How to Become a Licensed Mental Health Counselor in Hawaii
To become a Licensed Mental Health Counselor (LMHC) in Hawaii, you'll need a master's degree in counseling with at least 48 semester hours (CACREP-accredited preferred, or equivalent), complete 3,000 hours of supervised clinical experience (including 100 face-to-face supervision hours), and pass either the NCE or NCMHCE exam. The entire process typically takes 5-7 years from a bachelor's degree to full licensure, with median salaries reaching $54,390 annually.
Hawaii recognizes mental health professionals under the Licensed Mental Health Counselor (LMHC) credential, administered by the Hawaii Department of Commerce and Consumer Affairs' Professional and Vocational Licensing Division. This comprehensive guide walks you through every step of the licensing process, from educational requirements through exam preparation and career outlook.
Table of Contents
Hawaii LMHC Licensing Overview
Hawaii uses the Licensed Mental Health Counselor (LMHC) designation rather than the Licensed Professional Counselor (LPC) title used in many other states. The Hawaii Board of Mental Health Counselors oversees all aspects of licensure, including application review, supervision verification, and disciplinary actions.
The licensing process ensures that mental health counselors practicing in Hawaii meet rigorous educational and clinical standards to provide competent, ethical care to the state's diverse population. Hawaii's unique geographic and cultural landscape requires counselors to demonstrate cultural competency and sensitivity to the multicultural communities they serve.
What Sets Hawaii Apart
Several factors make Hawaii's licensing requirements unique. The state's geographic isolation means fewer local CACREP-accredited programs are available, though many candidates complete online programs or attend mainland universities. Hawaii also emphasizes cultural competency given the state's diverse population, including Native Hawaiian, Asian, Pacific Islander, and other ethnic communities.
Educational Requirements
The foundation of Hawaii's LMHC licensure is a comprehensive graduate education in counseling. Understanding these requirements early helps you choose the right program and plan your educational pathway effectively.
Master's Degree in Counseling
Hawaii requires applicants to hold a master's or doctoral degree in counseling from a regionally accredited institution. While the state strongly prefers programs accredited by the Council for Accreditation of Counseling and Related Educational Programs (CACREP), equivalent degrees are accepted if they meet Hawaii's specific coursework and documentation requirements.
If you completed a non-CACREP-accredited program, you can still qualify for licensure by demonstrating that your education is substantially equivalent to CACREP standards. This requires submitting detailed course syllabi, catalog descriptions, and documentation showing you completed all the necessary content areas. The Hawaii Board evaluates these applications on a case-by-case basis. While this pathway is absolutely viable, it typically requires more extensive documentation and may extend processing times by several weeks.
Coursework Requirements
Your master's degree program must include a minimum of 48 semester hours (or 70 quarter hours) of graduate coursework. Hawaii requires specific course content across nine core areas, each requiring at least three semester hours:
- Human Growth and Development - Understanding lifespan development, theories of personality, and developmental psychology
- Counseling Theories and Applications - Major counseling theories, techniques, and evidence-based practices
- Group Theory and Practice - Group dynamics, facilitation skills, and therapeutic group work
- Lifestyle and Career Development - Career counseling theories, vocational assessment, and career development across the lifespan
- Test and Measurement - Psychometric principles, assessment administration, and interpretation
- Behavior Appraisal - Assessment of mental health conditions, diagnostic skills, and treatment planning
- Research and Program Evaluation - Research methodology, statistics, and program evaluation techniques
- Ethics and Professional Orientation - Professional ethics, legal issues, and counselor identity development
- Cultural and Social Foundations - Multicultural counseling, diversity issues, and culturally responsive practice
Practicum and Internship Experience
In addition to coursework, your degree program must include at least two semesters of supervised practicum experience, with each practicum course providing at least three semester hours of credit. These supervised field experiences give you hands-on clinical training under the guidance of experienced professionals before you begin post-graduate supervision.
Looking for accredited programs? Explore mental health counseling degree programs that meet Hawaii's CACREP accreditation requirements.
| Education Component | Requirement | Typical Duration |
|---|---|---|
| Bachelor's Degree | Psychology or related field (recommended) | 4 years |
| Master's Degree | CACREP-accredited (preferred) or equivalent, 48+ semester hours | 2-3 years |
| Core Coursework | 9 core areas, 3 semester hours each | Included in the master's |
| Practicum | 2 semesters, 3 semester hours each | Included in the master's |
Supervised Clinical Experience Requirements
After completing your master's degree, you'll enter a supervised clinical practice period. This post-graduate experience is where you develop advanced clinical skills and prepare for independent practice.
Total Hours Required
Hawaii requires a minimum of 3,000 hours of supervised clinical experience. These hours must be completed over a period of at least two years but no more than four years. The extended timeline allows you to gain diverse clinical experiences while developing competence across different client populations and presenting concerns.
Supervision Standards
Within your 3,000 total hours, you must complete at least 100 hours of face-to-face clinical supervision. This direct supervision ensures regular consultation with experienced professionals who can guide your clinical decision-making and professional development.
Your clinical supervisor must hold one of the following licenses in good standing:
- Licensed Mental Health Counselor (LMHC)
- Licensed Clinical Social Worker (LCSW)
- Licensed Psychologist
- Licensed Psychiatrist
- Advanced Practice Registered Nurse with psychiatric specialization
- Licensed Marriage and Family Therapist (LMFT)
Documentation and Verification
You're responsible for maintaining detailed records of your supervised experience. Your clinical supervisor must complete official verification forms documenting your hours, and these forms must be notarized. Keep thorough records throughout your supervision period, as the board may request additional documentation during the application review process.
The verification forms should detail the nature of your clinical work, the populations you served, the types of interventions you provided, and your supervisor's assessment of your clinical competence.
Finding Supervision in Hawaii
Hawaii's island geography can make finding qualified supervisors challenging, particularly on the neighbor islands. Many supervisees work in community mental health centers, private practices, hospital settings, or school-based programs. Some counselors supplement in-person supervision with telehealth supervision arrangements, though the licensing board must approve this.
| Supervision Requirement | Details |
|---|---|
| Total Clinical Hours | Minimum 3,000 hours |
| Timeframe | 2-4 years |
| Face-to-Face Supervision | Minimum 100 hours |
| Supervisor Qualifications | LMHC, LCSW, Psychologist, Psychiatrist, APRN, or LMFT in good standing |
| Documentation | Notarized verification forms required |
Licensure Examination Requirements
Hawaii accepts two national counselor examinations for LMHC licensure. You can choose the exam that best aligns with your training and career goals.
National Counselor Examination (NCE)
The National Counselor Examination (NCE) is administered by the National Board for Certified Counselors (NBCC). This 200-question, multiple-choice exam covers eight content domains, including professional practice, intake assessment, diagnosis, treatment planning, and counseling skills.
The NCE assesses your knowledge of counseling theory, ethics, and practice. Many candidates find that the NCE focuses more on foundational counseling knowledge and general practice competencies.
National Clinical Mental Health Counseling Examination (NCMHCE)
The NCMHCE is a simulation-based exam that presents case scenarios requiring clinical decision-making. Rather than multiple-choice questions, you'll respond to realistic clinical situations, demonstrating your diagnostic and treatment planning abilities.
The NCMHCE typically appeals to candidates who prefer applied, scenario-based assessments over traditional testing formats. This exam places greater emphasis specifically on clinical mental health counseling practice.
Exam Preparation Strategies
Most candidates spend 2-4 months preparing for their licensure exam. Preparation strategies include:
- Enrolling in exam preparation courses or study groups
- Using practice tests to identify knowledge gaps
- Reviewing core counseling theories and ethics codes
- Studying DSM-5-TR diagnostic criteria
- Practicing time management for the test day
Schedule your exam only after completing your master's degree and ideally after gaining some supervised experience. The clinical practice helps solidify theoretical knowledge and improves exam performance.
Exam Fees and Retake Policies
Both exams require registration fees (approximately $275-$335). If you don't pass on your first attempt, you can retake the exam after a waiting period. The NBCC provides score reports indicating your performance across content areas, helping you focus your study efforts for retakes.
Application Process and Timeline
Understanding the application process helps you prepare all necessary documentation and avoid delays in obtaining your license.
Step-by-Step Application Guide
Step 1: Complete Your Education
Ensure your master's degree is from a CACREP-accredited program or can be verified as substantially equivalent. Request official transcripts from all institutions attended.
Step 2: Complete Supervised Experience
Accumulate your 3,000 supervised hours over 2-4 years. Have your supervisor(s) complete and notarize all verification forms documenting your clinical practice.
Step 3: Pass the Licensure Exam
Register for and pass either the NCE or NCMHCE. Request that your exam scores be sent directly to the Hawaii Board of Mental Health Counselors.
Step 4: Submit Application Materials
Gather all required documents, including official transcripts, notarized supervision verification forms, exam scores, and completed application forms. Pay the required application fee (currently $60, though costs are subject to change).
Step 5: Background Check
Complete a criminal background check as required by Hawaii law. Certain criminal convictions may affect your eligibility for licensure.
Step 6: Application Review
The Hawaii Board reviews your complete application. This process typically takes 4-8 weeks, though timelines vary based on application volume and completeness of submitted materials.
Step 7: Receive Your License
Once approved, you'll receive your LMHC license. You can then practice independently as a mental health counselor in Hawaii.
Timeline Expectations
From starting your master's program to receiving your license, expect the entire process to take 5-7 years:
- Master's degree: 2-3 years
- Supervised clinical experience: 2-4 years (can partially overlap with degree program during practicum)
- Exam preparation and testing: 2-4 months
- Application processing: 1-2 months
Common Application Mistakes to Avoid
Many applications face delays due to preventable errors. Avoid these common mistakes:
- Submitting incomplete supervision verification forms
- Missing notarizations on required documents
- Failing to request official transcripts from all institutions
- Not verifying that exam scores were sent to the Hawaii Board
- Incomplete payment or incorrect fees
- Waiting until the last minute to gather documentation
Salary and Career Outlook in Hawaii
Understanding salary expectations helps you make informed career decisions and negotiate fair compensation as a licensed mental health counselor in Hawaii.
Statewide Salary Data
According to the most recent Bureau of Labor Statistics data from May 2024, mental health counselors in Hawaii earn competitive salaries that reflect the state's higher cost of living. The median annual wage is $54,390, with significant variation based on experience, setting, and geographic location within the state.
| Percentile | Annual Salary |
|---|---|
| 10th Percentile | $48,910 |
| 25th Percentile | $49,630 |
| Median (50th Percentile) | $54,390 |
| 75th Percentile | $76,220 |
| 90th Percentile | $158,310 |
| Mean (Average) | $75,610 |
Metropolitan Area Comparison
Salaries vary across Hawaii's different islands and metropolitan areas. Urban Honolulu, Hawaii's largest city, employs the majority of mental health counselors in the state.
| Metropolitan Area | Employment | Median Annual Salary | Mean Annual Salary |
|---|---|---|---|
| Urban Honolulu | 1,080 | $50,090 | $75,410 |
| Kahului-Wailuku (Maui) | 190 | $59,350 | $85,680 |
| Hawaii (Statewide) | 1,580 | $54,390 | $75,610 |
Factors Affecting Salary
Several factors influence earning potential for licensed mental health counselors in Hawaii:
- Years of Experience - Newly licensed counselors typically start near the 25th pPercentile while experienced clinicians with specialized training can earn significantly more
- Practice Setting - Private practice, hospital settings, and specialized treatment programs often pay more than community mental health centers or school-based positions.
- Geographic Location - Neighbor islands sometimes offer higher salaries to attract professionals to more remote locations.s
- Specializations - Counselors with expertise in high-demand areas like substance abuse treatment, trauma therapy, or couples counseling may command premium rates
- Additional Credentials - National certifications like the National Certified Counselor (NCC) credential can enhance marketability
Job Growth and Opportunities
Mental health counseling is a growing field nationwide, and Hawaii faces particular workforce shortages in mental health services. The state's island geography, diverse population, and increasing recognition of mental health needs create ongoing demand for qualified counselors.
Career opportunities exist across various settings, including community mental health centers, private practices, hospitals and medical centers, substance abuse treatment facilities, schools and universities, correctional facilities, and the Veterans Affairs Pacific Islands Health Care System.
Many counselors supplement their income through part-time private practice while maintaining salaried positions. Hawaii's telehealth expansion also creates opportunities to serve neighbor island communities remotely.
Ready to explore your options? Learn more about licensed professional counseling careers and the various paths available to mental health professionals.
Frequently Asked Questions
How long does it take to become a licensed mental health counselor in Hawaii?
The complete process typically takes 5-7 years from the start of your bachelor's degree. This includes 4 years for a bachelor's degree (if needed), 2-3 years for a master's degree, and 2-4 years of post-graduate supervised clinical experience. Some timeline overlap occurs during practicum experiences in your master's program.
Can I practice counseling in Hawaii before I'm fully licensed?
Yes, but with significant restrictions. During your supervised experience period after completing your master's degree, you work under the direct supervision of a licensed professional. You cannot practice independently or advertise yourself as a Licensed Mental Health Counselor until you receive your full LMHC license.
Does Hawaii accept counselor licenses from other states?
Hawaii evaluates out-of-state licenses on a case-by-case basis. If you hold a license in good standing from another state, you may be eligible for licensure by endorsement if your education, supervision, and examination meet Hawaii's standards. Contact the Hawaii Board directly to discuss your specific situation and requirements for license reciprocity.
Are there CACREP-accredited counseling programs in Hawaii?
Hawaii has limited CACREP-accredited programs. The University of Hawaii at Manoa offers a CACREP-accredited master's program in counseling psychology. Many Hawaii residents complete online CACREP-accredited programs or attend mainland universities. However, Hawaii also accepts non-CACREP programs that meet equivalent standards. You'll need to provide detailed documentation showing your coursework covers all required content areas. The board evaluates equivalency applications individually, accepting programs from any regionally accredited institution that meets its standards.
What's the difference between LMHC and LPC?
These are essentially the same credentials with different names. Hawaii uses Licensed Mental Health Counselor (LMHC), while many states use Licensed Professional Counselor (LPC). Both credentials represent master's-level clinical mental health counselors who have completed graduate education, supervised experience, and passed a national examination. The specific requirements vary by state.
How much does the entire licensing process cost?
Total costs vary, but expect to invest significantly in your education and licensure. A master's degree costs $30,000-$80,000+, depending on the institution. Additional expenses include application fees (currently $60), examination fees ($275-$335), transcript fees, background checks, and potential costs for supervision if not provided by your employer. Budget $40,000-$100,000+ for the complete educational and licensing journey.
Do I need to take continuing education courses after licensure?
Yes, Hawaii requires licensed mental health counselors to complete continuing education to maintain their license. Check with the Hawaii Board of Mental Health Counselors for current requirements regarding the number of hours needed for each renewal period and approved CE providers.
Can I provide telehealth counseling services in Hawaii?
Yes, licensed mental health counselors in Hawaii can provide telehealth services. Hawaii expanded telehealth access, particularly following the COVID-19 pandemic. You must still comply with all ethical guidelines, privacy regulations (HIPAA), and licensing board requirements when delivering services via telehealth technology.
What's the pass rate for the NCE and NCMHCE exams?
National pass rates vary but typically range from 60-75% for first-time test-takers on both exams. Pass rates are generally higher for candidates who complete CACREP-accredited programs and engage in thorough exam preparation. If you don't pass on your first attempt, you can retake the exam after a waiting period.
Can I start my own private practice immediately after getting licensed?
Technically, yes, but it's not always advisable. While Hawaii law permits newly licensed counselors to open private practices, most professionals gain additional supervised experience in group or organizational settings before launching solo practices. Private practice requires business acumen, professional liability insurance, office space, and a referral network in addition to clinical skills. Many counselors work in established settings for several years before transitioning to private practice.
Key Takeaways
- Hawaii uses the Licensed Mental Health Counselor (LMHC) credential, not the LPC title used in many other states
- A master's degree with at least 48 semester hours is required - CACREP-accredited programs are preferred, but equivalent degrees are accepted with proper documentation
- Post-graduate supervision requires 3,000 clinical hours completed over 2-4 years, including 100 face-to-face supervision hours
- Choose between the NCE or NCMHCE examination - both are accepted for Hawaii licensure
- The complete licensing process takes 5-7 years from starting a master's program to receiving your license
- Mental health counselors in Hawaii earn a median salary of $54,390 annually (2024 BLS data), with significant variation by experience and location
- Hawaii faces mental health workforce shortages, creating strong career opportunities for qualified counselors
- Cultural competency is essential, given Hawaii's diverse population and unique geographic characteristics
Ready to Launch Your Mental Health Counseling Career?
Take the first step toward becoming a licensed mental health counselor in Hawaii. Explore CACREP-accredited programs that meet Hawaii's rigorous standards and set yourself up for a rewarding career helping others.
Additional Resources for Hawaii Counseling Professionals
- How to Become a Psychologist in Hawaii
- How to Become a Licensed Marriage and Family Therapist in Hawaii
- Explore Additional Counseling Career Paths
2024 US Bureau of Labor Statistics salary figures and job growth projections for Substance Abuse, Behavioral Disorder, and Mental Health Counselors are based on national and state data, not school-specific information. Conditions in your area may vary. Data accessed October 2025.
