Licensed Professional Counselor Supervisor

• Must complete all requirements before credential can be issued. (G.S. 90-336 and Rule .0801)
  

  Licensure Online Application

  Application PDF

  Active & unrestricted LPC license from NCBLPC

  Education – additional graduate education specific to clinical supervision

  Professional Disclosure Statement for Supervision
  Verification of Professional Counseling Experience

• This is a credential added to LPC
• Same license number with S at end – Example: 9801S

Application Requirements: (G.S. 90-336, Rule .0301, .0308, .0309, .0501, .0801)

• I.    General Information
• II.    Credentials
• III.   Legal & Ethics History
• IV.  Education
• V.   References
• VIII. Professional Counseling Experience
• IX.  Graduate Courses
• X.   Standards of Practice
• XI.  Photo and Application Validation

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Educational Requirements: (G.S. 90-336, Rule .0302, .0801)

• Clinical Supervision Training shall provide an understanding of the purposes, theoretical frameworks, and models of clinical supervision as well as the roles and relationships related to clinical supervision; shall include legal, ethical, and multicultural issues associated with clinical supervision.
• Three (3) semester graduate credits from a regionally accredited institution of higher education documented on official transcript

OR

• Forty-five (45) hours of approved continuing education from approved provider documented with certificate of attendance identifying:
  • Dates of attendance
  • Number of hours
  • Name of attendee
  • Name of course
  • Name of provider
  • Signature of responsible officer of continuing education provider

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Professional Disclosure Statement Requirements: (G.S. 90-343, Rule .0801)

• Must be provided to clients prior to rendering supervision services
• A signed copy must be retained in supervisee records
• Must include all items listed in Rule .0801 – Instructions and requirements can be found under the Professional Disclosure Statement Section of the Board website.

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Professional Counseling Experience

Verification of Professional Counseling Experience

LPCS Applicants must document on forms provided by the Board:

• Verification of Professional Counseling Experience
  • At least 5 years full-time licensed professional counseling experience with 2,500 direct client contact hours
  • At least 8 years part-time licensed professional counseling experience with 2,500 direct client contact hours
  • Not less than 5 years but no more than 8 years combined of full/part-time licensed professional counseling experience with 2,500 direct client contact hours
• General information of person verifying
• Location of experience
• Verification that licensed experience occurred
• Dates and hours
  • Must separate full-time and part-time
  • Document direct client contact hours