application, use the resources in this guide to stay organized and on track.
Start by confirming your educational program meets Washington requirements, then identify potential supervisors and employment settings for your LMHCA experience. Keep detailed documentation from the beginning, and connect with the Washington Mental Health Counselors Association for support and networking. The Department of Health website remains your authoritative source for current requirements and forms.
Ready to Start Your Washington LMHC Journey?
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