Exam Development

Examination Integrity Starts Here:

Explore how the NCE, NCMHCE, and other NBCC or CCE exams are created with scientific rigor, expert oversight, and a commitment to protecting the public.


Overview

The National Board for Certified Counselors (NBCC) and the Center for Credentialing & Education (CCE) play a central role in promoting excellence in the counseling profession through rigorous credentialing processes and examination development. At the heart of these efforts are the examination programs, which are carefully developed and maintained to reflect the current realities of professional practice. Through subject matter expert (SME) collaboration, psychometric precision, and a commitment to fairness, NBCC and CCE ensure that each examination upholds the highest standards of validity and reliability.

Why It Matters

Rigorous examination development ensures:

  • Public protection
  • Professional readiness
  • Consistency across credentialing
  • Confidence in the profession

Purpose

Credentialing examinations are more than assessments; they are essential tools to ensure public safety, professional readiness, and ethical practice. These examinations are designed to evaluate whether candidates possess the foundational knowledge, clinical reasoning, and decision-making skills required for effective and responsible professional practice. By maintaining rigorous standards and continually updating content, NBCC and CCE help uphold the integrity of the counseling profession and all other professions that we serve.


Examination Development With Accommodations in Mind

NBCC and CCE are committed to ensuring that all qualified candidates have equitable access to credentialing examinations. From the earliest stages of development, accessibility and inclusion are prioritized. Examination content is reviewed not only for validity and fairness but also for potential barriers that may impact individuals with disabilities. The item writing and review process includes experts who consider language clarity, cognitive load, and diverse testing needs. NBCC and CCE work to design examinations that accommodate a wide range of abilities, without compromising the rigor or integrity of the assessment. This approach reflects a deep commitment to fairness, inclusivity, and equal opportunity for all examinees.

What is a work analysis and why do we do it?

…a [work] analysis report may be the single most important piece of evidence supporting the validity of score interpretations on credentialing exams.
Raymond, 2016, p.145
When test content is a primary source of validity evidence in support of the use of a test for employment decisions or credentialing, a close link between test content and the job or professional/occupational requirements should be demonstrated.
AERA et al., 2014, p. 178

Why do we need to complete a work analysis?

A comprehensive work analysis is the foundation of a valid and reliable credentialing examination. It identifies the critical tasks, knowledge, and skills required for competent counseling practice. Based on this analysis, a well-defined test blueprint is developed to guide the initial and ongoing development of counselor credentialing examinations. It serves multiple functions:

  • Guides item writers by outlining the core knowledge areas and competencies expected of professional counselors.
  • Supports item classification and inventory management, ensuring a balanced representation of the counseling domains.
  • Directs test form assembly to promote fairness and consistency across different examination versions and over time.
  • Ensures that equating and linking items accurately reflect the breadth of professional counseling practice, which is vital for scoring comparability.
  • Aids candidates, counselor educators, and training programs in aligning preparation with the competencies being assessed.
  • Provides an operational definition of the counseling domain, helping licensing boards and other stakeholders understand what the examination measures.
  • Communicates the values of the credentialing body, highlighting which skills and competencies are prioritized for safe and effective practice.
  • Documents the evolving scope of the counseling profession, offering a dynamic framework that adapts as the field grows and changes.

The Work Analysis Process

In phase 1, NBCC leadership and counseling leaders collaborate to establish a Work Analysis Task Force that guides the project.

In phase 2, in-person and virtual focus groups, along with a validation survey, are conducted to gather and confirm data on the minimum competencies required for professional success.

In phase 3, using the validated data, test specifications are created, followed by NBCC review and approval, public release, and formal documentation of the process.


Content of the Work Analysis Survey

106 Work Tasks - 7 Domain Areas

  • Counselor Self-Awareness
  • Professional Counselor Responsibilities
  • Business of Counseling
  • Intake and Screening
  • Assessment and Diagnosis
  • Skills and Interventions
  • Treatment Planning and Discharge

Example Statements

  • Ensure that reimbursement requests are supported by clinical documentation
  • Determine co-occurring diagnoses, differential diagnoses, and other comorbidities

54 Areas of Clinical Focus
  • Blended family issues
99 Areas of Knowledge
  • Health Information Technology for Economic and Clinical Health Act (HITECH)
  • Trauma-Focused Cognitive Behavioral Therapy (TF-CBT)
50 Skills
  • Open-ended questioning
73 Judgements
  • Providing inappropriate or invalid letters of support
47 Tools/Assessments
  • Council for Affordable Quality Healthcare (CAQH)
30 Background Items
  • Do you offer telemental health counseling services?
460 Total Items to Rate
  • Split across 2 versions

Gamification of the Work Analysis Survey and Continuing Education

Why Gamify a Work Analysis Survey? Counselors are dynamic, people-centered professionals, and we believe the tools we use to shape the future of the profession should reflect that same energy and relevance. That’s why we’re reimagining the traditional work analysis survey as a gamified, interactive experience.

Rather than scrolling through long lists of tasks in a standard format, counselors will engage with a modern, user-friendly platform that turns survey participation into a meaningful, intuitive experience throughout which they can build their virtual counseling office. Gamification techniques make the process more enjoyable, more accessible, and more reflective of real-world decision-making. It also improves focus and completion rates, helping ensure diverse perspectives are represented.

But this isn’t just about making things fun. By rethinking how we collect data, we can better capture the nuances of your daily work. This helps us create more accurate and relevant credentialing examinations that reflect the real responsibilities, challenges, and rewards of professional counseling today.

Your voice shapes the profession. Now, it’s easier than ever to share it.

Continuing Education

As part of completing the work analysis survey, you will have the opportunity to read two engaging and dynamic articles that will help you to understand how reflecting on your work as a professional counselor is critical to professional development. In addition, you will learn the importance of following standard guidelines for credentialing processes and examination development as well as the steps to developing and completing a work analysis survey. After completing the CE program and work analysis survey, participants can take a short quiz in order to receive their CE certificate for 4.5 NBCC continuing education credit hours.

After completing this continuing education program and work analysis survey, participants will be able to:

  1. Explain the foundational principles and primary purposes of credentialing and professional testing, including how licensure, certification, and accreditation uphold public protection and professional integrity.
  2. Discuss key considerations in the development and implementation of credentialing examinations, with a focus on fairness, validity, reliability, and legal defensibility.
  3. Assess how credentialing policies influence professional identity, accountability, and ethical practice within the counseling profession.
  4. Describe the essential elements of counselor self-awareness, including the influence of personal values, cultural identity, and emotional insight on clinical effectiveness.
  5. Analyze how increased self-awareness contributes to improved counselor-client relationships, particularly in supporting ethical, empathic, and culturally responsive interventions.
  6. Apply reflective practices and strategies for fostering ongoing personal and professional growth, enhancing competence, and ethical decision-making in various counseling settings.

Technical Advisory Committee (TAC)

Credentialing examinations in counseling must do more than assess knowledge. They must meet the highest standards of validity, reliability, fairness, and legal defensibility. That’s where the Technical Advisory Committee (TAC) plays a critical role.

The TAC is a group of independent psychometricians, testing experts, and content specialists who provide objective, research-based guidance on every phase of examination development and maintenance. They help ensure that assessments like the NCE and NCMHCE are not only technically sound but aligned with evolving standards in educational measurement and credentialing examinations.

Through rigorous review of methodologies, scoring models, equating procedures, accommodations, and statistical analyses, the TAC ensures our examinations are fair and accurate for all candidates. The committee’s oversight strengthens the credibility of the credentialing process, supports legal defensibility, and reinforces public trust in the counseling profession.

By consulting with a TAC, NBCC and CCE demonstrate a commitment to continuous improvement and transparency, making certain that our assessments reflect both professional realities and psychometric excellence.

Work Analysis Survey: Frequently Asked Questions (FAQ)

For any questions about the survey content or process, please contact NBCC Assessments at workanalysis@nbcc.org.

For technical issues with the survey platform, please contact workanalysis@nbcc.org.

General Information & Purpose

A work analysis, also known as a job analysis, practice analysis, or job task analysis, is a systematic process of collecting information about the duties, responsibilities, knowledge, skills, abilities, and other characteristics required for a specific job or profession. The data gathered in the work analysis are used to understand the requirements of safe and effective practice in the profession. The work analysis can be completed through a variety of methods (e.g., surveys, observations, focus groups). These different methods allow researchers to gather information from different sources to create a strong understanding of the field. The survey is an instrument that allows us to collect data in a streamlined way and to gather comprehensive input.
Work analyses are typically done every five and seven years depending on the industry as a part of a regular maintenance cycle. Our work analysis survey is being conducted now to ensure that our examinations are up-to-date and reflect changes in counseling in the past five years, including changes caused by the COVID-19 pandemic and new trends in utilizing telemental health.
The primary goal of this survey is to understand the current state of the field of counseling as well as gaining insights into future trends that will help us understand the requirements of entry-level counselors.
Whether you are a practicing counselor, a counselor educator, a retired counselor, or a counseling student, this is an opportunity to have a nationwide impact on the field. Your input is used to help shape the examinations that serve as a gateway for national certification and licensure. Completing this survey allows you to make sure your voice is heard.
The results of this survey will be used to update the test specifications for the National Counselor Exam (NCE) and the National Clinical Mental Health Counseling Examination (NCMHCE). This ensures the examinations assess the most important and relevant competencies needed for safe and effective practice.
This survey is being conducted by the Assessments department at the National Board for Certified Counselors and Affiliates.

Participation & Logistics

All practicing counselors, counselor educations, counseling supervisors, counseling students, and retired counselors are invited and encouraged to participate.
Participation in this survey is voluntary but highly encouraged. A representative and widespread sample of respondents will help to ensure that all perspectives are captured and considered in the exam development process.
The deadline for completing the survey is 11:59PM EST on Sunday, August 31st, 2025. Please ensure you submit your responses before this time.
We anticipate that the survey will take approximately 30-45 minutes to complete. The required readings for CE credits will take additional time to read. You will be able to complete the survey in multiple sessions as needed.
In addition to having an impact on the profession and ensuring high standards for upcoming counselors, in this survey, you will have the opportunity to earn continuing education (CE) credits by reading some required materials related to the work being done in this work analysis process. Reading the CE materials will take approximately 4.5 hours and you will receive 4.5 NBCC CE hours after answering a short quiz about the readings.
If you hold multiple distinct roles or have significant responsibilities that span different areas, please answer the survey based on your impressions of practicing counselors. If you feel unable to respond to particular questions, you can opt to not respond by selecting “Does not apply/Don’t know.”

Survey Content & Answering Questions

The survey will ask about various aspects of professional counseling including:
  • Duties and Responsibilities: What tasks you perform as a counselor
  • Knowledge and Skills: The specific knowledge, skills, and abilities required as a counselor.
  • Tools and Resources: Software, assessments, etc.
  • Clientele: The different kinds of clients and presenting concerns you work with in practice
Please answer to the best of your ability. If a question doesn't seem directly applicable to your current position, or if you don’t know how to respond, you can select “Does not apply/Don’t know.”

Confidentiality & Data Security

Your name will be collected if you wish to earn CE hours from the required CE readings, but your personal identity will not be used in any analyses nor published anywhere.
Yes, your individual responses will be treated with strict confidentiality. The survey data will be collected and analyzed in a manner that protects your identity.
No, individual responses will not be shared with any third parties. The data will be aggregated and analyzed in groups to ensure individual anonymity.
All data collected will be stored securely on NBCC servers and will only be available to NBCC staff to ensure privacy and prevent unauthorized access.
Only a limited number of authorized individuals in the NBCC Assessments department will have access to the raw, unaggregated data. All individuals with access are bound by strict confidentiality agreements.
The results will be presented in an aggregated format, meaning data will be grouped by years of experience, counseling role, or regions of the United States. This ensures that no individual responses can be identified.

Impact & Follow-up

We anticipate sharing the updated content outlines for the NCE and NCMHCE in October of 2025 on the NBCC website and will also present the results at the ACES conference.
The updated content outlines for the NCE and NCMHCE will be published on the examination websites and communicated through other NBCC channels.
Potential changes could include new content areas on either examination, a different distribution of content areas on the examinations, or a different length or format for the examinations.
The new content outline will be published in October of 2025. The changes to the examination based on the new content outline will not be effective until August 2026.
For any questions about the survey content or process, please contact NBCC Assessments at workanalysis@nbcc.org. For technical issues with the survey platform, please contact workanalysis@nbcc.org.