How to Become a Mental Health Counselor in Cleveland, OH: Education Requirements & Certification for 2025

by Imed Bouchrika, Phd

Co-Founder and Chief Data Scientist

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Mental health challenges are increasing across Cleveland, yet the city—like much of the nation—faces a shortage of qualified counselors equipped to meet community needs. With a projected 19% national growth in counselor jobs from 2023 to 2033, according to the Bureau of Labor Statistics, opportunities in the field are growing rapidly.

Still, navigating the required education and licensure steps can be confusing for new professionals. This guide offers practical insight into how aspiring counselors in Cleveland can overcome entry barriers, access training, and pursue a career with a median annual salary of $59,190.

Key Benefits About Becoming a Mental Health Counselor in Cleveland, OH

• Mental health counselors in Cleveland earn an average of $73,946 annually—well above the national median of $59,190. With licensure and experience, earnings can climb to $78,811 or more, especially for Licensed Professional Counselors (LPCs).
• Ohio’s requirement that counseling degrees come from CACREP-accredited programs ensures that Cleveland-trained counselors meet national professional benchmarks, facilitating licensure and long-term career growth across multiple settings.
• From the Great Minds Fellowship (up to $15,000) to Baldwin Wallace University’s $10,000 scholarships and CSU’s College of Education funding, Cleveland-area students have access to substantial support.

Table of Contents

1. What are the academic requirements to become a mental health counselor in Cleveland, OH?
2. Are there financial aid programs for mental health counselors in Cleveland, OH?
3. What is the licensure process for mental health counselors in Cleveland, OH?
4. Is there license reciprocity for mental health counselors in Cleveland, OH?
5. What counseling certifications can you get in Cleveland, OH?
6. What types of counseling specializations are in demand in Cleveland, OH?
7. What professional associations and resources are available for mental health counselors in Cleveland, OH?
8. How much do mental health counselors typically earn in Cleveland, OH?
9. Are mental health counselors in demand in Cleveland, OH?
10. Where do mental health counselors typically work in Cleveland, OH?
11. Is it challenging to become a mental health counselor in Cleveland, OH?
12. How Can You Expand Your Expertise to Include Substance Abuse Counseling in Cleveland, OH?
13. Other Things You Should Know About Becoming a Mental Health Counselor in Cleveland, OH

What are the academic requirements to become a mental health counselor in Cleveland, OH?

Becoming a mental health counselor follows a structured educational path that integrates academic theory with real-world experience. As the profession evolves, future counselors must be prepared to meet growing demands for ethical practice and multicultural competence. Ohio’s licensure standards are designed to ensure counselors are fully equipped for the field.

• Bachelor’s degree: A degree in psychology, social work, or a related field is recommended to build foundational knowledge and strengthen graduate school applications.
• Master’s degree: Candidates must complete a master’s program accredited by the Council for Accreditation of Counseling and Related Educational Programs (CACREP). Programs such as Clinical Mental Health Counseling at Cleveland State University cover essential topics like counseling techniques, ethics, diagnosis, and human development.
• Practicum and internship: Graduate students must complete at least 100 hours of practicum and 600 hours of supervised internship experience. These placements are crucial for developing clinical skills and fulfilling licensure requirements.
• Coursework requirements: Programs must include training in clinical psychopathology, diagnosis, counseling interventions, ethical and legal issues, diversity, career development, assessment, and research methods.
• Licensure preparation: Graduates are eligible to take the National Counselor Examination (NCE) to become Licensed Professional Counselors (LPCs). After completing two years of supervised practice, they may apply for full licensure as Professional Clinical Counselors (PCCs).

Since 2018, Ohio requires that all degrees used for licensure come from CACREP-accredited programs. This ensures consistency with national standards and prepares counselors for the evolving landscape of mental health care.

Are there financial aid programs for mental health counselors in Cleveland, OH?

Financial aid for mental health counseling students is expanding to support a wider range of candidates pursuing licensure and advanced education. New funding initiatives emphasize inclusivity, hands-on training, and flexible support options to reduce the financial barriers of graduate study. 

• Great Minds Fellowship: This statewide Ohio program awards up to $15,000 for students within two years of completing degrees in mental health counseling or related fields, covering tuition, paid internships at Community Behavioral Health Centers, and licensure costs, with increased amounts effective from Fall 2024 onward.
• Baldwin Wallace University Harding Family Charitable Trust Grant: Offering $10,000 scholarships to the first 25 Clinical Mental Health Counseling students enrolling in each fall cohort of 2025 and 2026, these awards can be combined with other financial aid packages to make graduate education more accessible.
• James L. Torain Scholarship for Future Mental Health Professionals: Designed to support African American students in Northeast Ohio, this scholarship targets both high school seniors and college attendees pursuing careers in mental health, aiming to improve diversity within the profession.
• Cleveland State University Scholarships: Students should investigate major-specific scholarships through the College of Education and Human Services, which serves undergraduate and graduate counseling students; completing the FAFSA enhances eligibility for these and other aid programs.

For those curious about pathways in this field, resources detailing how to become a counselor provide valuable guidance and insights.

What is the licensure process for mental health counselors in Cleveland, OH?

The path involves a structured process designed to ensure competence and ethical practice. As mental health care evolves, meeting these licensure requirements prepares counselors to address increasingly complex client needs with professionalism and skill.

Key steps include:

• Completion of at least 24 months of supervised clinical experience post-graduation, totaling a minimum of 3,000 hours, with supervision by an LPCC-S. Of these, 150 hours must be direct supervision, which can be individual or group-based.
• The supervised hours must focus on diagnosing and treating mental and emotional disorders, aligning with the professional scope of practice expected for independent counselors.
• Supervisors are responsible for verifying completed hours and supervision quality through Ohio’s eLicense system, ensuring accurate documentation for licensure application.
• Candidates must successfully pass two exams: the National Clinical Mental Health Counseling Examination (NCMHCE), assessing clinical decision-making, and the Laws and Rules Examination, which tests knowledge of Ohio’s legal and ethical standards.
• Applicants submit official transcripts, exam results, and a licensure application with associated fees to the Ohio Counselor, Social Worker and Marriage and Family Therapist Board. Additional steps include viewing the Board’s Laws & Rules video and passing a fingerprint-based background check.

Future mental health counselors can explore emerging trends and evolving standards by reviewing resources such as mental health counselor job requirements, which provide valuable insights into this dynamic profession. 

Is there license reciprocity for mental health counselors in Cleveland, OH?

Currently, Cleveland, OH does not recognize general license reciprocity for mental health counselors, which means professionals licensed outside Ohio must pursue alternative licensure routes. This may change in the future as states explore more streamlined interstate agreements to address growing mental health needs.

Ohio allows counselors licensed in Kentucky to apply for licensure by reciprocity. For all others, licensure by endorsement is the standard pathway. This process involves submitting official transcripts from an accredited counseling program, proof of passing national exams like the NCE or NCMHCE, a criminal background check, and confirmation of an active, unencumbered license.

Applicants must also provide evidence of supervised post-licensure experience, typically two years for Licensed Professional Clinical Counselors. Additional requirements such as state-specific jurisprudence or ethics exams may be required. 

What counseling certifications can you get in Cleveland, OH?

Counselors can strategically select certifications that align with emerging trends and diverse practice settings. Key certifications available include:

• Licensed Professional Counselor (LPC): This essential license requires completing a 60-credit, CACREP-accredited master’s degree in clinical mental health counseling, such as those offered at Cleveland State University, followed by passing the National Counselor Examination. The LPC credential allows work in community agencies, hospitals, supervised private practices, and educational institutions.
• Licensed Professional Clinical Counselor (LPCC): Building on the LPC, this advanced license demands two years of supervised clinical experience and passing the National Clinical Mental Health Counseling Examination. LPCC holders can practice independently, provide clinical supervision, and access expanded roles in both private and public mental health sectors.
• School Counselor Licensure: Tailored for those aiming to support K-12 students, this licensure is accessible through graduate programs like the one at Cleveland State University. It prepares candidates—both teachers and non-teachers—to deliver academic, career, and personal counseling within Ohio’s public and private schools.

What types of counseling specializations are in demand in Cleveland, OH?

As the region adapts to evolving community needs, several counseling specializations have become especially important. These areas reflect local challenges and present strong career opportunities for those entering the mental health counseling field. A growing emphasis on culturally sensitive and evidence-based treatment is also shaping future workforce demands.

• Trauma-Informed Care: This specialization targets individuals recovering from traumatic events such as abuse or community violence. The increasing prevalence of trauma linked to poverty and the pandemic drives demand for counselors who create safe, supportive environments for healing and resilience.
• Addiction Counseling: With rising opioid and alcohol addiction rates mirroring statewide trends, addiction counselors play a key role in treatment planning and relapse prevention. Their work supports both urban and suburban populations affected by substance use disorders.
• Dialectical Behavior Therapy (DBT) and Complex Case Counseling: DBT specialists focus on clients with complex co-occurring disorders, often combining mood or personality challenges with other conditions. Cleveland’s diverse population and high anxiety disorder rates make this expertise increasingly vital.
• School Counseling: School counselors address academic and emotional needs in students facing poverty and trauma. Their preventive interventions help at-risk youth navigate educational and personal hurdles, contributing to overall student success.

Detailed counseling licensure exam details by state provide valuable guidance on certification requirements tailored to local standards.

What professional associations and resources are available for mental health counselors in Cleveland, OH?

Professional associations and local resource networks offer invaluable support and guidance beyond formal education and licensure. In Cleveland, mental health counselors can benefit from participating in regional chapters of national organizations, state-level counseling boards, and specialized local groups that organize workshops, peer mentoring, and continuing education programs. Such networks provide access to up-to-date industry practices, legislative updates, and collaborative opportunities that support both clinical growth and career advancement. For tailored guidance on initial steps and further professional development, refer to the detailed guide on how to become a therapist in Cleveland.

How much do mental health counselors typically earn in Cleveland, OH?

Mental health counselors earn around $73,946 annually on average, which equates to approximately $35.55 per hour. Entry-level counselors typically start near $19.40 per hour, while those with one to four years of experience may earn about $40.74 hourly. Licensed professional counselors (LPCs) generally receive higher pay, averaging $78,811 annually.

Mental health therapists report slightly lower earnings, with an average salary of $62,310 per year. Salaries for counselors and therapists usually fall between $58,200 at the 25th percentile and $82,400 at the 75th percentile, with seasoned professionals sometimes surpassing $100,000. 

Investing in education and credentials can boost earning potential. Exploring a masters degree in counseling online can be a strategic step toward advancing in this rewarding field.

Are mental health counselors in demand in Cleveland, OH?

The demand for mental health counselors is expected to grow steadily, reflecting a national trend driven by increased awareness of mental health and expanded access to teletherapy. This growth signals strong career potential for those entering the field.

The local job market offers a wide range of opportunities, with hundreds of openings across full-time, part-time, and contract roles—providing flexibility for diverse career paths. Salaries average around $62,000 annually, with experienced and highly credentialed professionals earning up to $97,000. Counselors can find positions in hospitals, private practices, schools, and community organizations, creating room for specialization and long-term advancement.

Where do mental health counselors typically work in Cleveland, OH?

As demand for behavioral health services grows, new opportunities continue to emerge, integrating technology and community-based practices. Counselors are increasingly part of interdisciplinary teams addressing complex mental health challenges.

• Hospitals and Health Systems: Counselors often operate within large medical centers, providing urgent care in emergency rooms and psychiatric wards. Their work includes crisis stabilization, therapeutic interventions, and collaborating with medical staff to formulate treatment plans for patients experiencing severe mental health episodes.
• Community Mental Health Organizations: These agencies focus on outpatient care, rehabilitation, and ongoing mental health support. Counselors conduct individual and group therapy, manage cases, and link clients to vital resources. They commonly apply evidence-based methods to help clients cope with conditions like anxiety, depression, and substance abuse.
• Correctional Facilities: Within the criminal justice system, counselors serve incarcerated populations by delivering assessments, crisis management, and sustained therapy. Their role supports rehabilitation efforts and aims to reduce repeat offenses by addressing underlying psychological issues in confinement settings.

Is it challenging to become a mental health counselor in Cleveland, OH?

Becoming a mental health counselor requires commitment, as the path involves rigorous education, supervised training, and ongoing licensure requirements. Candidates must balance academic demands with gaining real-world experience, often while managing personal responsibilities.

Once in the field, counselors face high caseloads, particularly in urban areas where mental health services are in high demand. Working with clients who have experienced trauma, chronic mental illness, or unstable living conditions can be emotionally taxing and lead to burnout without proper support.

Additional challenges include navigating complex insurance systems and addressing the broader social factors that impact mental health, such as poverty, substance use, and housing insecurity. Counselors must be adaptable, empathetic, and culturally aware to provide effective care in a diverse and ever-changing environment.

Those interested in entering the field might consider foundational education options like a substance abuse counselor bachelor's degree to broaden their expertise and improve career prospects in this evolving profession.

How Can You Expand Your Expertise to Include Substance Abuse Counseling in Cleveland, OH?

Mental health counselors interested in diversifying their practice can integrate substance abuse counseling to address pressing community needs and broaden service offerings. Specialized training in this field enhances skills in assessing, treating, and managing addiction-related challenges while maintaining compliance with state licensure requirements. Pursuing advanced certifications and focused clinical experiences can facilitate a smoother transition into this niche. For additional guidance on specialized credentials, explore how to become a substance abuse counselor in Cleveland.

What Mental Health Counselors in Cleveland, OH Say About Their Careers

Choosing to build my career as a mental health counselor in Cleveland has been incredibly rewarding. The city offers strong job stability with a growing demand for mental health services, and the average salaries here provide a comfortable living. I feel proud knowing my work truly makes a difference in this community. – Olivia

The counseling landscape in Cleveland presents unique challenges, especially working with diverse populations and addressing urban stressors. These experiences have deepened my empathy and sharpened my skills in ways I never expected. It’s a fulfilling journey that constantly pushes me to grow both personally and professionally. – Jasper

Cleveland’s numerous professional development programs and continuing education opportunities have been vital to my growth as a counselor. The access to workshops, supervision groups, and local conferences keeps me at the forefront of best practices, ensuring I provide the highest quality care to my clients. I appreciate being part of such a supportive professional community. – Angela

Other Things You Should Know About Becoming a Mental Health Counselor in Cleveland, OH

How long does it take to become a mental health counselor in Cleveland, OH?

Becoming a mental health counselor typically takes about six to eight years. This timeline includes completing a bachelor’s degree (usually four years) followed by a master’s degree in counseling or a related field, which generally requires two to three years. After education, candidates must fulfill Ohio’s licensure requirements, including at least 3,000 hours of supervised clinical experience, which can take roughly two years to complete. According to the Ohio Counselor, Social Worker, and Marriage and Family Therapist Board, this hands-on training is essential before becoming a Licensed Professional Clinical Counselor (LPCC).

The overall process ensures that counselors are well-prepared to meet the mental health needs of Cleveland’s diverse population. While some programs may offer accelerated options, the commitment to education and supervised practice remains rigorous to maintain professional standards.

Is it difficult for mental health counselors to open a private practice in Cleveland, OH?

It can be moderately difficult for mental health counselors to open a private practice. The challenges stem from several key factors, including regulatory requirements, competition, and financial considerations. Counselors must obtain appropriate licensure through the Ohio Counselor, Social Worker, and Marriage and Family Therapist Board, which involves meeting educational and supervised experience criteria.

Additionally, Cleveland's mental health market is competitive due to a high concentration of providers. Establishing a client base takes time and effective marketing. Financially, starting a practice requires investment in office space, insurance, and administrative support. According to the Cleveland Department of Public Health, demand for mental health services is growing, but reimbursement rates from insurers can be low, affecting profitability.

Can mental health counselors diagnose in Cleveland, OH?

Yes, mental health counselors can diagnose patients, but their authority is regulated by state law and professional guidelines. Licensed Professional Counselors (LPCs) in Ohio are authorized to assess and diagnose mental health conditions as part of their clinical duties. However, their scope is limited to counseling and psychotherapy, and they must operate within the framework of the Ohio Counselor, Social Worker, and Marriage and Family Therapist Board.

While LPCs can diagnose, they cannot prescribe medication, which requires collaboration with psychiatrists or medical professionals. According to the Ohio Board of Licensure, LPCs must complete supervised clinical hours and pass national exams to obtain licensure, ensuring they are qualified to make accurate diagnoses. This regulatory structure aims to maintain high standards of care and protect clients in Cleveland and statewide.

Can you become a mental health counselor in Cleveland, OH without a degree?

No, you cannot become a licensed mental health counselor without a college degree. Ohio law requires a minimum of a master’s degree in counseling or a closely related field to obtain licensure as a professional clinical counselor (LPCC). This educational requirement ensures counselors have the necessary theoretical knowledge and supervised clinical experience to provide effective mental health services.

However, those without a degree can explore related roles such as peer support specialists or mental health aides, which often require certifications but not advanced degrees. Additionally, pursuing associate degrees or certificates in behavioral health can be a stepping stone toward a full counseling degree. According to the Ohio Counselor, Social Worker, and Marriage and Family Therapist Board (2023), over 90% of licensed counselors hold at least a master’s degree, highlighting the importance of formal education in this field.

References:

• Cleveland State University. (n.d.). Clinical mental health counseling (CMHC) master's program.
• Find Cleveland Mental Health Counselors. (n.d.). Academic challenges mental health counselors in Cleveland, Ohio.
• John Carroll University. (n.d.). Master of Arts in clinical mental health counseling | Cleveland, Ohio.
• National Center for Health Workforce Analysis. (n.d.). Workforce projections. Health Resources and Services Administration.
• PayScale. (2025). Mental health counselor hourly pay in Cleveland, Ohio in 2025.
• Statista Research Department. (2025, April). Primary mental health issues among U.S. college students 2024. Statista.
• U.S. Bureau of Labor Statistics. (2025, April). Substance abuse, behavioral disorder, and mental health counselors.
• The Centers. (n.d.). Job details.