LPC degree online programs and licensure requirements guide

lpc degree candidates choosing online pathways need clear steps that align a master’s program with state licensure rules, clinical placements, and exams. This guide walks you through program types, accreditation, practicum strategies, supervision documentation, exams, and a ready-to-use licensure checklist so you can plan to practice.

What is an LPC and who needs an LPC degree?

Licensed Professional Counselor (LPC) is a state-regulated credential that authorizes independent practice of counseling, diagnosis, and treatment planning within defined scopes of practice. An LPC typically requires a master’s degree in counseling, supervised clinical experience, and passing a licensure exam. The credential is used by clinicians working in outpatient and community settings, employee assistance programs, and private practice.

Common practice settings for LPCs include:

  • Outpatient community mental health centers
  • Private practice and group psychotherapy
  • Employee assistance and corporate wellness programs
  • College and university counseling centers
  • Primary care and collaborative care teams
  • Telehealth / teletherapy services

If you’re finishing a bachelor’s, review Counseling Bachelor degree programs and career requirements guide for pre-grad planning and foundational coursework.

For differences with related credentials, see the LPC meaning definition and licensure requirements guide overview and Mental Health Counselor vs Therapist education comparison guide.

Transition: Understanding what an LPC authorizes flows directly into how program design and accreditation affect your path.

Types of online LPC degree programs and why accreditation matters

Online master’s programs that prepare students for an LPC vary in delivery, title, and accreditation. Choose a program that aligns with licensure rules in your target state and that supports practicum/internship placements locally.

CACREP accreditation is a programmatic accreditation recognized by many state boards as evidence that curriculum meets counseling standards. CACREP programs often map coursework and supervised hours explicitly to licensure competencies. In addition, regional institutional accreditation affects federal financial aid eligibility and transcript recognition when you apply for licensure by endorsement or reciprocity.

Key program types:

  • Fully online (asynchronous): Coursework completed remotely, clinical placements arranged in student’s community.
  • Hybrid: Mix of online coursework and on-campus intensives or synchronous sessions—useful for counselling skills labs.
  • Synchronous cohort: Live weekly classes with a cohort model; can improve peer learning and timely practicum coordination.
Program Type Typical Advantages Considerations for Licensure
Fully online (asynchronous) Maximum schedule flexibility; often lower commute costs Must confirm practicum/internship placement support and local supervisor qualifications
Hybrid Hands-on skills labs, stronger campus resources Check residency requirements and whether intensives meet state documentation rules
Synchronous cohort Structured timeline, peer accountability May align better with field placement scheduling and supervision sequencing

Compare program vs institutional accreditation in Accredited Schools for Psychology programs and degree guide to understand federal aid implications.

For program-level requirements and specialization tracks, consult Clinical Counseling masters programs and degree requirements, MA in Counseling program requirements and admissions guide, and MS in Counseling degree programs and requirements guide.

Find top CACREP online options at Best Online CACREP Counseling programs accreditation and guide and compare delivery with the Online Masters in Mental Health Counseling programs guide.

Transition: After picking an accredited program, you’ll need to meet coursework and clinical hour expectations—here’s what those commonly include.

Typical coursework and clinical requirements in online LPC programs

Online LPC programs generally mirror in-person curricula in core domains required for clinical competency. Typical core coursework covers assessment, diagnosis, treatment planning, ethics, multicultural counseling, and counseling theories. Many programs also include a research or evaluation methods course and electives for specialization.

Standard course checklist (common course titles):

  • Counseling Theories and Techniques
  • Clinical Assessment and Diagnosis (DSM-focused)
  • Ethics and Professional Issues in Counseling
  • Multicultural Counseling and Social Justice
  • Group Counseling
  • Research Methods and Program Evaluation
  • Crisis Intervention and Trauma-Informed Care
  • Career Development and Counseling Interventions
  • Telehealth / Teletherapy Practice and Ethics
  • Practicum and Internship Seminars

For sample syllabi and class sequencing, see Mental Health Counseling courses online syllabus and guide and Counseling Classes Online course syllabus and program guide.

Clinical hours: programs require two stages of supervised practice—practicum (pre-internship) and internship (intensive clinical placement). Typical examples of hour requirements:

  • Practicum: 100–300 total hours with at least 40–100 direct client/contact hours (varies by program and state)
  • Internship: 300–600+ total hours per internship (many programs require two internships totaling 600+ hours)

Practicum and internship / supervised clinical hours are documented with logs, supervision verification forms, and supervisor signatures. Practice: “Think of practica as driver-training to classroom instruction—supervised, hands-on client experience under a qualified supervisor.”

Small stat block — typical licensure-related hours (examples):

  • Program practicum: 100–300 hours (40–100 direct)
  • Program internship: 600+ total internship hours typical across two placements
  • Post-master’s supervised experience for licensure: often 1,500–3,000 hours (varies by state)

See clinical-focused curricula in Clinical Mental Health Counseling programs degree and licensure and role expectations in Clinical Mental Health Counselor role education and licensure.

Transition: With coursework and practicum understood, follow this step-by-step path to complete a program and move toward licensure.

Step-by-step: How to get your LPC degree online and become licensed

Below is a practical 12-step sequence to take you from application to licensed practice, with documentation tips that protect your eligibility across state lines.

  1. Choose your target state(s) — Action: Decide where you plan to practice first and whether you may relocate. Documentation tip: Download your target state’s licensure checklist from your state board. See official rules at State Board of Professional Counselors licensing requirements.
  2. Pick accredited programs aligned to licensure — Action: Prioritize CACREP-accredited programs or those that explicitly map coursework to your state’s requirements. Documentation tip: Save program handbooks and syllabi that list course outcomes and practicum/internship hour requirements. Cross-check with Best Online CACREP Counseling programs accreditation and guide.
  3. Apply and document prerequisites — Action: Submit transcripts, letters of recommendation, personal statement, and any GRE/GMAT if required. Documentation tip: Request official transcripts early and keep unofficial copies organized for licensure applications. See admissions benchmarks in Top Ranked Masters in Counseling programs admissions and guide.
  4. Plan practicums and internships — Action: Work with the program’s field placement office to secure a local agency or telehealth-friendly site. Documentation tip: Obtain a signed supervision contract and weekly supervision log template before starting hours. If needed, download practicum templates in the resources section below.
  5. Confirm supervisor credentials — Action: Verify that onsite/remote supervisors meet your state’s credential requirements (e.g., LPC-S or equivalent). Documentation tip: Collect supervisor CVs, license verification printouts, and signed supervision agreements. Verify supervisor license via the Licensed Professional Counselor license lookup and verification.
  6. Track and log clinical hours accurately — Action: Log client contact hours, indirect hours, and supervision hours weekly. Documentation tip: Use a supervision log that records date, client hours, modality (individual/group/telehealth), and supervisor sign-off. See the supervision walkthrough below for a sample documentation process.
  7. Complete coursework and capstone requirements — Action: Fulfill required credit hours, pass required competency assessments, and submit final practicum/internship evaluations. Documentation tip: Keep course syllabi and final grades for board verification if requested.
  8. Apply for the licensure exam — Action: Determine whether your state requires the NCE, NCMHCE, or a state-specific exam and submit the application with transcripts and fees. Documentation tip: Save exam authorization emails and keep copies of fingerprint/background checks. Cross-reference exam info in the Licensure Exams section and Professional Counselor certification and training requirements.
  9. Complete post-master’s supervised experience (if required) — Action: Secure employment or contract placements that allow accumulation of required post-grad supervised hours. Documentation tip: Maintain detailed supervision verification forms and quarterly progress summaries. If an associate license is required first, consult Licensed Associate Counselor credential and licensure requirements.
  10. Complete jurisprudence, fingerprinting, and background checks — Action: Schedule and pass required state jurisprudence exams and submit fingerprints/background checks. Documentation tip: Keep copies of results and receipts in your licensure packet.
  11. Apply for full licensure — Action: Submit your licensure application with exam scores, supervisor verifications, official transcripts, and fees. Documentation tip: Include a cover sheet summarizing attachments and ensure supervisors submit verification directly to the board if required. See endorsement steps in the State Variability section.
  12. Maintain licensure and pursue CEUs — Action: After licensure, complete required continuing education units (CEUs) and renew on schedule. Documentation tip: Keep certificates of completion and course outlines in a renewal file; consider specialty certifications for career advancement. See CEU guidance from the American Counseling Association and professional groups.

Documentation tips summary:

  • Save syllabi, practicum/internship contracts, supervision logs, and signed verification forms.
  • Request that supervisors submit verification directly to the state board when required.
  • Keep dated copies of transcripts and exam authorizations.

Transition: Next, understand the exams you may face and how to prepare effectively.

Licensure exams explained: NCE, NCMHCE, state exams and preparation

Most states require a national or state-specific exam as part of LPC licensure. The two most common national exams are the National Board for Certified Counselors (NBCC) National Counselor Examination (NCE) and the National Clinical Mental Health Counseling Examination (NCMHCE). Each exam tests different competencies and uses different item formats.

Exam comparison table:

Exam Format When used Prep tips
NCE (National Counselor Examination) Multiple-choice questions Used by many state boards as a general licensure exam Master core content areas; use practice tests and flashcards
NCMHCE (National Clinical Mental Health Counseling Examination) Simulation-based clinical cases Used by states requiring clinical decision-making evaluation Practice case simulations, develop clinical reasoning with supervisors
State-specific exams/jurisprudence Multiple-choice or essay; jurisprudence often online Some states require state law/ethics tests or additional content Study state statutes, rules, and ethics codes; take law-prep modules

The NBCC administers the NCE and NCMHCE; see exam details at NBCC. According to a 2024 NBCC report, pass rates vary by test and candidate preparation mix; build a study plan that includes timeline, content review, and practice simulations.

Preparation strategies:

  • Map exam domains to your coursework and identify weaker areas.
  • Complete timed practice exams and simulation practice for NCMHCE.
  • Use study groups or supervised mock sessions with licensed supervisors.
  • Allow 8–12 weeks of concentrated study for full-time candidates; part-time candidates may need longer.

For training-to-certification pathways and exam prep tips, consult Professional Counselor certification and training requirements.

Transition: Exams and program completion lead to licensure applications, but state rules vary—here’s how to check and prepare for differences across states.

State variability, endorsement, reciprocity, and how to confirm eligibility

Licensure rules for LPCs differ significantly by state in terms of required coursework, supervised hours, acceptable accreditation, exam type, and whether the state accepts licensure by endorsement (reciprocity). Always verify current rules with your target state board before relying on general patterns.

Quick checklist to confirm state eligibility:

  • Locate your state board’s licensing page and download official requirements.
  • Confirm whether your program’s accreditation (CACREP or regional) is accepted.
  • Check required exam type (NCE, NCMHCE, or state exam) and acceptable score reporting methods.
  • Verify required practicum/internship hours and post-master’s supervised hours for licensure.
  • Understand endorsement/reciprocity rules if you plan to transfer a license from another state.
  • Check for jurisprudence exam, fingerprinting, and background-check requirements.

If you need a printable state-by-state checklist, consult the Counseling licensure requirements by state PDF and guide. For North Carolina specifics, see Counseling Degree programs in NC admissions and licensure guide.

Verify supervisors or existing licenses using Licensed Professional Counselor license lookup and verification.

For official licensing rules, consult your state board’s web pages and relevant department sites (state licensing boards or department of health/education). External authoritative resources include the NBCC for exams (NBCC) and CACREP for accredited program lists (CACREP).

Transition: Online students often worry about how to complete practicum and internship requirements—here’s a practical how-to.

How online students complete practicum/internship and secure qualified supervision

Online programs commonly help students arrange local placements or telehealth-capable clinical sites. The key is proactive planning: identify placement options early, verify supervisor credentials, and use clear supervision contracts and logs.

Practical steps for online students:

  1. Start early: Contact your program’s clinical placement office 3–6 months before practicum start dates.
  2. Map local agencies: Identify community mental health, university counseling centers, hospitals, and private practices that accept students for practicum/internship.
  3. Confirm telehealth acceptance: If planning teletherapy hours, verify the site and supervisor allow telehealth clinical work and document platform security and consent procedures.
  4. Verify supervisor credentials: Ensure supervisors hold the license type your state requires (e.g., LPC-S, Licensed Professional Counselor–Supervisor) and can sign verification forms. Ask for license numbers so you can confirm via the state board.
  5. Create a supervision contract: Define start/end dates, expected client hours, individual/group supervision frequency (typically 1 hour per week individual), and modality (in-person or telehealth).
  6. Document weekly: Use a supervision log that records date, client hours (direct/indirect), supervision type, and supervisor initials/signature.
  7. Request mid-term and final evaluations: Most programs require formal supervisor evaluations—obtain copies for your licensure packet.

Sample supervision checklist (what to record):

  • Student name, supervisor name and license number
  • Agency name and address; telehealth platform if applicable
  • Weekly log entries: date, direct client contact hours, indirect hours, supervision hours (individual/group)
  • Supervisor signature and date for each weekly/monthly summary
  • Midterm and final performance evaluations signed by supervisor
  • Copies of client contact notes (de-identified) if your program or board requests learning samples

Supervision documentation walkthrough — example:

Sarah (anonymized vignette): “Sarah completed 100 practicum hours via a local agency arranged by her online program. Her supervision contract specified 1 hour/week of individual supervision and 1.5 hours/week of group supervision. She logged weekly entries with client hours, modality (‘telehealth’ or ‘in-person’), and tasks completed. At midterm and final, her supervisor completed evaluation forms; Sarah requested scanned signatures and a supervisor license verification printout for her licensure file.”

Weekly log fields to record (concrete example):

  • Date: 2025-03-05
  • Client hours (direct): 3.0 (individual teletherapy)
  • Indirect hours: 0.5 (treatment planning)
  • Supervision: 1.0 hour individual with Licensed Supervisor (LPC-S #12345)
  • Supervisor initials/signature: J. Doe (scanned)

Transition: Having practical documentation and placement tactics helps you evaluate programs—use this checklist when choosing an online LPC program.

Choosing the right online LPC program: evaluation checklist

Evaluate programs against licensure alignment, clinical support, and measurable outcomes rather than marketing copy. Below is a prioritized checklist and ranked feature bullets to guide selection.

Top evaluation criteria (ranked):

  1. Programmatic accreditation: Prefer CACREP accreditation for streamlined licensure acceptance in many states.
  2. Licensure alignment: Program explicitly maps coursework and supervised hours to state licensure requirements.
  3. Field placement support: Dedicated field placement staff and local site partnerships.
  4. Supervisor availability: Network of approved supervisors or guidance to find LPC-S supervisors locally.
  5. Graduation and pass-rate outcomes: Transparent data on completion rates and exam pass rates.
  6. Cohort model/support: Peer and faculty support, synchronous seminars, and clinical skill labs.
  7. Flexibility and modality: Hybrid intensives, evening synchronous options, or fully asynchronous delivery based on your schedule.
  8. Cost and financial aid: Tuition per credit, availability of assistantships, or employer tuition benefits.
  9. Career services: Help with job placement and post-grad supervision site matching.

Checklist items to verify with admissions:

  • Is the program CACREP-accredited? If not, does your state accept non-CACREP programs?
  • Does the program assist with local practicum and internship placements for online students?
  • What evidence does the program provide of graduate licensure success (pass rates, time-to-licensure)?
  • Are supervisors vetted and do they meet your state’s supervisor credential requirements?
  • What are program completion timelines for full-time and part-time students?

For admissions benchmarks and program comparisons, consult Top Ranked Masters in Counseling programs admissions and guide and explore certificate options at Certificate in Counseling online certification programs and guide.

Transition: Cost and ROI matter—here’s how to estimate expenses and potential earnings.

Cost, financial aid, scholarships, and return on investment

Tuition for online master’s counseling programs ranges widely—typical per-credit costs can be $400–$1,200 depending on public/private status and residency. Total tuition for a 60-credit program may therefore range from roughly $24,000 to $72,000. Additional costs include fees, textbooks, liability insurance, fingerprinting/background checks, supervision fees, and travel for intensives.

Example cost scenarios:

  • Public in-state online CACREP program: $450/credit × 60 credits = $27,000 tuition
  • Out-of-state/private online program: $900/credit × 60 credits = $54,000 tuition
  • Hybrid with campus intensives: + travel and lodging costs for intensives ($500–$2,000 total)

Financial aid and scholarships:

  • FAFSA eligibility depends on institutional (regional) accreditation—confirm before applying for federal aid.
  • Look for department scholarships, diversity or specialty track scholarships, and external mental health foundation awards.
  • Employer tuition reimbursement and GI Bill benefits may apply—check program policies.

Short ROI example (conservative):

  • Entry-level LPC salary median (according to the Bureau of Labor Statistics): use BLS data for counselors (see BLS) — assume $50,000 starting salary.
  • If total program cost is $30,000, time-to-payback (pre-tax) ≈ 0.6 years of gross salary increase if the degree enables a $10,000 earnings bump—individuals should model their own expected salary based on local market.

For certification options and cost breakdowns, see Mental Health Professional certification requirements and cost.

Transition: Timing differs by pathway—here are three realistic timelines based on common routes.

Typical timelines and three sample pathways (full-time, part-time, bridge)

Completion time depends on program credits, course load, and how quickly you accumulate practicum/internship and post-grad supervised hours.

Full-time pathway (accelerated)

  • Program: 2 years (60 credits completed full-time)
  • Practicum/Internship: completed within program years 1–2 (600+ combined hours)
  • Exam: take within 1–3 months after graduation
  • Post-grad supervised hours: begin immediately after graduation if required (1,500–3,000 hours over 1–2 years)
  • Estimated time-to-licensure: 3–4 years total (including post-grad experience where required)

Part-time pathway

  • Program: 3–4 years (part-time 2–3 courses/term)
  • Practicum/Internship: scheduled part-time across semesters
  • Exam: after graduation or when board allows (timing varies)
  • Post-grad supervised hours: may be completed concurrently with part-time employment
  • Estimated time-to-licensure: 4–6 years

Bridge pathway (post-master’s or certification to LPC)

  • Program: post-master’s credential or additional coursework to meet state deficits (6–18 months)
  • Clinical hours: may require verification of previous hours and additional internships
  • Exam & endorsement: apply for licensure by endorsement if moving from another license
  • Estimated time-to-licensure: 1–3 years depending on gaps and endorsement rules

For speed-focused routes, compare alternatives in Fastest Way to Become a Counselor education and requirements.

Transition: Once licensed, career options and earnings expand—here are common paths.

Career paths after earning an LPC and licensure (settings, salary, advancement)

After licensure, LPCs work in a variety of settings and may pursue advanced roles, supervision credentials, or board certifications. Typical roles and advancement options include:

  • Private practice clinician (solo or group)
  • Community mental health counselor or program director
  • School and college counseling (with appropriate endorsements)
  • Clinical supervisor (LPC-S) or training director
  • Behavioral health integration in primary care
  • Specializations: trauma therapist, addiction counselor, EMDR practitioner

Salary ranges vary by setting, experience, and region. According to the Bureau of Labor Statistics (BLS), median annual wages for mental health counselors and substance abuse counselors were approximately in the $40,000–$60,000 range; clinician salaries vary above and below this depending on location and specialization.

For credential comparisons and specialty certification options, see Credentials for Therapists licensure and certification guide, Certifications for Therapists training and credential guide, and Psychiatry masters programs degree requirements and guide if considering adjacent roles.

Compare program options such as Mental Therapist degree masters programs and requirements for alternative credential routes.

Transition: Before applying for licensure, prepare an organized application packet—use the checklist and templates below.

Application checklist and downloadable templates (practicum log, supervision log, licensure tracker)

Below is a concise application checklist you can use when assembling your licensure packet. Downloadable templates and CTAs are listed for practical use.

Essential application checklist:

  • Official graduate transcripts (sealed)
  • Program verification letter or transcript notation confirming degree and practicum/internship hours
  • Signed supervision verification forms (weekly logs and final verifications)
  • Supervisor license verification and CV
  • Exam scores/authorization (NCE, NCMHCE, or state exam)
  • Fingerprint/background check receipts
  • Jurisprudence exam completion (if required)
  • Application fees and cover letter summarizing attachments

Downloadable items (templates to copy/paste or adapt):

  • Practicum Log Template (weekly entries, direct/indirect hours, supervisor initials) — CTA: “Download Practicum Log Template”
  • Supervision Log Template (weekly + monthly summary + supervisor sign-off) — CTA: “Download Supervision Log Template”
  • Licensure Tracker Spreadsheet (checklist columns for each state requirement) — CTA: “Download Licensure Tracker”
  • Supervisor Verification Form (standardized statement for supervisors to complete) — CTA: “Download Supervisor Verification Form”

Action: Save digital and printed copies of all documents; request direct submission from supervisors to boards when possible to avoid processing delays.

Transition: Below are common questions prospective online LPC students ask—short answers follow in the FAQ section.

Frequently asked questions (short answers; expand into FAQ section)

Below are eight common questions you’ll see while planning your path to an LPC; full answers are provided in the FAQ section below.

  • What is an LPC degree and how is it different from an LCSW or LMHC?
  • Can I get an LPC degree online and still meet state licensure clinical hour requirements?
  • How many supervised clinical hours do I need to become an LPC, and do online practicum hours count?
  • What exams do I need to pass for LPC licensure, and which one does my state require?
  • How long does it take to complete an online LPC program and obtain licensure on average?
  • What should I do if my online program is not CACREP-accredited but I still want licensure?
  • How can I find and document a qualified clinical supervisor when I’m enrolled in an online program?
  • Are telehealth hours accepted toward LPC licensure and what quality standards apply?

Transition: If you need more guidance or links to resources, see the list below and a recommended next step.

Resources, next steps, and where to get help

Primary next steps: Confirm your state board rules, choose a CACREP-aligned program if possible, and begin documenting practicum arrangements early.

Authoritative resources:

  • Program accreditation and standards: CACREP.
  • Exam and certification information: NBCC.
  • Ethics, CEU guidance, and professional development: American Counseling Association (ACA).
  • Labor market and salary data: Bureau of Labor Statistics (BLS).
  • State licensing board rules: consult your state board’s official website (search via state government portals or the State Board directory listed in your program resources).

For a broader overview of counseling degree paths and licensure requirements, see the Counseling Degree programs guide and licensure requirements.

Suggested next-step actions:

  1. Download the Practicum Log, Supervision Log, and Licensure Tracker from the templates above.
  2. Contact program field placement staff to discuss local placement options.
  3. Locate your state board’s licensure page and save the official checklist PDF.

Conclusion: The right online lpc degree program plus careful documentation and proactive supervision planning will keep your pathway to licensure clear. Start by confirming your state’s rules, prioritizing CACREP-aligned programs, and using the checklist templates to capture practicum and supervision evidence. Ready to begin? Download the licensure tracker and practicum templates and contact your preferred programs’ placement office.

Frequently Asked Questions

What is an LPC degree and how is it different from an LCSW or LMHC?

An LPC degree is a master’s in counseling focusing on mental health assessment, diagnosis, and psychotherapy; licensure rules vary by state. LCSW (social work) emphasizes social systems and case management; LMHC titles vary by state but are similar clinical counseling licenses—compare scopes in your state board rules.

Can I get an LPC degree online and still meet state licensure clinical hour requirements?

Yes. Many CACREP and regionally accredited online programs arrange local practicum and internship placements that meet state requirements; confirm with your state board and request written placement/supervision plans and signed supervision contracts before starting hours.

How many supervised clinical hours do I need to become an LPC, and do online practicum hours count?

State requirements vary, but program practicum/internship often total 600+ supervised program hours and post-master’s supervised experience commonly ranges 1,500–3,000 hours. Online practicum/internship hours count when supervised by qualified, state-approved supervisors and properly documented.

What exams do I need to pass for LPC licensure, and which one does my state require?

States commonly require the NCE or the NCMHCE; some require state exams or jurisprudence tests. Check your state board for the required exam type and registration process and prepare using practice exams and case-simulation practice for the NCMHCE.

How long does it take to complete an online LPC program and obtain licensure on average?

Full-time master’s programs typically finish in about 2 years, with licensure often requiring additional 1–3 years for post-master’s supervised hours—expect 3–4 years total commonly; part-time or bridge routes can extend this timeline to 4–6 years.

What should I do if my online program is not CACREP-accredited but I still want licensure?

Confirm state acceptance of non-CACREP programs, obtain detailed syllabi and course descriptions, and be prepared to complete additional coursework or supervised hours to meet state deficits; maintain close communication with your state board for endorsement paths.

How can I find and document a qualified clinical supervisor when I’m enrolled in an online program?

Work with your program’s placement office to identify supervisors, verify licenses via state board lookup, secure a signed supervision contract stating frequency/format, and keep weekly supervision logs with supervisor initials and periodic evaluation forms.

Are telehealth hours accepted toward LPC licensure and what quality standards apply?

Many states accept telehealth/teletherapy hours if the supervisor and site meet state requirements, services follow HIPAA and informed consent rules, and documentation clearly states modality; verify telehealth acceptance with your state board in writing when possible.