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How to Become an LPCC in Minnesota

Minnesota’s Board of Behavioral Health and Therapy requires the National Clinical Mental Health Counseling Examination (NCMHCE) for the Licensed Professional Clinical Counselor (LPCC) licence. You can sit it any time after finishing your counseling master’s or doctorate, but the licence itself waits for 4,000 supervised post-master’s hours, every one of them verified before it is issued.

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.

Is the NCMHCE required in Minnesota?
For the LPCC, yes. Under Minnesota Statutes section 148B.5301, LPCC applicants must pass the NCMHCE, and the board’s application notes that every LPCC applicant since August 1, 2014 has needed it. For the LPC, the NCMHCE is one of four accepted exams, alongside the NCE, the CRC and the EPPP.
Should I take the NCMHCE for the Minnesota LPC?
If you expect to move up to the LPCC later, the board suggests it: its LPC exam page marks the NCMHCE as recommended for anyone seeking LPCC licensure in the future, because the LPCC requires that exam. Whichever you choose, you can take it any time after graduating from your master’s or doctoral program.
How many supervised hours does the LPCC require?
4,000 hours of supervised post-master’s clinical practice, including 1,800 hours of direct client contact and 200 hours of supervision, at least half of it individual. All of it must be verified before the LPCC is issued. A Minnesota LPC who already has 2,000 hours and independent status documents only another 2,000 hours, 100 of supervision and 900 with clients.
Can I be licensed in Minnesota before finishing my hours?
As an LPC, yes. The LPC needs 2,000 supervised hours with 100 hours of supervision, and those can be completed after licensure under a supervision plan the board accepts; the licence then converts from LPC-Supervised to LPC-Independent. The LPCC offers no such route — its 4,000 hours come first.
What degree does Minnesota require?
A master’s or doctorate in counseling or a related field of at least 48 semester or 72 quarter credits, from a CACREP-accredited program or a CHEA-accredited institution, with a 700-hour supervised field experience and coursework in ten subject areas. The LPCC adds 24 semester credits of clinical coursework, from diagnostic assessment to cultural diversity. If your degree was under 60 semester credits, you complete additional graduate credits within your first four years of licensure.
What does it cost, and how do I apply?
$435 in total for either licence: a $150 application fee, a $250 initial licence fee and a $35 criminal background check. You apply online through the board’s Online Services or by mail with a check, and the licence renews every year for $250. You register for the NCMHCE itself through NBCC.

Test yourself: 3 NCMHCE practice questions

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

Question 1

Devon's mother credits his recovery to answered prayer and remains wary of the medication, and Devon shares her faith and does not want to choose between his church and his care. How do you best respond within core counseling attributes?

▸ Why A is the answer

Respecting diversity means treating his faith as a genuine strength, not an obstacle. His church and his family's prayers are a source of meaning and support, and framing spirituality and treatment as compatible lets him keep both rather than being forced to pick. Helping him integrate his faith with his care honors who he is and, in practice, makes him more likely to stay engaged in treatment.

Question 2

Devon is much better and wants to keep working with you, the time-limited specialty program is winding down, and he is talking about stopping his medication in a first year that carries high relapse risk. What is the most appropriate treatment-planning step?

▸ Why B is the answer

The plan has to match the phase he is in, and the first year after a first episode is the highest-risk window even when someone looks well. So you revise toward sustained, coordinated care: your supportive counseling continues, he stays actively linked to psychiatric follow-up as the program winds down, the relapse-prevention plan is written into the work, and any medication decision is routed through his prescriber. Keeping both providers and both tasks in play through this stretch is exactly what the moment requires.

Question 3

Soren reports recurrent late-night binge episodes with a sense of loss of control, followed by self-induced vomiting and laxative use, about four times a week for six months, alongside intense preoccupation with shape and fear of weight gain; his weight is in the healthy range. Which provisional diagnosis best fits his presentation?

▸ Why C is the answer

Correct. He has recurrent binges with loss of control, regular inappropriate compensatory behavior (self-induced vomiting and laxatives), at least weekly for well over three months, and a self-evaluation dominated by shape and weight - the bulimia picture. The fact that settles it against the closest look-alike is his weight: it sits in the healthy range, which is what keeps this bulimia nervosa rather than the binge-purge form of anorexia.

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