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NBCC-NCMHCE Practice Overview

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Exam Details

Official Certification Exam Name: National Board for Certified Counselors: National Clinical Mental Health Counseling Examination

Number of Questions with Accurate Answers: 700

Exam Vendor / Provider: Behavioral Health

Required Passing Marks: 50%

Maximum Allowed Time: 180

Content Updated On: January 21, 2026

NCMHCE National Clinical Mental Health Counseling  Examination

The NBCC-NCMHCE national clinical mental health counseling examination assesses a person’s capacity for applying and analyzing the knowledge required to function as a minimum competent professional counselor. It does this by evaluating a professional mental health counselor’s capacity to respond to clinical case simulations while using knowledge of theoretical and skill-based principles. The case simulations aim to assess a candidate’s capacity for recognizing, assessing, diagnosing, and formulating plans for treating clinical issues. As the leading certification body for the counseling profession, the National Board for Certified Counselors (NBCC) has new responsibilities to develop the counseling profession and improve mental and behavioral health everywhere. 

Exam Content

Topics Weights
Professional Practice and Ethics 15
Intake, Assessment, and Diagnosis 20
Areas of Clinical Focus 5
Treatment Planning 15
Counseling Skills and Interventions 30
Core Counseling Attributes 15

The NBCC Counseling Exam also consists of questions related to skills, knowledge, and tasks related to the domain. Few more topics such as:

  • Human Growth and Development Theories in Counseling 
    • Social and Cultural Foundations in Counseling
    • Helping Relationships in Counseling 
    • Group Counseling Theories and Processes 
    • Career Counseling and Lifestyle Development
    • Assessment in Counseling 
    • Research and Program Evaluation 
    • Professional Orientation to Counseling
    • Counseling Field Experience

Exam Format

The NCMHCE has updated the new exam format. The new NBCC-NCMHCE exam paper is longer. Thirteen multiple-choice questions follow a client narrative (which includes the diagnosis) in 11 case studies. Each question contains four possible answers, but only one is accurate. The number of correct answers you choose will determine your final score. The exam consists of 143 questions in total. However, only 100 are graded. The remaining 43 questions are used for “field testing.” Answer every question, even if you have to guess because you will not be penalized for giving the incorrect answer. The NCMHCE typically takes three hours to complete. All candidates will have an additional five minutes to peruse and agree to the nondisclosure agreement (NDA) before having 10 minutes to finish the tutorial.

Exam Details

Following the scheduling of your exam, Pearson VUE will send you a confirmation email with information about the test day, time, test center’s address and phone number, and driving instructions. If you cannot take your planned exam, you must notify Pearson VUE at least 24 hours before the scheduled testing session. You may reschedule your appointment at the time of cancellation or at a later time for a cost of $50. You must pass to retake the test at least three months after the original date. Furthermore, our course will help you to pass this exam on the first attempt.

3 reviews for NBCC-NCMHCE

  1. Allan Mauricio Chavarría Núñez

    Everything worked perfectly, and the support team was always quick to help. Highly recommend to anyone looking for reliable preparation tools.

  2. galan.edgar

    Outstanding value for money!

  3. GABRIEL SIMON

    The guidance and study materials were spot on. I could clearly see improvement in my understanding within days.

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