Title
Behavioral Health Careers by State
Body
The SAMHSA Behavioral Health Career Navigator is a tool for people who want a job or career in mental health and substance use disorder treatment and prevention. There are many ways to start and grow a career in behavioral health. Each path has its own requirements for getting and keeping a license or certification, and these requirements can be different depending on where you live. You can also learn more about each role.
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Views: Multipurpose
North Carolina Careers
Addiction Counselor
| Issuing body and coverage area | Issuer of the license or certification |
North Carolina Substance Abuse Professional Practice 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, Must hold CADC or LCAS license | |
| Are supervision hours required for this license or certification? | Yes, 300 hours (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, 60 hours |
| Issuing body and coverage area | Issuer of the license or certification |
North Carolina Substance Abuse Professional Practice 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 hours | |
| Are supervision hours required for this license or certification? | Yes, 6000 hours (general supervision); 300 hours (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, 60 hours |
| Issuing body and coverage area | Issuer of the license or certification |
North Carolina Substance Abuse Professional Practice 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, 4000 hours | |
| Are supervision hours required for this license or certification? | Yes, 400 hours (direct supervision), which includes LCAS associate hours | |
| 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 |
North Carolina Substance Abuse Professional Practice 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, 4000 hours and must hold LCAS | |
| Are supervision hours required for this license or certification? | Yes, 4000 hours (general supervision); 50 hours (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, 15 hours |
Advanced Practice Registered Nurse Practitioner
| Issuing body and coverage area | Issuer of the license or certification |
North Carolina 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, Must be a licensed RN | |
| 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? | 12 months |
| Are continuing education hours required to renew this license or certification? | Yes, 50 hours every 2 years or maintain national APRN certification; plus additional 1 hour per year (for controlled substance prescribing authority) |
| Issuing body and coverage area | Issuer of the license or certification |
North Carolina 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? | 12 months |
| Are continuing education hours required to renew this license or certification? | Yes, 50 hours |
Clinical Social Worker
| Issuing body and coverage area | Issuer of the license or certification |
North Carolina Social Work Certification and Licensure Board
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? | Undergraduate |
| 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, 100 hours (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, 40 hours |
| Issuing body and coverage area | Issuer of the license or certification |
North Carolina Social Work Certification and Licensure Board
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? | 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? | 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 |
North Carolina Social Work Certification and Licensure Board
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? | 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? | 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 |
North Carolina Social Work Certification and Licensure Board
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? | 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 |
North Carolina Social Work Certification and Licensure Board
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? | Yes, 3000 hours | |
| Are supervision hours required for this license or certification? | Yes, 3000 hours (general supervision); 100 hours (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, 40 hours |
Community Health Worker
| Issuing body and coverage area | Issuer of the license or certification |
North Carolina Community Health Worker Association
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? | None |
| 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? | 36 months |
| Are continuing education hours required to renew this license or certification? | Yes, 24 hours |
| Issuing body and coverage area | Issuer of the license or certification |
North Carolina Community Health Worker Association
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? | None |
| Is passing a qualifying exam required for this license or certification? | No | |
| Are practice hours required for this license or certification? | Yes, 2000 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? | 36 months |
| Are continuing education hours required to renew this license or certification? | Yes, 24 hours |
| Issuing body and coverage area | Issuer of the license or certification |
North Carolina Community Health Worker Association
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? | None |
| Is passing a qualifying exam required for this license or certification? | No | |
| Are practice hours required for this license or certification? | Yes, 2000-4000 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? | 36 months |
| Are continuing education hours required to renew this license or certification? | Yes, 24 hours |
Marriage and Family Therapist
| Issuing body and coverage area | Issuer of the license or certification |
North Carolina Marriage and Family Therapy Licensure 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, 1500 hours | |
| Are supervision hours required for this license or certification? | Yes, 1500 hours (general supervision); 200 hours (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? | 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 |
North Carolina Marriage and Family Therapy Licensure 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? | 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, 20 hours |
Mental Health Counselor
| Issuing body and coverage area | Issuer of the license or certification |
North Carolina Board of Licensed 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 (general supervision); 100 hours (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, 40 hours |
| Issuing body and coverage area | Issuer of the license or certification |
North Carolina Board of Licensed 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, Must hold LCMHC license for at least 2 years | |
| Are supervision hours required for this license or certification? | Yes, Must hold LCMHC license for at least 2 years | |
| 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 |
| Issuing body and coverage area | Issuer of the license or certification |
North Carolina Board of Licensed Professional Counselors
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? | 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, 40 hours |
Peer Recovery Support Specialist
| Issuing body and coverage area | Issuer of the license or certification |
North Carolina Certified Peer Support Specialist Program
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? | 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 |
Physician Assistant
| Issuing body and coverage area | Issuer of the license or certification |
North Carolina Medical Board
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? | Yes | |
| 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, 50 hours every 2 years |
Prevention Specialist
| Issuing body and coverage area | Issuer of the license or certification |
North Carolina Substance Abuse Professional Practice 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, 3 years (high school/GED); 2 years (higher degree) | |
| Are supervision hours required for this license or certification? | Yes, 300 hours (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, 60 hours |
Psychiatrist/Addiction Medicine Physician
| Issuing body and coverage area | Issuer of the license or certification |
North Carolina Medical Board
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? | Yes, Post-graduate training (e.g., residency) | |
| Are supervision hours required for this license or certification? | Yes, Post-graduate training (e.g., residency) | |
| 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? | 12 months |
| Are continuing education hours required to renew this license or certification? | Yes, 60 hours every 3 years |
Psychologist
| Issuing body and coverage area | Issuer of the license or certification |
North Carolina Psychology Board
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 (general 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, 24 hours |
Last Updated: 10/18/2024, 05/07/2025, 07/21/2025, 01/16/2026, 01/16/2026, 01/16/2026