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How to become a therapist in North Carolina.

North Carolina uses LCMHC for counselors, with the LCMHCA associate tier under a supervision contract on file with the board. Separate boards license each profession. North Carolina is in the Counseling Compact and PSYPACT.

Emora works here todayCounseling CompactPSYPACT

Board

  • NC Board of Licensed Clinical Mental Health Counselors
  • NC Social Work Certification and Licensure Board
  • NC Marriage and Family Therapy Licensure Board
  • NC Psychology Board
Official board site →

License titles

Counselors
LCMHC
Social workers
LCSW
MFTs
LMFT
Psychologists
Licensed Psychologist
Supervised tier
LCMHCA, LCSWA, LMFTA

Counseling Compact

Member

PSYPACT

Member

Social Work Compact

Enacted

We reviewed compact membership on 2026-08-14. Each compact sets its own eligibility rules, so confirm with the compact commission and your board before you rely on a privilege.

North Carolina licensing questions

Who licenses therapists in North Carolina?
NC Board of Licensed Clinical Mental Health Counselors; NC Social Work Certification and Licensure Board; NC Marriage and Family Therapy Licensure Board; NC Psychology Board. Each board publishes its own hours, exam, and fee schedule.
What are the license titles in North Carolina?
Counselors: LCMHC. Social workers: LCSW. Marriage and family therapists: LMFT. Psychologists: Licensed Psychologist. Supervised tier: LCMHCA, LCSWA, LMFTA.
Is North Carolina in the Counseling Compact or PSYPACT?
North Carolina is a Counseling Compact member. North Carolina is a PSYPACT member. The Social Work Compact has been enacted; practice privileges follow the compact commission timeline.
Does Emora work with clinicians in North Carolina?
Yes. Emora books North Carolina clinicians with children and families today. See the North Carolina clinician page for the licenses we accept and the hours families book.

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Licensed in North Carolina? Families are waiting.

Apply to Emora Health. You see your per-session pay inside the application, and you hear back within 48 hours. Less than 7% of applicants are accepted.