How to Become a Counselor in New Hampshire: The Path to LCMHC

The U.S. Bureau of Labor Statistics projects a 19% growth in employment for mental health counselors from 2023 to 2033. This expansion rate exceeds the average across all occupations and makes a counseling career in New Hampshire increasingly valuable.
Becoming a Licensed Clinical Mental Health Counselor (LCMHC) in New Hampshire takes about eight years of education and supervised experience to deepen your commitment to the field. The NH Board of Mental Health Practice requires candidates to complete 3,000 hours of supervised clinical experience. On top of that, you must pass the National Clinical Mental Health Counseling Examination to achieve full LCMHC status.
The career path offers excellent financial prospects despite its demanding requirements. Mental health counselors earned a median salary of $53,710 nationwide in 2023, with New Hampshire’s rates varying by specialization. The state’s impressive ranking—10th nationally for mental health outcomes and access to care—makes it an ideal place to launch your counseling career.
Let us guide you through each step to become a licensed counselor in New Hampshire. We’ll cover everything from education requirements to examination details and practical insights you need to succeed.
Education Requirements in New Hampshire
The NH Board of Mental Health Practice sets specific educational requirements to become a Licensed Clinical Mental Health Counselor (LCMHC) in New Hampshire.
Degree Requirements
You must complete a 60-credit Master’s or Doctoral degree in clinical mental health counseling. This program must be either:
- Accredited by the Council for Accreditation of Counseling and Related Educational Programs (CACREP)
- From a regionally accredited institution that meets New Hampshire board’s specific requirements
Coursework Requirements
Non-CACREP accredited programs require at least 30 semester hours covering these key areas:
- Psychopathology/abnormal psychology
- Human growth and development
- Counseling theories and techniques
- Assessment and testing
- Social and cultural foundations
- Group work
- Professional orientation and ethics in mental health counseling
- Lifestyle and career development
- Addictive behaviors
- Research and program evaluation
Practicum and Internship
Your program must include at least 700 hours of combined practicum and internship experience appropriate to mental health counseling. This hands-on training helps develop simple and advanced skills before graduation.
Options for Alternative Educational Paths
Students with a mental health program of fewer than 48 semester hours or a related field degree can qualify by completing a 30-semester-hour Certificate of Advanced Studies (CAS) or Certificate of Advanced Graduate Studies (CAGS) program. Your original degree must include at least 18 semester hours of coursework in the required content areas.
Residency Requirement
Students must complete at least one year of their studies in residency. Waivers might be available under certain circumstances.
Post-Degree Requirements
Your post-graduate requirements include:
- Passing the National Clinical Mental Health Counselor Examination (NCMHCE)
- Completing 3,000 hours of post-Master’s supervised clinical experience over 2-4 years[33]
- Receiving a minimum of 100 hours of face-to-face supervision
- Completing a criminal background check
Continuing Education
Licensed counselors must complete 40 hours of continuing education units and 40 hours of collaboration every two years to maintain their license.
Each New Hampshire institution offering counseling programs may have different approaches to preparing students for licensure. Researching specific programs helps you choose the right educational path.
Counseling Programs in New Hampshire
New Hampshire has several accredited counseling programs that will prepare you to become a Licensed Clinical Mental Health Counselor (LCMHC). The right program is vital to meet NH Board of Mental Health Practice requirements.
Antioch University New England (Keene) has a Master’s in Clinical Mental Health Counseling with focus on social justice and hands-on learning. This CACREP-accredited program takes two years full-time or three years part-time. Students can choose between on-campus and low-residency options.
Plymouth State University runs a CACREP-accredited MS in Clinical Mental Health Counseling that readies graduates for LCMHC licensure. The 60-credit hour program has specialized tracks in couples and family counseling, addictions treatment, or play therapy.
Rivier University (Nashua) delivers a 60-credit MA in Clinical Mental Health Counseling program that blends theory with real-world experience. Working professionals can take advantage of flexible evening classes to advance their counseling careers.
Southern New Hampshire University runs an online MS in Clinical Mental Health Counseling program with two face-to-face residencies. The CACREP-accredited curriculum has specialized courses in trauma, addiction, and diagnosis that match New Hampshire’s licensure requirements.
University of New Hampshire offers a detailed MS in Clinical Mental Health Counseling focused on evidence-based practices. Students receive specialized training in substance abuse counseling and trauma-informed care – areas that grow more important in the field.
Internship and Other Requirements
Each accredited counseling program in New Hampshire needs clinical fieldwork that matches state licensure standards. Programs require:
- A 100-hour practicum with 40 hours of direct client contact
- A 600-hour internship with 240 hours of direct client service
- Weekly individual and group supervision
These match New Hampshire’s license board requirements for pre-graduate clinical experience. Clinical placements help you become skilled at assessment, diagnosis, and treatment planning under qualified supervision.
Programs also need students to:
- Keep a minimum GPA (usually 3.0)
- Pass comprehensive examinations
- Create a professional portfolio
- Complete background checks before clinical placements
Make sure your chosen program meets all coursework requirements for New Hampshire LCMHC licensure. You should also ask about their practicum/internship placement process. Quality sites can be hard to find, especially in the state’s rural areas.
Examinations
Getting your counseling license in New Hampshire requires passing a crucial exam. The NH Board of Mental Health Practice sets specific testing requirements before you can submit your license application.
Licensed Clinical Mental Health Counselor (LCMHC) candidates must pass the National Clinical Mental Health Counselor Examination (NCMHCE). The National Board for Certified Counselors (NBCC) administers this complete assessment that shows your knowledge and skills in counseling services.
Exam Structure and Content
The NCMHCE features 11 case studies, though only 10 count toward scoring. Each case study presents one narrative and 9-15 multiple-choice questions that test you on:
- Assessing client situations
- Diagnosing mental health conditions
- Developing treatment plans
- Applying counseling techniques
- Demonstrating ethical practice
Your exam scores 100 questions in total. The questions focus on your clinical problem-solving skills through various scenarios that need identification, analysis, and treatment planning.
Registration Process
New Hampshire lets you register for the NCMHCE without getting prior approval from the state board. Once you finish your master’s or doctoral degree, you can sign up through the NBCC’s ProCounselor portal. The Center for Credentialing and Education (CCE) manages this portal.
Testing centers offer this computer-based exam that takes three hours. The exam puts you through real-life clinical scenarios to test your practical counseling knowledge.
Important Timing Requirements
The New Hampshire license board requires you to pass the NCMHCE before submitting your license application. This means you should take the exam after getting your degree but before applying for your LCMHC license.
The board probably has your scores if you took the exam in New Hampshire in the last two years. If not, you’ll need to send your scores from CCE in a sealed envelope.
Success on this exam depends on good preparation. The NBCC offers study guides that can help you get ready effectively.
Licensing Fees
The NH Board of Mental Health Practice sets specific fees you need to consider while planning your counseling career in New Hampshire. Your licensing process comes with various financial commitments that you should understand well.
The New Hampshire Office of Professional Licensure and Certification (OPLC) requires an application fee of $313.00. This amount includes a mandatory $28.00 Professional Health Program (PHP) contribution that supports a confidential program for mental health professionals who face personal challenges.
The candidate agreement review costs $25.00. This review will give a thorough check of your supervision plan before you start collecting your clinical hours.
Your professional future requires these investments once your application gets approved and you complete all requirements:
Fee Type | Amount |
Application Fee (includes PHP fee) | $313.00 |
Candidate Agreement Review | $25.00 |
Renewal Fee – Active Status (biennial) | $298.00 |
Renewal Fee – Inactive Status | $163.00 |
Reinstatement Fee | $328.00 |
Your license needs renewal every two years with a $298.00 fee. This renewal fee includes the PHP contribution and maintains your right to practice. Professionals who want to keep their license while taking a break from practice can choose inactive status for $163.00.
A reinstatement fee of $328.00 applies if your license lapses. Tracking your renewal deadlines helps avoid extra costs and complications.
The NH Board of Mental Health Practice might update these fees periodically. You should check their website for current fees before submitting applications. Remember to include these costs in your career planning along with continuing education requirements and professional organization memberships.
Counseling Salaries in New Hampshire
Getting your LCMHC credentials in New Hampshire opens up new career opportunities, and salary potential plays a key role in planning your future. Your earnings as a mental health counselor will depend on several factors like your experience, where you work, and which part of the state you’re in.
New Hampshire’s mental health counselors earn competitive salaries compared to national figures at $57,110 annually on average. Here’s what affects your potential income as an LCMHC:
- Experience level: New counselors start at lower salaries than those with 5+ years under their belt
- Practice setting: Your income can vary between private practice versus working at agencies or hospitals
- Specialization: Extra training in high-demand areas could lead to better pay
- Location: You might earn differently in cities like Manchester or Nashua compared to rural areas
- Full-time vs. part-time status: Many counselors choose to mix different types of work
The more experience you gain and certifications you add, the better your earning potential becomes. Starting a private practice after getting some experience could maximize your income, but you’ll need business and marketing skills too.
Remember that your salary is just one piece of the compensation puzzle. Employee benefits like health insurance, retirement plans, paid time off, and education allowances add significant value to your total package.
While the NH Board of Mental Health Practice doesn’t control counselor salaries, having an LCMHC license helps you earn more. Insurance companies usually require this credential before they’ll reimburse for services.
The New Hampshire Mental Health Counselors Association provides great networking opportunities that could lead to better-paying positions. Most counselors find job satisfaction when they strike the right balance between meaningful work and fair pay.
Anyone looking to become a counselor in New Hampshire should consider salary expectations alongside other important factors like work environment, client population, and chances to grow professionally.
Counseling Organizations in New Hampshire
Professional networking plays a key role in building a career as a mental health counselor. New Hampshire counseling organizations give you great resources, advocacy support, and professional growth opportunities during your trip to becoming an LCMHC.
The New Hampshire Mental Health Counselors Association (NHMHCA) is the state’s leading professional organization for mental health counselors. This branch of the American Mental Health Counselors Association gives members access to continuing education events, networking opportunities, and updates about counseling profession laws in New Hampshire.
New Hampshire Psychological Association (NHPA) supports mental health professionals of all disciplines. While it focuses on psychology, this organization welcomes counselors and hosts conferences, workshops, and advocacy that helps all mental health practitioners in the state.
The New Hampshire Alcohol and Drug Abuse Counselors Association (NHADACA) specializes in substance abuse treatment professionals. They provide specialized training for counselors interested in addiction treatment—a growing specialization in mental health.
These organizations offer several benefits:
- Mentorship from 10+ years old counselors
- Lower rates for license renewal education
- Local job opportunities
- State-level advocacy for licensure rules
- Professional liability insurance choices
- Clinical consultation networks
These organizations work closely with the NH Board of Mental Health Practice to keep members updated about licensure requirement changes. Starting your membership early in your career helps build connections that support your growth from graduate student to licensed professional.
Yes, it is active participation in these professional networks that makes a real difference in becoming a counselor in New Hampshire.
Counseling Scholarships in New Hampshire
The path to becoming an LCMHC in New Hampshire comes with financial challenges. Your education costs might seem daunting at first. The good news is that counseling students can find several scholarship opportunities to help with graduate education expenses.
Most students don’t look beyond federal loans for financial aid. Many organizations actually provide scholarships specifically for future mental health professionals. Here are the main places to look for counseling scholarships:
- University-Specific Scholarships – New Hampshire counseling programs usually provide internal scholarships based on merit, need, or specific demographics. You should reach out to financial aid offices at Plymouth State University, Southern New Hampshire University, and Rivier University to ask about their counseling department scholarships.
- Professional Organization Awards – The New Hampshire Mental Health Counselors Association helps graduate students with financial support for their counseling degrees. New Hampshire residents can also apply for national scholarships from the American Mental Health Counselors Association.
- Community Foundation Grants – The New Hampshire Charitable Foundation gives out many scholarships each year. Some of these target students who plan to work in helping professions.
- Employer Tuition Assistance – Mental health agencies across New Hampshire help employees pay for advanced degrees in counseling through tuition reimbursement programs.
A systematic approach will help you get the most from scholarship opportunities:
- Start your research 6-12 months before your program begins
- Track application deadlines on a calendar
- Write a compelling personal statement about your dedication to New Hampshire’s mental health needs
- Get recommendation letters from professors or supervisors who understand your counseling potential
- Look for specialized scholarships in areas like substance abuse or school counseling
Time spent on scholarship applications can reduce your education costs by a lot. This makes your journey toward LCMHC licensure more affordable and less stressful.
Get Started Now
The path to becoming a Licensed Clinical Mental Health Counselor in New Hampshire needs dedication, full preparation, and smart planning. Your trip takes about eight years of commitment through education and supervised clinical experience. The career path might seem challenging, but the projected 19% growth in employment for mental health counselors through 2033 definitely makes it worth pursuing.
Every step in your counseling career builds on what came before. Your educational foundation helps you tackle the NCMHCE examination and qualifies you for supervised experience. Professional organizations offer great networking and continuing education opportunities that boost your long-term success in the field.
Money matters stay important throughout this process. You can fund your education through scholarships, and knowing the licensing fees helps you plan better. New Hampshire counselors earn competitive salaries, which get better with experience and specialization, showing how much the mental health field values your expertise.
Your work as an LCMHC will add by a lot to New Hampshire’s strong mental health system. The state ranks 10th nationally for mental health outcomes and access to care, making it perfect for building your counseling career. Through education, exam prep, and supervised experience, you’ll get the tools to make real changes in clients’ lives while building a rewarding professional future.