The NCMHCE (National Clinical Mental Health Counseling Examination) from NBCC is required for counselor licensure in many states. It tests clinical judgment through case studies, while the NCE tests broader counseling knowledge.
Practice clinical scenarios on the free NCMHCE practice test.
Key takeaways
- 11 case studies (10 scored, 1 unscored), each with a narrative and 9–15 multiple-choice questions.
- 100 scored questions in total.
- About 255 minutes, including a 15-minute break.
- The fee is about $275.
USA NCMHCE Exam: Quick Facts
- Offered by
- NBCC
- Format
- 11 case studies
- Scored items
- 100
- Time
- ~255 minutes
- Fee
- About $275
NCMHCE vs. NCE
The NCE is a 200-question knowledge exam, while the NCMHCE applies that knowledge to client cases: assessment, diagnosis, treatment planning and professional practice. Your state board decides which exam, or both, you need. Psychologists take the EPPP and social workers the ASWB exam.
More on NCMHCE vs. NCE →Free practice test
Ready to test yourself?
Choose your test length, practice with instant feedback or take it exam-style, and get your score with an explanation for every answer.
Go to the USA NCMHCE Exam practice test →USA NCMHCE Exam FAQs
How is the NCMHCE structured?
11 case studies with a narrative and 9–15 multiple-choice questions each; 100 items are scored.
Full answer →Is the NCMHCE harder than the NCE?
Many find it harder because it tests clinical decision-making rather than recall.
Full answer →Official sources
Disclaimer: This guide is for general information and is not medical advice. Coverage, prices and requirements change and vary by provider and location. Confirm details with your provider, insurer or the agency listed in the sources. Read our editorial policy.