Kentucky Board of Licensed Professional Counselors

NOTE:  Effective immediately all applications and documentation  must be received in the board office 5 business days prior to the board meeting date to be put on the agenda.  If this deadline is not met, it will automatically be added to the next month's agenda.

Online License Renewal

2008 LPCA Renewal Form [PDF - 44KB]

Application for Licensure for LPCA and LPCC [WORD - 636KB]

Complaint Form [WORD - 87KB]

Continuing Education Approval Form [WORD - 109KB]

Name/Address Change Form [WORD - 175KB]

Supervisory Agreement [WORD - 142KB]

Instruction Sheet for LPCA 

Instruction Sheet for LPCC

Reciprocity Information Sheet

Licensure as a Professional Counselor-Reinstatement Form

NBC Examination Registration Form 2009

Supervisory Contract

(YOU CANNOT PRACTICE OR ACCUMULATE HOURS TOWARD YOUR LPCC LICENSE UNTIL THIS FORM HAS BEEN COMPLETED, REVIEWED AND APPROVED BY THE BOARD.)

Continuing Education Program Approval Form

Complaint Form

Name/Address Change Form

Reinstatement Application-Licensed Professional Clinical Counselor

Renewal Application-Licensed Professional Clinical Counselor

Reinstatement Application-Licensed Professional Counselor Associate

Renewal Application-Licensed Professional Counselor Associate