Behavioral Health Careers by State
The SAMHSA Behavioral Health Career Navigator is a tool for those interested in a job or career in the fields of mental health and substance use. There are many options to start and grow a behavioral health career--all with varying requirements for entry and maintenance, which often varies by state. This guide can help you understand the basic requirements to enter the field in each state. You can also learn more about each role.
Missouri Careers
Addiction Counselor
| Issuing body and coverage area | Issuer of the license or certification |
Missouri Credentialing Board
For more information |
| Is the state/jurisdiction a member of an interstate compact that covers this license or certification? | Not applicable | |
| Obtaining a license or certification for the first time | What degree is necessary to obtain this license or certification? | High School/GED |
| Is passing a qualifying exam required for this license or certification? | No | |
| Are practice hours required for this license or certification? | Yes for high school/GED/associates degree; otherwise no, High school/GED: 2000 hours; associates: 1000 hours | |
| Are supervision hours required for this license or certification? | Yes (High school/GED and Associates); otherwise no, 300 hours (directly supervised) | |
| Does the issuer of the license or certification provide any information for professionals licensed/certified in another state/jurisdiction on how to become licensed/certified in this state/jurisdiction? | No | |
| Renewing a license or certification | How frequently does this license or certification require renewal? | 12 months |
| Are continuing education hours required to renew this license or certification? | Yes, 20 hours |
| Issuing body and coverage area | Issuer of the license or certification |
Missouri Credentialing Board
For more information |
| Is the state/jurisdiction a member of an interstate compact that covers this license or certification? | Not applicable | |
| Obtaining a license or certification for the first time | What degree is necessary to obtain this license or certification? | High School/GED |
| Is passing a qualifying exam required for this license or certification? | Yes | |
| Are practice hours required for this license or certification? | Yes, 1000 to 4000 hours depending on degree (high school/GED most; masters least) | |
| Are supervision hours required for this license or certification? | Yes, 300 hours (directly supervised) | |
| Does the issuer of the license or certification provide any information for professionals licensed/certified in another state/jurisdiction on how to become licensed/certified in this state/jurisdiction? | No | |
| Renewing a license or certification | How frequently does this license or certification require renewal? | 24 months |
| Are continuing education hours required to renew this license or certification? | Yes, 40 hours |
| Issuing body and coverage area | Issuer of the license or certification |
Missouri Credentialing Board
For more information |
| Is the state/jurisdiction a member of an interstate compact that covers this license or certification? | Not applicable | |
| Obtaining a license or certification for the first time | What degree is necessary to obtain this license or certification? | High School/GED |
| Is passing a qualifying exam required for this license or certification? | Yes | |
| Are practice hours required for this license or certification? | Yes, 2000 to 6000 hours depending on degree (high school/GED most; masters least) | |
| Are supervision hours required for this license or certification? | Yes, 300 hours (directly supervised) | |
| Does the issuer of the license or certification provide any information for professionals licensed/certified in another state/jurisdiction on how to become licensed/certified in this state/jurisdiction? | Yes | |
| Renewing a license or certification | How frequently does this license or certification require renewal? | 24 months |
| Are continuing education hours required to renew this license or certification? | Yes, 40 hours |
| Issuing body and coverage area | Issuer of the license or certification |
Missouri Credentialing Board
For more information |
| Is the state/jurisdiction a member of an interstate compact that covers this license or certification? | Not applicable | |
| Obtaining a license or certification for the first time | What degree is necessary to obtain this license or certification? | Graduate |
| Is passing a qualifying exam required for this license or certification? | Yes | |
| Are practice hours required for this license or certification? | Yes, 2000 hours | |
| Are supervision hours required for this license or certification? | Yes, 300 hours (directly supervised) | |
| Does the issuer of the license or certification provide any information for professionals licensed/certified in another state/jurisdiction on how to become licensed/certified in this state/jurisdiction? | Yes | |
| Renewing a license or certification | How frequently does this license or certification require renewal? | 24 months |
| Are continuing education hours required to renew this license or certification? | Yes, 40 hours |
| Issuing body and coverage area | Issuer of the license or certification |
Missouri Credentialing Board
For more information |
| Is the state/jurisdiction a member of an interstate compact that covers this license or certification? | Not applicable | |
| Obtaining a license or certification for the first time | What degree is necessary to obtain this license or certification? | High School/GED |
| Is passing a qualifying exam required for this license or certification? | No | |
| Are practice hours required for this license or certification? | Yes for high school/GED degree, otherwise no, 160 hours | |
| Are supervision hours required for this license or certification? | No | |
| Does the issuer of the license or certification provide any information for professionals licensed/certified in another state/jurisdiction on how to become licensed/certified in this state/jurisdiction? | No | |
| Renewing a license or certification | How frequently does this license or certification require renewal? | 12 months |
| Are continuing education hours required to renew this license or certification? | No |
Advanced Practice Registered Nurse Practitioner
| Issuing body and coverage area | Issuer of the license or certification |
Missouri Board of Nursing
For more information |
| Is the state/jurisdiction a member of an interstate compact that covers this license or certification? | Yes for nurse licensure; no for APRN | |
| Obtaining a license or certification for the first time | What degree is necessary to obtain this license or certification? | Graduate |
| Is passing a qualifying exam required for this license or certification? | Yes | |
| Are practice hours required for this license or certification? | Yes, Must be a licensed RN | |
| Are supervision hours required for this license or certification? | Yes, Not specified | |
| Does the issuer of the license or certification provide any information for professionals licensed/certified in another state/jurisdiction on how to become licensed/certified in this state/jurisdiction? | Yes | |
| Renewing a license or certification | How frequently does this license or certification require renewal? | For certified APRNs: 12, 24, or 36 months; for uncertified APRNs: 24 months |
| Are continuing education hours required to renew this license or certification? | No for certified APRNs; yes for uncertified APRNs, 60 hours |
Community Health Worker
| Issuing body and coverage area | Issuer of the license or certification |
Missouri Credentialing Board
For more information |
| Is the state/jurisdiction a member of an interstate compact that covers this license or certification? | Not applicable | |
| Obtaining a license or certification for the first time | What degree is necessary to obtain this license or certification? | High School/GED |
| Is passing a qualifying exam required for this license or certification? | No | |
| Are practice hours required for this license or certification? | No | |
| Are supervision hours required for this license or certification? | No | |
| Does the issuer of the license or certification provide any information for professionals licensed/certified in another state/jurisdiction on how to become licensed/certified in this state/jurisdiction? | No | |
| Renewing a license or certification | How frequently does this license or certification require renewal? | 24 months |
| Are continuing education hours required to renew this license or certification? | Yes, 20 hours |
Marriage and Family Therapist
| Issuing body and coverage area | Issuer of the license or certification |
Missouri Division of Professional Regulation, State Committee of Marital & Family Therapists
For more information |
| Is the state/jurisdiction a member of an interstate compact that covers this license or certification? | Not applicable | |
| Obtaining a license or certification for the first time | What degree is necessary to obtain this license or certification? | Graduate |
| Is passing a qualifying exam required for this license or certification? | Yes | |
| Are practice hours required for this license or certification? | Yes, 3000 hours | |
| Are supervision hours required for this license or certification? | Yes, 3000 hours (generally supervised) | |
| Does the issuer of the license or certification provide any information for professionals licensed/certified in another state/jurisdiction on how to become licensed/certified in this state/jurisdiction? | Yes | |
| Renewing a license or certification | How frequently does this license or certification require renewal? | 24 months |
| Are continuing education hours required to renew this license or certification? | Yes, 40 hours |
Mental Health Counselor
| Issuing body and coverage area | Issuer of the license or certification |
Missouri Division of Professional Regulation, Committee for Professional Counselors
For more information |
| Is the state/jurisdiction a member of an interstate compact that covers this license or certification? | Yes | |
| Obtaining a license or certification for the first time | What degree is necessary to obtain this license or certification? | Graduate |
| Is passing a qualifying exam required for this license or certification? | Yes | |
| Are practice hours required for this license or certification? | Yes, 3000 hours | |
| Are supervision hours required for this license or certification? | Yes, 3000 hours (generally supervised) | |
| Does the issuer of the license or certification provide any information for professionals licensed/certified in another state/jurisdiction on how to become licensed/certified in this state/jurisdiction? | Yes | |
| Renewing a license or certification | How frequently does this license or certification require renewal? | 24 months |
| Are continuing education hours required to renew this license or certification? | Yes, 40 hours |
Peer Recovery Support Specialist
| Issuing body and coverage area | Issuer of the license or certification |
Missouri Credentialing Board
For more information |
| Is the state/jurisdiction a member of an interstate compact that covers this license or certification? | Not applicable | |
| Obtaining a license or certification for the first time | What degree is necessary to obtain this license or certification? | High School/GED |
| Is passing a qualifying exam required for this license or certification? | Yes | |
| Are practice hours required for this license or certification? | Yes, 2000 hours | |
| Are supervision hours required for this license or certification? | Yes, 25 hours (directly supervised) | |
| Does the issuer of the license or certification provide any information for professionals licensed/certified in another state/jurisdiction on how to become licensed/certified in this state/jurisdiction? | Yes | |
| Renewing a license or certification | How frequently does this license or certification require renewal? | 24 months |
| Are continuing education hours required to renew this license or certification? | Yes, 20 hours |
| Issuing body and coverage area | Issuer of the license or certification |
Missouri Credentialing Board
For more information |
| Is the state/jurisdiction a member of an interstate compact that covers this license or certification? | Not applicable | |
| Obtaining a license or certification for the first time | What degree is necessary to obtain this license or certification? | High School/GED |
| Is passing a qualifying exam required for this license or certification? | Yes | |
| Are practice hours required for this license or certification? | No | |
| Are supervision hours required for this license or certification? | No | |
| Does the issuer of the license or certification provide any information for professionals licensed/certified in another state/jurisdiction on how to become licensed/certified in this state/jurisdiction? | No | |
| Renewing a license or certification | How frequently does this license or certification require renewal? | 24 months |
| Are continuing education hours required to renew this license or certification? | Yes, 20 hours |
| Issuing body and coverage area | Issuer of the license or certification |
Missouri Credentialing Board
For more information |
| Is the state/jurisdiction a member of an interstate compact that covers this license or certification? | Not applicable | |
| Obtaining a license or certification for the first time | What degree is necessary to obtain this license or certification? | High School/GED |
| Is passing a qualifying exam required for this license or certification? | Yes | |
| Are practice hours required for this license or certification? | No | |
| Are supervision hours required for this license or certification? | No | |
| Does the issuer of the license or certification provide any information for professionals licensed/certified in another state/jurisdiction on how to become licensed/certified in this state/jurisdiction? | No | |
| Renewing a license or certification | How frequently does this license or certification require renewal? | 24 months |
| Are continuing education hours required to renew this license or certification? | Yes, 20 hours |
| Issuing body and coverage area | Issuer of the license or certification |
Missouri Credentialing Board
For more information |
| Is the state/jurisdiction a member of an interstate compact that covers this license or certification? | Not applicable | |
| Obtaining a license or certification for the first time | What degree is necessary to obtain this license or certification? | High School/GED |
| Is passing a qualifying exam required for this license or certification? | Yes | |
| Are practice hours required for this license or certification? | No | |
| Are supervision hours required for this license or certification? | No | |
| Does the issuer of the license or certification provide any information for professionals licensed/certified in another state/jurisdiction on how to become licensed/certified in this state/jurisdiction? | No | |
| Renewing a license or certification | How frequently does this license or certification require renewal? | 24 months |
| Are continuing education hours required to renew this license or certification? | Yes, 20 hours |
| Issuing body and coverage area | Issuer of the license or certification |
Missouri Credentialing Board
For more information |
| Is the state/jurisdiction a member of an interstate compact that covers this license or certification? | Not applicable | |
| Obtaining a license or certification for the first time | What degree is necessary to obtain this license or certification? | High School/GED |
| Is passing a qualifying exam required for this license or certification? | No | |
| Are practice hours required for this license or certification? | Yes, 1000 hours | |
| Are supervision hours required for this license or certification? | No | |
| Does the issuer of the license or certification provide any information for professionals licensed/certified in another state/jurisdiction on how to become licensed/certified in this state/jurisdiction? | No | |
| Renewing a license or certification | How frequently does this license or certification require renewal? | 24 months |
| Are continuing education hours required to renew this license or certification? | Yes, 20 hours |
Physician Assistant
| Issuing body and coverage area | Issuer of the license or certification |
Missouri Board of Registration for the Healing Arts
For more information |
| Is the state/jurisdiction a member of an interstate compact that covers this license or certification? | No | |
| Obtaining a license or certification for the first time | What degree is necessary to obtain this license or certification? | Graduate |
| Is passing a qualifying exam required for this license or certification? | Yes | |
| Are practice hours required for this license or certification? | No | |
| Are supervision hours required for this license or certification? | No | |
| Does the issuer of the license or certification provide any information for professionals licensed/certified in another state/jurisdiction on how to become licensed/certified in this state/jurisdiction? | No | |
| Renewing a license or certification | How frequently does this license or certification require renewal? | 24 months |
| Are continuing education hours required to renew this license or certification? | Yes, Must maintain NCCPA certification |
Prevention Specialist
| Issuing body and coverage area | Issuer of the license or certification |
Missouri Credentialing Board
For more information |
| Is the state/jurisdiction a member of an interstate compact that covers this license or certification? | Not applicable | |
| Obtaining a license or certification for the first time | What degree is necessary to obtain this license or certification? | High School/GED |
| Is passing a qualifying exam required for this license or certification? | Yes | |
| Are practice hours required for this license or certification? | Yes, High school/GED/associates: 4000 hours; higher degrees: 2000 hours | |
| Are supervision hours required for this license or certification? | Yes, 120 hours (directly supervised) | |
| Does the issuer of the license or certification provide any information for professionals licensed/certified in another state/jurisdiction on how to become licensed/certified in this state/jurisdiction? | Yes | |
| Renewing a license or certification | How frequently does this license or certification require renewal? | 24 months |
| Are continuing education hours required to renew this license or certification? | Yes, 40 hours |
| Issuing body and coverage area | Issuer of the license or certification |
Missouri Credentialing Board
For more information |
| Is the state/jurisdiction a member of an interstate compact that covers this license or certification? | Not applicable | |
| Obtaining a license or certification for the first time | What degree is necessary to obtain this license or certification? | High School/GED |
| Is passing a qualifying exam required for this license or certification? | Yes | |
| Are practice hours required for this license or certification? | Yes, 6000 to 10000 hours depending on degree (high School/GED/associates most; masters least) | |
| Are supervision hours required for this license or certification? | No | |
| Does the issuer of the license or certification provide any information for professionals licensed/certified in another state/jurisdiction on how to become licensed/certified in this state/jurisdiction? | Yes | |
| Renewing a license or certification | How frequently does this license or certification require renewal? | 24 months |
| Are continuing education hours required to renew this license or certification? | Yes, 40 hours |
| Issuing body and coverage area | Issuer of the license or certification |
Missouri Credentialing Board
For more information |
| Is the state/jurisdiction a member of an interstate compact that covers this license or certification? | Not applicable | |
| Obtaining a license or certification for the first time | What degree is necessary to obtain this license or certification? | High School/GED |
| Is passing a qualifying exam required for this license or certification? | No | |
| Are practice hours required for this license or certification? | No | |
| Are supervision hours required for this license or certification? | No | |
| Does the issuer of the license or certification provide any information for professionals licensed/certified in another state/jurisdiction on how to become licensed/certified in this state/jurisdiction? | No | |
| Renewing a license or certification | How frequently does this license or certification require renewal? | 12 months |
| Are continuing education hours required to renew this license or certification? | Yes, 5 hours |
Psychiatrist/Addiction Medicine Physician
| Issuing body and coverage area | Issuer of the license or certification |
Missouri Board of Registration for the Healing Arts
For more information |
| Is the state/jurisdiction a member of an interstate compact that covers this license or certification? | Yes | |
| Obtaining a license or certification for the first time | What degree is necessary to obtain this license or certification? | Graduate |
| Is passing a qualifying exam required for this license or certification? | Yes | |
| Are practice hours required for this license or certification? | Yes, Post-graduate training (e.g., residency) | |
| Are supervision hours required for this license or certification? | Yes, Not specified | |
| Does the issuer of the license or certification provide any information for professionals licensed/certified in another state/jurisdiction on how to become licensed/certified in this state/jurisdiction? | Yes | |
| Renewing a license or certification | How frequently does this license or certification require renewal? | 24 months |
| Are continuing education hours required to renew this license or certification? | Yes, 50 hours |
Psychologist
| Issuing body and coverage area | Issuer of the license or certification |
Missouri Division of Professional Regulations, Committee of Psychologists
For more information |
| Is the state/jurisdiction a member of an interstate compact that covers this license or certification? | Yes | |
| Obtaining a license or certification for the first time | What degree is necessary to obtain this license or certification? | Graduate |
| Is passing a qualifying exam required for this license or certification? | Yes | |
| Are practice hours required for this license or certification? | Yes, 1500 hours | |
| Are supervision hours required for this license or certification? | Yes, 1500 hours (generally supervised) | |
| Does the issuer of the license or certification provide any information for professionals licensed/certified in another state/jurisdiction on how to become licensed/certified in this state/jurisdiction? | Yes | |
| Renewing a license or certification | How frequently does this license or certification require renewal? | 24 months |
| Are continuing education hours required to renew this license or certification? | Yes, 40 hours |
Social Worker
| Issuing body and coverage area | Issuer of the license or certification |
Missouri Division of Professional Regulation, Committee for Social Workers
For more information |
| Is the state/jurisdiction a member of an interstate compact that covers this license or certification? | Yes | |
| Obtaining a license or certification for the first time | What degree is necessary to obtain this license or certification? | Undergraduate |
| Is passing a qualifying exam required for this license or certification? | Yes | |
| Are practice hours required for this license or certification? | No | |
| Are supervision hours required for this license or certification? | No | |
| Does the issuer of the license or certification provide any information for professionals licensed/certified in another state/jurisdiction on how to become licensed/certified in this state/jurisdiction? | No | |
| Renewing a license or certification | How frequently does this license or certification require renewal? | 24 months |
| Are continuing education hours required to renew this license or certification? | Yes, 30 hours |
| Issuing body and coverage area | Issuer of the license or certification |
Missouri Division of Professional Regulation, Committee for Social Workers
For more information |
| Is the state/jurisdiction a member of an interstate compact that covers this license or certification? | Yes | |
| Obtaining a license or certification for the first time | What degree is necessary to obtain this license or certification? | Graduate |
| Is passing a qualifying exam required for this license or certification? | Yes | |
| Are practice hours required for this license or certification? | No | |
| Are supervision hours required for this license or certification? | No | |
| Does the issuer of the license or certification provide any information for professionals licensed/certified in another state/jurisdiction on how to become licensed/certified in this state/jurisdiction? | No | |
| Renewing a license or certification | How frequently does this license or certification require renewal? | 24 months |
| Are continuing education hours required to renew this license or certification? | Yes, 30 hours |
| Issuing body and coverage area | Issuer of the license or certification |
Missouri Division of Professional Regulation, Committee for Social Workers
For more information |
| Is the state/jurisdiction a member of an interstate compact that covers this license or certification? | Yes | |
| Obtaining a license or certification for the first time | What degree is necessary to obtain this license or certification? | Graduate |
| Is passing a qualifying exam required for this license or certification? | Yes | |
| Are practice hours required for this license or certification? | Yes, 3000 hours | |
| Are supervision hours required for this license or certification? | Yes, 3000 hours (generally supervised); 2 hours every 2 weeks (direct supervision) | |
| Does the issuer of the license or certification provide any information for professionals licensed/certified in another state/jurisdiction on how to become licensed/certified in this state/jurisdiction? | Yes | |
| Renewing a license or certification | How frequently does this license or certification require renewal? | 24 months |
| Are continuing education hours required to renew this license or certification? | Yes, 30 hours |
| Issuing body and coverage area | Issuer of the license or certification |
Missouri Division of Professional Regulation, Committee for Social Workers
For more information |
| Is the state/jurisdiction a member of an interstate compact that covers this license or certification? | Yes | |
| Obtaining a license or certification for the first time | What degree is necessary to obtain this license or certification? | Graduate |
| Is passing a qualifying exam required for this license or certification? | Yes | |
| Are practice hours required for this license or certification? | Yes, 3000 hours | |
| Are supervision hours required for this license or certification? | Yes, 3000 hours (generally supervised); 2 hours every 2 weeks (direct supervision) | |
| Does the issuer of the license or certification provide any information for professionals licensed/certified in another state/jurisdiction on how to become licensed/certified in this state/jurisdiction? | Yes | |
| Renewing a license or certification | How frequently does this license or certification require renewal? | 24 months |
| Are continuing education hours required to renew this license or certification? | Yes, 30 hours |