How to Become a Licensed Marriage and Family Therapist in Missouri
To become a licensed marriage and family therapist in Missouri, you'll need a COAMFTE or CACREP-accredited master's or doctoral degree in MFT, complete 3,000 hours (2 years) of supervised experience with an approved supervisor, and pass the AMFTRB national exam. The national median salary for MFTs is $56,570 (May 2024 BLS), while Missouri LMFTs earn a median of $64,900 with top earners making over $116,000 annually.
Licensed marriage and family therapists (LMFTs) help people work through depression, anxiety, marital problems, child-parent conflicts, and complex relationship issues. As a specialty that recognizes how mental and emotional health are largely influenced by the nature of close relationships we have with spouses and other family members, LMFTs specialize in addressing issues within the family context.
Trained in psychotherapy and other interventions like cognitive behavioral therapy, their focus is on fostering and promoting healthy relationships within the family system. This makes LMFTs essential members of the mental health community. As a result, their numbers continue to grow, from independent practices in Springfield to major health systems such as Barnes-Jewish Hospital in St. Louis.
Learning how to become a licensed marital and family therapist in Missouri starts with getting familiar with state education and licensing requirements.
Table of Contents
Education Requirements for Missouri LMFTs
Like most states, licensed marriage and family therapists are regulated in Missouri. To earn licensure here, you'll need to earn a master's or doctorate degree from an accredited university.
A master's or doctoral program in marriage, couple and family counseling that's been accredited by the Commission on Accreditation for Marriage and Family Therapy Education (COAMFTE) will meet the requirements for state licensure as an LMFT in Missouri. COAMFTE specifically accredits programs designed for marriage and family therapy training.
Programs accredited by the Council for Accreditation of Counseling and Related Educational Programs (CACREP) may also meet Missouri's requirements if they include a marriage, couple, and family counseling specialization. CACREP accredits a broader range of counseling programs, so it's important to verify the program includes the appropriate MFT specialization.
Learn more about LMFT programs in Missouri.
Alternative Educational Pathways
If you currently hold a master's degree or higher in another related field like psychology, social work, psychiatric nursing, or ministry, you may also meet the educational requirements for licensure through a non-standard process. You'll need to complete a post-graduate training program in marriage and family therapy to qualify.
An increasing number of colleges and universities now offer MFT graduate programs in a hybrid/blended or online format, which can make earning the degree you need to become an LMFT more convenient than ever.
| Degree Type | Accreditation Required | Typical Duration |
|---|---|---|
| Master's in MFT | COAMFTE or CACREP (with MFT specialization) | 2-3 years |
| Doctoral Degree in MFT | COAMFTE or CACREP (with MFT specialization) | 4-6 years |
| Post-Graduate Training | Missouri-approved program | Varies by program |
Step-by-Step Licensing Process
The path to becoming a licensed marriage and family therapist in Missouri follows a structured process. Understanding each step helps you plan your timeline and career trajectory effectively.
| Step | Requirement | Timeline | Key Details |
|---|---|---|---|
| 1 | Complete Graduate Education | 2-3 years | COAMFTE-accredited or CACREP program with MFT specialization |
| 2 | Complete Supervised Experience | 2 years | 3,000 hours under an approved supervisor |
| 3 | Apply for Exam Eligibility | 2-4 weeks | Submit the application to the Missouri Division |
| 4 | Pass AMFTRB Exam | 1-2 months | $365 exam fee, taken at the Prometric center |
| 5 | Apply for State License | 4-8 weeks | Submit to the Missouri Division of Professional Registration |
Supervised Experience Requirements
Once you've completed the required education, you'll need to complete two years (3,000 hours) of supervised experience. Missouri allows supervision from multiple types of licensed mental health professionals, including licensed MFTs, clinical social workers, psychologists, or psychiatrists. Your supervisor must be registered and approved by the Missouri Division of Professional Registration.
Supervised Hour Requirements
You'll need to complete at least half of the required hours in a setting that involves direct client contact. This ensures you gain practical, hands-on experience working with individuals, couples, and families facing real mental health and relationship challenges.
The supervised experience component is designed to bridge the gap between academic training and independent practice. During this time, you'll apply theoretical knowledge to real-world situations while receiving guidance from experienced professionals.
Finding an Approved Supervisor
Your supervisor must meet specific qualifications set by Missouri's licensing board. They need to be actively licensed and registered with the state as an approved clinical supervisor. Many graduate programs maintain relationships with approved supervisors and can help connect you with supervision opportunities. Always verify your supervisor's approval status with the Missouri Division of Professional Registration before beginning your supervised hours.
AMFTRB National Exam
Once you've completed the required experiential hours, you'll apply for eligibility through the Missouri Division of Professional Regulation to take the national exam developed by the Association of Marital & Family Therapy Regulatory Boards (AMFTRB).
AMFTRB exams are given at Prometric testing centers throughout the U.S. You'll need to pass the AMFTRB exam and pay the examination fee of $365 to apply for your Missouri marriage and family therapist license through the Missouri Division of Professional Registration.
Exam Content and Preparation
The AMFTRB exam tests your knowledge across multiple domains, including assessment, treatment planning, ethics, and clinical intervention strategies. Most candidates spend 2-3 months preparing for the exam using study guides, practice tests, and review courses.
Career Outlook and Salary Data
Marriage and family therapists in Missouri enjoy competitive salaries and strong job growth prospects. The field continues to expand as mental health awareness increases and more people seek professional help for relationship challenges.
Missouri MFT Salary Data (May 2024 BLS)
Note: The following salary data reflects Missouri-specific wages from the Bureau of Labor Statistics Occupational Employment and Wage Statistics (OES) survey, based on May 2023 data published in 2024. The national median salary for MFTs is $56,570.
| Experience Level | Percentile | Missouri Annual Salary |
|---|---|---|
| Entry-Level | 10th Percentile | $38,080 |
| Early Career | 25th Percentile | $51,310 |
| Mid-Career | Median (50th) | $64,900 |
| Experienced | 75th Percentile | $80,760 |
| Senior/Top Earners | 90th Percentile | $116,840 |
As of May 2024, marriage and family therapists in Missouri earned a median salary of $64,900, which is above the national median of $56,570, this reflects Missouri's competitive compensation for seasoned professionals with several years of experience. Those new to the field usually earn a salary that places them in the 25th percentile, which was $51,310. Those with significant experience generally earn salaries that reflect what the profession's top earners in the 75th to 90th percentile make, which was $80,760 to $116,840 during this time.
Missouri employs approximately 530 marriage and family therapists statewide, with opportunities in both urban centers like St. Louis and Kansas City, as well as rural communities that often face mental health provider shortages.
Job Growth Projections
According to the Missouri State Labor Department projections, the number of marriage and family therapists in Missouri is expected to increase by 11% between 2020 and 2030. This state-level projection is slightly lower than the national Bureau of Labor Statistics projection of 14% growth for this profession nationwide. During this time, Missouri expects approximately 20 annual job openings among marriage and family therapists due to a combination of new job growth, retirements, and normal turnover in the field.
Salary by Work Setting
Your work environment can significantly impact your earning potential as an LMFT. Marriage and family therapists work in various settings, each offering different compensation structures and benefits.
| Work Setting | Typical Salary Range | Key Considerations |
|---|---|---|
| Private Practice | $70,000 - $120,000+ | Income varies by caseload and rates; the highest earning potential |
| Hospital/Health System | $60,000 - $85,000 | Stable salary, benefits, structured environment |
| Community Mental Health | $45,000 - $65,000 | Lower pay, but loan forgiveness options are often available |
| Schools/Universities | $50,000 - $75,000 | Academic calendar, summers off, pension benefits |
| Government/VA | $65,000 - $95,000 | Strong benefits, job security, structured advancement |
Related Mental Health Career Paths in Missouri
You already know you're cut out for a career that involves working with people to help them resolve relationship challenges and interpersonal issues. Early in your career planning, it's great to be aware of the different paths you can take into this type of work.
You can't go wrong gathering information about exactly how to become an LMFT here in Missouri, but you may also be interested in finding out more about the licensing requirements and earning potential in other similar areas of practice within counseling and therapy careers.
Clinical and Counseling Psychologists in Missouri
Learn how to become a psychologist in Missouri. This path requires a PhD or PsyD degree. Clinical and counseling psychologists in Missouri earned a median salary of $70,530 as of May 2024, while the top earners in this profession (75th to 90th percentile) earned salaries in the range of $104,240 to $127,510 during this time.
Licensed Professional Counselors in Missouri
Learn how to become a licensed counselor in Missouri. This requires a master's degree with a focus in the specialty. Substance abuse, behavioral disorder, and mental health counselors in Missouri earned a median salary of $44,980 as of May 2024. Professionals at the top of the pay scale (75th to 90th percentile) earned in the range of $58,160 to $70,910 during this time.
Social Workers in Missouri
Learn how to become a social worker in Missouri. This requires a Master's in Social Work (MSW). Missouri's child, family, and school social workers earned a median salary of $38,750 as of May 2024, while the most experienced professionals in this field (75th to 90th percentile) earned about $54,430 during this time.
Mental health and substance abuse social workers earned a median salary of $41,540 in Missouri as of May 2024, while the top earners in this profession (75th to 90th percentile) earned salaries in the range of $50,830 to $63,110 during this time.
Frequently Asked Questions
How long does it take to become an LMFT in Missouri?
The complete process typically takes 4-5 years after earning your bachelor's degree. This includes 2-3 years for a master's degree in MFT, followed by 2 years (3,000 hours) of supervised clinical experience. After completing these requirements, you'll need additional time to prepare for and pass the AMFTRB exam before receiving your license.
What's the difference between COAMFTE and CACREP accreditation?
COAMFTE (Commission on Accreditation for Marriage and Family Therapy Education) specifically accredits MFT programs and is considered the gold standard for marriage and family therapy education. CACREP (Council for Accreditation of Counseling and Related Educational Programs) accredits a broader range of counseling programs. For Missouri LMFT licensure, if you attend a CACREP-accredited program, it must include a marriage, couple, and family counseling specialization. Missouri accepts both types of accreditation for licensure.
Can I complete my supervised hours part-time?
Yes, you can complete your 3,000 required hours part-time. Many LMFTs-in-training work part-time while completing their supervised experience, which extends the timeline beyond two years. The key requirement is accumulating the full 3,000 hours under proper supervision, with at least half in direct client contact settings.
How much does the AMFTRB exam cost?
The AMFTRB national exam costs $365 as of 2025. This fee covers the examination itself and is paid directly to AMFTRB when you schedule your test at a Prometric testing center. Additional costs may include study materials, review courses, and the initial application fee to the Missouri Division of Professional Registration.
Does Missouri have reciprocity with other states for LMFT licenses?
Missouri doesn't offer automatic reciprocity, but the state does allow licensure by endorsement for applicants already licensed in another state. If you're licensed elsewhere and meet Missouri's education and experience requirements, you may be eligible to apply for a Missouri license by endorsement. This process requires verification of your credentials and documentation from your current licensing state. For specific requirements, consult the Missouri Division of Professional Registration.
What continuing education is required to maintain my Missouri LMFT license?
Missouri LMFTs must complete continuing education requirements to maintain their license. Current requirements should be verified directly with the Missouri Division of Professional Registration, as these can change. Most states require 30-40 hours of continuing education every two years, typically including specific hours in ethics and professional development topics.
Key Takeaways
- Missouri LMFT licensure requires a COAMFTE-accredited program or a CACREP-accredited program with MFT specialization at the master's or doctoral level
- You must complete 3,000 hours (approximately 2 years) of supervised clinical experience under an approved supervisor, which can include licensed MFTs, clinical social workers, psychologists, or psychiatrists
- The AMFTRB national exam costs $365 and is required for Missouri licensure, testing knowledge in assessment, treatment planning, ethics, and clinical interventions
- Missouri LMFTs earn a median salary of $64,900 (May 2024 BLS), which is above the national median of $56,570, with experienced professionals earning between $80,760 and $116,840 annually
- Missouri's state labor projections show 11% growth for MFTs between 2020 and 2030, creating approximately 20 annual job openings statewide
- Missouri allows licensure by endorsement for professionals licensed in other states, though automatic reciprocity is not offered
Ready to Start Your MFT Career in Missouri?
Explore accredited marriage and family therapy programs that match your career goals and fit your schedule.
2024 US Bureau of Labor Statistics salary figures and job growth projections for Marriage & Family Therapists are based on state and national data, not school-specific information. Conditions in your area may vary. Data accessed October 2025.
