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How to Become an LPCC in Kentucky

Kentucky asks more supervised hours than most states: 4,000 for its Licensed Professional Clinical Counselor (LPCC) licence, all earned after your master’s. Applicants qualify on the exam with either the National Counselor Examination (NCE) or the National Clinical Mental Health Counseling Examination (NCMHCE), and most work toward the LPCC first as a Licensed Professional Counselor Associate (LPCA).

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Written and reviewed by the LexPort exam-prep team, led by our Founder & Exam-Prep Lead. LexPort builds certification practice questions — this is exam-preparation material, not medical advice. Last reviewed October 2026.

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Which exam does Kentucky accept for the LPCC?
Either the NCE or the NCMHCE. Kentucky’s regulation, effective February 16, 2024, requires an LPCC applicant to obtain a passing score on one of the two NBCC exams.
How many hours does Kentucky require?
At least 4,000 hours of supervised counseling experience, all obtained after your master’s degree. They must include at least 1,600 hours of direct counseling with individuals, couples, families or groups, and at least 100 hours of individual, face-to-face clinical supervision with an approved supervisor.
How often do I meet my supervisor?
Three times a month for an hour each in full-time practice (25 clock hours or more a week), or one hour for every 30 hours of client contact in part-time practice, under the board’s supervision regulation.
Does Kentucky require a CACREP degree?
Yes, with one closing exception. Applicants need a master’s, specialist or doctoral degree in counseling or a related field with at least 60 graduate semester hours, from a CACREP-accredited program — unless they enrolled on or before January 15, 2015, stayed continuously enrolled and graduated by May 31, 2020.
What does it cost, and how do I apply?
The LPCC application fee is $150 and the LPCA fee is $50; LPCC renewal is $150 a year. Applications are made online through the state’s eServices system, where LPCAs log in to apply for the LPCC.

Test yourself: 3 NCMHCE practice questions

Tap an answer for instant feedback and the full rationale. The app has 4,000+, timed and scored.

Question 1

Mid-session Nikhil asks you directly, the same way he asks Priya: 'You really don't think I'd hurt him, right? Just tell me.' Applying the treatment model, how do you best respond?

▸ Why A is the answer

This is the reassurance compulsion arriving live in the room, and the treatment asks you not to feed it. Naming it warmly, declining to answer, explaining why, and inviting him to tolerate the uncertainty turns the moment itself into exposure. You hold the alliance while modeling the exact skill he needs, sitting with not-knowing.

Question 2

Nikhil says there is a 'worst image' he has not told you, because he is afraid of what you will think. Staying within core counseling attributes, how do you respond?

▸ Why B is the answer

A non-judgmental stance is exactly what dissolves the shame barrier. Telling him the thoughts are the illness rather than a verdict on his character, promising you will not think less of him, and leaving the timing to him honors his pace while keeping the door wide open, which is usually what lets the disclosure come.

Question 3

You and Nikhil begin setting treatment goals. Which approach best reflects collaborative goal-setting for his situation?

▸ Why C is the answer

Collaborative goals are concrete, observable, and owned by the client. Defining them as the specific things he wants back, carrying the baby downstairs, doing a bath, cutting the checking, gives the plan targets he cares about and can see himself reaching. That ownership is what drives follow-through.

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