Massachusetts licenses counselors on two rungs.
The Licensed Supervised Mental Health Counselor (LSMHC) is the supervised entry licence; the Licensed Mental Health Counselor (LMHC) is the independent licence.
The route: 60 graduate credits, a passing score on the NCMHCE, then 3,360 post-master's hours — 960 of direct client contact and 130 of supervision — in no less than two and no more than eight years.
The quirk: no supervised hour earns credit until every education requirement is complete.
Verify before you rely on this
At a glance
Licensed Mental Health Counselor (LMHC), licensed under M.G.L. c.
112, § 165.
Licensed Supervised Mental Health Counselor (LSMHC) — a supervised licence, not a registration or a permit; the tier is new, implemented by the current 262 CMR 2.00 (Mass.
Register #1579, 2026-07-31).
A minimum of 60 semester credits (80 quarter) in Mental Health Counseling or a Relevant Field, via a 60-credit master's, a 48-credit master's plus 12 qualifying credits, a master's plus a CAGS, two master's, or a doctorate.
Ten required course areas; CACREP is not required.
Post-master's: 3,360 total hours in no less than two and no more than eight years, including 960 Contact Hours of direct client contact (at least 610 individual/couples/family; at most 350 group) and at least 130 supervision hours (at least 75 in Individual Supervision).
One exam at both tiers: the Board Examination, defined as the NCMHCE administered by NBCC.
Passing scores remain valid five years — flat for the LSMHC, with a carve-out for applicants licensed elsewhere after passing on the LMHC side.
No jurisprudence exam was located.
No separate supervisor licence.
An Approved Supervisor under 262 CMR 2.02: a Massachusetts LMHC or LMFT with three years of experience, or holding an approved supervisor certification, or 12 CE hours in supervision; LICSWs, HSP psychologists, psychiatrists and psychiatric NPs also qualify.
During field experience the supervisor must be site staff — or an outside LMHC Contract Supervisor with a written agreement (262 CMR 2.07(4)(b)).
At least 75 of the 200 supervisory hours must be by an LMHC.
Not enacted: Massachusetts is not on the commission's member list as of September 2026.
Every two years: a minimum of 30 Contact Hours of continuing education, plus domestic violence and sexual violence training as a condition of licensure, renewal, revival or reinstatement (M.G.L. c.
112, § 264).
A licence, not a registration: under M.G.L. c.
112, § 165 it authorises practice under supervision of a clinician in a qualifying clinic or hospital, an equivalent center or institute, or under the direction of a board-approved supervisor.
The independent counselling licence under M.G.L. c.
112, § 165 and 262 CMR 2.03(2); an applicant who holds or held the LSMHC applies for it with only the application and evidence of the post-master's field experience (2.03(2)(e)).
Massachusetts issues two counselling licences, and the entry rung is a licence — not a registration or a permit.
The Licensed Supervised Mental Health Counselor (LSMHC) is new: the § 165 heading now covers supervised mental health counselors, and 262 CMR 2.02 defines the title as a person licensed as a supervised mental health counselor under M.G.L. c.
112, § 165.
An LSMHC application needs a final transcript meeting the education rule, the pre-master's field experience, and a passing Board Examination score.
The statute then sets the practice conditions: the supervised counselor practises under supervision of a clinician in a qualifying clinic or hospital, or under a board-approved supervisor.
The step up is deliberately short — an applicant who holds or held the LSMHC applies for the LMHC with only the application and evidence of the 2.06-through-2.08 field experience (2.03(2)(e)); no new transcript or exam evidence is required.
Other states issue the same counselor licence under different letters — see LPC vs LMHC vs LPCC vs LCPC, mapped state by state.
“A supervised mental health counselor shall practice under supervision of a clinician in a clinic or hospital licensed by the department of mental health or the department of public health or accredited by the Joint Commission on Accreditation of Hospitals or in an equivalent center or institute or under the direction of a supervisor approved by the board.”
The education floor is a minimum of 60 semester credit hours or 80 quarter credit hours from an integrated, planned and comprehensive program at a Recognized Educational Institution, reachable five ways: a master's of at least 60 semester credits (80 quarter); a master's of at least 48 semester credits (64 quarter) plus at least 12 semester credits (16 quarter) of additional qualifying courses; a master's plus a CAGS; two master's degrees; or a doctorate — all in Mental Health Counseling or a Relevant Field.
Ten Graduate Level Courses are required across ten content areas, including psychopathology (identification and diagnosis and mental health treatment planning) and appraisal, plus the clinical sequence: a practicum of at least 100 clock hours with 40 Contact Hours of direct client contact and 25 Supervisory Contact Hours, and an internship of at least 600 clock hours with 240 direct and 45 supervisory.
CACREP accreditation is not required.
The rule also forecloses an early clock: supervised experience before all of 2.05 is complete earns no credit.
For why boards write program accreditation into the degree rule, see CSWE vs CACREP vs COAMFTE accreditation.
“No applicant shall earn credit for any supervised experience that occurs prior to the applicant's completion of all education listed in 262 CMR 2.05.”
The clock starts only after the degree: post-master's field experience may not begin until all 60 semester credits (80 quarter), including every 2.05 requirement, are complete.
The rule then requires, in no less than two and no more than eight years, a minimum of two years of Full Time or equivalent Part Time supervised clinical field experience.
Full Time is defined precisely — 35 hours per week, 48 weeks per year, with at least ten Contact Hours per week of direct client contact — and that definition is where 3,360 comes from: two such years produce 1,680 hours each.
Inside the total sit 960 Contact Hours of Direct Client Contact Experience, at least 610 in individual, couples or family counseling and at most 350 in group, plus at least 130 hours of supervision with at least 75 in Individual Supervision, at no less than one Supervisory Contact Hour per 16 Contact Hours of direct client contact.
A Contact Hour is at least 45 minutes, built from segments of at least 15 consecutive minutes.
For what counts as a supervised hour, and what changes at independent licensure, see associate vs. independently licensed therapists.
“Eligible applicants must complete, in no less than two and no more than eight years, a minimum of two years of Full Time or equivalent Part Time, post-Master's degree Supervised Clinical Field Experience and Direct Client Contact Experience.”
The Board Examination is defined once and used at both tiers: the National Clinical Mental Health Counseling Examination (NCMHCE), administered by the National Board for Certified Counselors.
Both the LSMHC and the LMHC applications require evidence of a passing score, but the validity windows differ: the LSMHC window, 2.03(1)(d), is a flat five years from the date the examination was taken, while the LMHC window, 2.03(2)(d), adds a carve-out — five years unless the applicant was licensed as a supervised mental health counselor or as a mental health counselor, or the equivalent, by another state or jurisdiction after passing.
The planning point: the direct LMHC route takes no less than two and no more than eight post-master's years, so a graduation-era score can expire before that application is made — holding the LSMHC protects it, because under 2.03(2)(e) an LSMHC holder moving up submits only the application and field-experience evidence, never a new exam score.
No jurisprudence exam was located in the sources read.
For how the counselor, social work and MFT licensing exams compare, see ASWB vs NCE vs NCMHCE vs the MFT national exam.
“Board Examination. The National Clinical Mental Health Counseling Examination administered by the National Board for Certified Counselors, Inc.”
There is no supervisor licence; qualification is a defined status, Approved Supervisor, under 262 CMR 2.02.
A Massachusetts LMHC or LMFT qualifies with three years of Full Time or equivalent Part Time experience, an approved supervisor certification, or twelve continuing education hours in supervision; an LICSW with three years, an HSP-certified psychologist, a psychiatrist or a psychiatric NP also qualifies.
Supervision runs through the site: 2.07(4)(b) requires the supervisor to be a staff member of the Clinical Field Experience Site who is an Approved Supervisor — or a Contract Supervisor, an outside LMHC with three years of Full Time or equivalent Part Time post-licensure experience and a written agreement with you and the site, with written notice of the agreement kept on file at the site.
And the pool is split: at least 75 Supervisory Contact Hours of the 200 required across pre- and post-master's must come from an LMHC, so hours under an LICSW cannot fill them.
No video-supervision provision was located; confirm any remote arrangement with the board first.
For what it takes to become a supervisor yourself, see can an LPC supervise an associate?
“A minimum of 75 Supervisory Contact Hours of the 200 total Supervisory Contact Hours of supervision required (pre- or post-Master's degree) must be supervision by an Approved Supervisor who is a Licensed Mental Health Counselor or an equivalently licensed mental health counselor from another state or jurisdiction.”
262 CMR 2.02 defines the practice of Mental Health Counseling to include assessment, diagnosis and treatment, counseling and psychotherapy, of a nonmedical nature of mental and emotional disorders, plus psychoeducational prevention work and consultation — so diagnosis sits inside the licence itself, not in a separate privilege to be added later.
The rule also guards the licence at its edges: 2.09 provides that no person shall be denied initial licensure or renewal because of any complaint, charge, conviction, judgment, discipline or other sanction arising from providing or assisting in providing reproductive or gender-affirming health care, as defined at M.G.L. c.
12, § 11 I½, so long as the services would have been lawful in Massachusetts and consistent with good professional practice there.
For a clinician weighing a move, both clauses are part of what the licence carries.
“The practice of Mental Health Counseling includes, but is not limited to, assessment, diagnosis and treatment, counseling and psychotherapy, of a nonmedical nature of mental and emotional disorders, psychoeducational techniques aimed at prevention of such disorders, and consultation to individuals, couples, families, groups, organizations and communities.”
A counselor licensed, certified or registered elsewhere — or the equivalent thereof as determined by the Board — may apply for the Massachusetts licence by reciprocal recognition.
Four things are required: the application, a final transcript meeting the 2.05 education requirements, evidence of a passing score on the Board Examination, and written proof that the out-of-state credential has been in good standing with its licensing authority for the three years preceding the application.
The exam is not waived — 2.03(3)(c) requires evidence of a passing score on the Board Examination — but 2.03(3) states no validity period for that score, unlike the standard LMHC application's five-year window, so an applicant whose only passing attempt is older than five years should confirm with the board how it will be treated.
The education requirement also applies in full: a 48-credit master's must be supplemented with the missing qualifying credits or courses under 2.05.
For how endorsement works when you move, see moving states as a therapist: license transfer and endorsement.
“Any applicant who holds a license, certification or registration as a mental health counselor, or the equivalent thereof as determined by the Board, issued by another state or jurisdiction, may apply to the Board for licensure as a mental health counselor by reciprocal recognition.”
Massachusetts has not enacted the Counseling Compact: as of September 2026 the commission's member list does not include the state.
Practically, that means no Compact privilege in either direction — a counselor licensed in a Compact state cannot use it to practise in Massachusetts, and a Massachusetts LMHC cannot use the Compact to practise elsewhere.
The routes into Massachusetts remain the standard application under 262 CMR 2.03 or reciprocal recognition under 2.03(3), and the route out is each destination state's own endorsement rule.
Because enactment can move quickly, check the commission's member list and the board before relying on either status.
For how the compact’s privilege to practice works, see the Counseling Compact explained.
Every licensee renews on a two-year cycle with a minimum of 30 Contact Hours of continuing education obtained from Board-recognized Entities and their approved sponsors — and note the unit trap: a CE Contact Hour is 50 consecutive minutes under 262 CMR 7.02, while the licensure side's Contact Hour in 262 CMR 2.02 is 45, so track the two ledgers separately.
On top of the CE total, M.G.L. c.
112, § 264 makes domestic violence and sexual violence training a condition of licensure, renewal, revival or reinstatement; the board, consulting the Department of Public Health, identifies qualifying programs, and a licensee who already completed an approved course need not repeat it unless the board requires.
Non-compliance with the CE rule is grounds for discipline and non-renewal, and the board audits and can demand documentation for two prior renewal periods.
“All licensees are required, as a condition of license renewal, to complete a minimum of 30 Contact Hours of continuing education activities per licensure/renewal period (every two years). These Contact Hours must be obtained from Board-recognized Entities.”
The change that matters is the LSMHC tier itself.
The § 165 heading now includes supervised mental health counselors, and the current 262 CMR 2.00 text — published in the Massachusetts Register, #1579, on July 31, 2026 — implements the tier with its own application requirements in 2.03(1).
What was not located in the sources read is the enabling session-law chapter and its effective date; the regulation's publication date is what is established.
Older guides that describe Massachusetts as having no pre-licensure counselling licence are out of date on that point.
The hour, supervision, exam and CE requirements read here all come from the rule text as published on July 31, 2026, so a pre-2026 summary of Massachusetts hours is describing a different rulebook.
This page summarizes the Massachusetts statute, rules, board pages and other documents cited above, as read for this state-by-state counselor licensure series, current as of September 2026.
It does not list application forms, fees beyond those cited above, or processing times, and it is not a substitute for the instructions the Board of Registration of Allied Mental Health and Human Services Professions publishes.
Nor does it cover social work licensure in Massachusetts, MFT licensure in Massachusetts, or what therapists earn in Massachusetts.
Hour totals, exams and supervision rules change by statute and by board rule; for how the counselor, social work and MFT licences differ, see LCSW vs. LPC vs. LMFT: which therapy licence to get.
Confirm every requirement with the Board of Registration of Allied Mental Health and Human Services Professions before you count hours, register for an exam or apply — and before you take one of the mental health counselor jobs in Massachusetts that asks for it.
No. 262 CMR 2.05 provides that no applicant shall earn credit for supervised experience occurring before all education listed in 2.05 is complete, and 2.07(1) adds that post-master's field experience may not begin until all 60 semester credits (80 quarter credits), including every 2.05 requirement, are done.
Pre-master's practicum and internship hours are not wasted — they feed the 200 Supervisory Contact Hours total — but they never count toward the 3,360 post-master's hours.
Confirm any edge case with the board before you rely on it.
Only the NCMHCE.
262 CMR 2.02 defines the Board Examination as the National Clinical Mental Health Counseling Examination administered by the National Board for Certified Counselors, and both the LSMHC and the LMHC applications require a passing score on it.
Passing scores remain valid for five years from the test date — flat under the LSMHC rule; the LMHC rule (2.03(2)(d)) adds a carve-out for applicants licensed as a supervised counselor or a counselor, or the equivalent, in another jurisdiction after passing.
No jurisprudence exam appears in the sources read for this page.
The sources read do not settle it.
262 CMR 2.00, as published in the Massachusetts Register on July 31, 2026, contains no telesupervision provision, and 2.02 defines Direct Client Contact Experience as direct, face-to-face clinical Mental Health Counseling experience.
No rule on video supervision was located for this page.
Because hours accrued under a format the board has not approved may not count, ask the Board of Registration of Allied Mental Health and Human Services Professions in writing before you rely on any remote arrangement.
No. Licensure by reciprocal recognition under 262 CMR 2.03(3) requires evidence of a passing score on the Board Examination — the NCMHCE — along with the application, a final transcript meeting 2.05, and written proof that your out-of-state license, certification or registration has been in good standing for the three years preceding your application.
If you passed the NCMHCE years ago, note that 2.03(3) itself states no validity period for the score — the five-year rule and its carve-out sit in 2.03(2)(d), the standard LMHC application — and confirm with the board how an older score will be treated.
Not as of September 2026.
Massachusetts does not appear on the Counseling Compact Commission's member list, so there is no Compact privilege to practise in Massachusetts and none for a Massachusetts LMHC elsewhere.
The way in is a Massachusetts licence — by standard application under 262 CMR 2.03, or by reciprocal recognition under 2.03(3) if you hold an out-of-state credential in good standing.
Watch the commission's member list and the board, since enactment would change both directions at once.
Sources
Sourced from the statute, rules, board pages and other documents cited above.
Verified September 2026.
This is career information, not legal or clinical advice — confirm current rules with the Board of Registration of Allied Mental Health and Human Services Professions.