Statute and Rules
Filing a Complaint
Frequently Asked Questions
Today is: Tuesday, December 10, 2013
If submitting forms to the MS LPC Board Office, please be certain to use the Jackson, MS, address listed below.
LPC Application Instructions
Application for LPC **Revised 8-16-2013
Background Check Authorization
(included in revised application)
Supervision Agreement Form
Supervision Reporting Form
Application for Board Qualified Supervisor (BQS)
Verification of Licensure in Other Jurisdiction
If you are applying for licensure in MS and currently hold a license in another state, submit this form to the state where you hold a license to practice Professional Counseling.
Verification of MS Professional Counselor License
Request for Verification of License
Request for Mailing Labels
The MS LPC Board will no longer offer mailing lists for purchase.
Address Change Form
Use this form to change address, phone, or email.
Name Change Request
Use this form to request name change on license.
Replacement Wall Certificate Request
CE Hours Reporting Form
2013 LPC Renewal Form
2013 Lapsed License Renewal Form
Rules and Regulations
Mississippi State Board of Examiners for Licensed Professional Counselors Website Disclaimer
239 North Lamar Street
Jackson, MS 39201
Office: 601 359-1010
Fax: 601 359-1030