National Clinical Mental Health Counseling Examination
The National Clinical Mental Health Counseling Examination (NCMHCE) consists of 10 clinical simulations designed to sample a broad area of competencies. The NCMHCE is a requirement for counselor licensure in some states and for the Certified Clinical Mental Health Counselor (CCMHC) board certification. It is also one of two examination options for the National Certified Counselor (NCC) certification. It may also be accepted by military health systems to become a recognized provider.
The NCMHCE continues to undergo regular review and development to ensure it represents the current reality of practice and research in the counseling profession.
Study guides are available to help you prepare for the NCMHCE.
View the NCMHCE Handbook.
NBCC will not release your examination score to a third party without your written permission. Learn more about score verification.
Content Covered in the NCMHCE
The National Clinical Mental Health Counseling Examination (NCMHCE) consists of 10 simulated clinical mental health counseling cases. The simulations assess clinical problem-solving ability, including identifying, analyzing, diagnosing and treating clinical issues.
Each simulation is divided into approximately five to eight sections that are classified as either information gathering or decision making. Information gathering sections assess your ability to gather appropriate clinical data required to evaluate a situation or to make a decision. Decision making sections assess your ability to solve clinical problems by using data to make judgments and decisions.
More information about the content and development of the NCMHCE can be found in the NCMHCE Handbook.
NCMHCE Sample Case Studies
The sample case studies should give you an idea of what to expect on the National Clinical Mental Health Counseling Examination (NCMHCE) from 2022 onwards.
View or download a PDF of the NCMHCE Sample Case Studies.