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Telehealth rules May 2, 2026 · 4 min read

Counseling Compact: Interstate Practice for Licensed Counselors

The Counseling Compact aims to make it easier for licensed professional counselors to practice across state lines, including via telehealth. Here is how it is generally structured.

The Counseling Compact is an interstate agreement designed to make it generally easier for licensed professional counselors to practice across state lines, including through telehealth, by allowing eligible counselors to obtain practice privileges in other member states without a full separate licensure application in each one.

How practice privileges are obtained

A licensed professional counselor who holds an active, unencumbered license in their home compact state and meets the compact's eligibility standards can typically apply for a privilege to practice in other participating states through the compact's data system. As with similar interstate compacts in other professions, this privilege generally sits on top of the counselor's home-state license rather than functioning as an independent license issued by each additional state.

Typical eligibility factors

Eligibility generally involves holding a graduate degree in counseling or a closely related field from an accredited program, passing a recognized national examination, completing required supervised experience, and having no disqualifying criminal or disciplinary history. Because licensing terminology and scope of practice for counselors has historically varied somewhat between states, the compact also generally relies on member states aligning certain baseline licensing standards in order to participate.

The Counseling Compact extends practice privileges between member states — it does not create a single national counseling license or override any individual state's scope-of-practice rules.

Relevance for telehealth counseling

For counselors who deliver services via telehealth, the Counseling Compact is particularly relevant because it can reduce the need to hold a fully separate license in every state where a client happens to be located. That said, a counselor generally still needs to confirm that both their home state and the client's state are active compact members, and still needs to follow the client's state rules on matters like informed consent, mandatory reporting, and recordkeeping, which the compact does not change.

Source · Summarized from publicly available Counseling Compact Commission materials; state participation changes periodically.

As the Counseling Compact continues to add member states and refine its implementation rules, counselors relying on it for a multistate or telehealth practice generally find it worthwhile to check current participation and privilege requirements directly before treating a client in a new state. Requirements vary by state and change over time — always confirm current requirements directly with the relevant state board or agency before making a compliance decision.

Sources
Source: Counseling Compact Commission program materials
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