Last updated: May 21, 2026

Best Counseling Programs by State (2026)

Find the top CACREP-accredited counseling programs in your state. Each guide breaks down accredited programs, state-specific licensure requirements, the NCMHCE and state-specific exams, salary data, and loan repayment programs for LPCs, LMHCs, and LPCCs.

Taylor Rupe

Founder & Editor

B.A. in Psychology, University of Washington, Seattle

Key Takeaways

  • There are more than 900 CACREP-accredited counseling programs across the United States, and CACREP accreditation is increasingly required (or strongly preferred) for licensure in most states.
  • Counselor licensure is messy. The professional title changes by state: LPC in Texas, North Carolina, Pennsylvania, and most southern states; LMHC in Florida, New York, Washington; LPCC in California, Minnesota, Ohio; LCMHC in Vermont and North Carolina. Plan around the title used where you actually want to practice.
  • Required supervised hours range from 1,500 to 4,000 hours depending on the state. Some states require the NCMHCE, others accept the NCE, and several add a state-specific jurisprudence exam on top.
  • The Counseling Compact, operational since 2024, lets compact-member-state LPCs/LMHCs practice across other Compact states without applying for separate licenses. More than 30 states are members. Texas, California, and New York currently are not.
  • Nine states have no income tax (Alaska, Florida, Nevada, New Hampshire, South Dakota, Tennessee, Texas, Washington, Wyoming), meaningfully increasing take-home pay for licensed counselors compared to equivalent gross wages in high-tax states.
  • Most states offer loan repayment or scholarship programs for counselors who commit to serving in mental health shortage areas. Some are extraordinarily generous, like California (up to $120,000 over 4 years) and Texas (up to $160,000 over 3 years).

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