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MaMHCA

Massachusetts Mental Health Counselors Association, Inc.

Celebrating 45 years of Services as the only Non-Profit Association for LMHCs in Massachusetts

General FAQs

What is clinical mental health counseling? +
Clinical mental health counseling describes the work of a Licensed Mental Health Counselor (LMHC), including diagnosis, assessment, treatment planning, and therapeutic interventions with individuals, couples, families, and small groups.

LMHCs address mental health disorders and conditions related to grief and loss, poverty, physical pain or illness, disability, involvement with the legal system, and substance use or addiction.
What is an LMHC? What do LMHCs do (or don’t do)? +
LMHC stands for Licensed Mental Health Counselor. Requirements for licensure are defined under CMR 262.

View Massachusetts LMHC licensure regulations

LMHCs are trained to work with individuals across the lifespan in a variety of clinical environments.
What does LMHC licensure entail? +
To become licensed in Massachusetts, an LMHC must:
  • Graduate from a 60-credit accredited master’s program
  • Pass the National Clinical Mental Health Counselors Examination (NCMHCE)
  • Complete over 4,000 hours of supervised clinical experience
While unlicensed practice is legally possible, it offers no guarantees of education, clinical competence, or professional accountability.
What should you look for in a mental health professional? +
Always confirm that your clinician has an active license in the state where you receive treatment.
  • LMHCs & allied professionals:
    MA EOHHS License Verification
  • Medical doctors:
    MA Board of Registration in Medicine
How do I find a clinician? +
Insurance directories are often outdated. Reliable directories for independently licensed clinicians include:
  • Psychology Today
  • Therapy Den

LMHC FAQs

What statutes and regulations govern LMHCs in Massachusetts? +
The Massachusetts General Law 262 CMR 2 governs LMHC licensure and professional practice in the Commonwealth.
Which board oversees LMHC licensure in Massachusetts? +
The Board of Registration of Allied Mental Health and Human Services Professions oversees LMHC licensure under the Massachusetts Department of Public Health.

LMHCs may also interact with the Massachusetts State Ethics Commission in certain circumstances.
I am a recent graduate. How do I learn more about getting licensed? +
Congratulations on completing the first step toward independent licensure.

Begin by reviewing MGL CMR 262 2 and explore MaMHCA resources for students and new professionals.
I’m licensed in another state, but I want to get licensed in Massachusetts. How do I do that? +
The At the time of this writing, Massachusetts does not at present have reciprocity with other states for LMHCs, nor is it part of the Counseling Compact. Please see the MGL CMR 262 2 to learn about requirements you will need to meet to attain licensure. You can also take part in one of our license application support clinics.
How can I find a contract supervisor? +
If you are looking for a supervisor to meet licensure requirements as an LMHC, make sure a potential supervisor satisfies the requirements for an Approved Supervisor in the definitions section of the MGL CMR 262 2. An easier way to go about this is to search for a certified supervisor via our directory then use our supervision forms can help you guarantee compliance for your supervision contract.

Continuing Education FAQs

License renewal is based on completion of required continuing education units (CEUs) during each renewal cycle, including any prorated requirements outlined in the Guidelines.

LMHC licenses renew on December 31 of odd-numbered years, following a biennial cycle.

For example, the current cycle runs from January 1, 2024 through December 31, 2025.

CE requirements are prorated based on when you received your confirmatory email from the Board.

  • Jan 1 – Jun 30 (even year): 22.5 CEUs
  • Jul 1 – Dec 1 (even year): 15 CEUs
  • Jan 1 – Jun 30 (odd year): 7.5 CEUs
  • Jul 1 – Dec 1 (odd year): 0 CEUs

At a minimum, the training must be clinically relevant to professional mental health counseling practice.

Yes. All CEUs may be completed online.

CEUs may be approved by MaMHCA or the National Board for Certified Counselors (NBCC).

No. Categories used in previous renewal cycles are no longer used to distinguish educational content.

No. This policy changed in 2023. All CEUs may now be obtained in any format.

Live virtual workshops—such as those offered by MaMHCA—are considered synchronous and count as “in person.”

No. Continuing education credits may not be carried over from one renewal cycle to the next.

Submit a Retroactive Certification Application, your certificate of completion, and the required payment as outlined on the form.

Maintain copies of all certificates for at least 10 years.

Keep two backups (physical and electronic, or two electronic—local and cloud). Complete evaluations immediately if required to receive credit.

The Licensing Board conducts random audits and may request proof of compliance for up to two prior renewal cycles.

Failure to comply can result in license suspension and a permanent notation on your license.

I Did One of These. Can I Use It for CEUs?

Activity CEU Eligibility Requirements & Caveats Documentation Needed
Supervision / Consultation Up to 7.5 hours per cycle*
  • Credit for supervisees only
  • Supervisors not eligible
  • Must meet 262 CMR 2.00 Board regulations
  • Letter from supervisor verifying participation
  • Include dates, hours, site, supervisor name
  • If academic credit — must appear on transcript
Authored Publications Up to 7.5 hours per cycle*
  • Refereed journal article, book chapter, or published book
  • Must focus on mental health counseling
  • Publication date
  • Title
  • Publisher or journal name
Dissertations Up to 7.5 hours per cycle*
  • Must focus on a core mental health counseling area
  • Dates credit was granted
  • Dissertation title + institution
  • Transcript documenting credit
Teaching Yes (first presentation only)
  • Must reflect clear clinical content
  • Only approved CE programs qualify
  • Program documentation
  • Same CE hours as participants

Main Areas of Mental Health Counselor Study

Counseling Theory

Theories, principles, and techniques of counseling and their application to professional settings.

Human Growth & Development

Development across the lifespan, personality theory, normal and abnormal behavior within cultural contexts.

Social & Cultural Foundations

Multicultural trends, societal influences, discrimination, stress, abuse, and related interventions.

The Helping Relationship

Helping skills, counseling techniques, consultation theory, self-development, and mind/body approaches.

Group Dynamics

Group development, leadership styles, counseling methods, and facilitation strategies.

Appraisal of Individuals

Psychometrics, testing, assessment tools, interpretation, and career appraisal.

Research & Evaluation

Research design, statistics, program evaluation, needs assessments, and ethics in research.

Clinical Services

Assessment and treatment procedures, addictions, abuse, and psychopharmacology.

Law & Ethics

Application of ethical and legal standards in clinical practice.

Professional Orientation

Professional roles, credentialing, standards, and trends in mental health counseling.

Ⓒ MaMHCA 2023
17 Cocasset St., Suites 301 & 302

Foxborough, MA 02035




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