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Nevada Revised Statutes: Clinical Counseling & Family Therapy Practice, Lecture notes of Psychotherapy

The definitions and regulations for the practice of clinical professional counseling and marriage and family therapy in the state of Nevada. It includes information on licensing requirements, fees, and the roles and responsibilities of the Board. The document also discusses the rationale behind certain provisions, such as expanding the scope of clinical professional counseling to include couples and families, and increasing public representation on the Board.

Typology: Lecture notes

2021/2022

Uploaded on 09/27/2022

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NRS 641A.065 “Practice of clinical professional counseling” defined.
1. “Practice of clinical professional counseling” means the provision of treatment, assessment and
counseling, or equivalent activities, to a person or group of persons to achieve mental, emotional, physical
and social development and adjustment.
2. The term includes:
(a) C counseling interventions to prevent, diagnose and treat mental, emotional or behavioral disorders
and associated distresses which interfere with mental health; and shall include without limitation
(b) Tthe assessment or treatment of couples orand families, if the assessment or treatment is provided by
a person who, through the completion of coursework or supervised training or experience, has demonstrated
competency in the assessment or treatment of couples or families as determined by the Board.
3. The term does not include:
(a) The practice of psychology or medicine;
(b) The prescription of drugs or electroconvulsive therapy;
(c) The treatment of physical disease, injury or deformity;
(d) The diagnosis or treatment of a psychotic disorder;
(e) The use of projective techniques in the assessment of personality;
(f) The use of psychological, neuropsychological or clinical tests designed to identify or classify abnormal
or pathological human behavior;
(g) The use of individually administered intelligence tests, academic achievement tests or
neuropsychological tests; or
(h) The use of psychotherapy to treat the concomitants of organic illness except in consultation with a
qualified physician or licensed clinical psychologist.
(Added to NRS by 2007, 3052; A 2013, 540)
Rationale: This will open up CPC practice scope to treat couples and families, as well as individuals
with schizophrenia and other psychotic disorders, along with the ability to perform psychometric
testing, all of which will likely result in increased behavioral health workforce development as these
restrictions appear nowhere else in the United States. Removal of the bulleted language concerning
practice scope restriction aligns with professional ethics, which does not attempt to articulate what
cannot be done, as that is covered by competence ethic.
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NRS 641A.080 “Practice of marriage and family therapy” defined.
1. Practice of marriage and family therapy” means the diagnosis and treatment of mental and
emotional disorders, whether cognitive, affective or behavioral, within the context of interpersonal
relationships, including, without limitation, marital and family systems, and involves the professional
application or use of psychotherapy, counseling, evaluation, assessment instruments, consultation, treatment
planning, supervision, research and prevention of mental and emotional disorders. The term includes, without
limitation, the rendering of professional marital and family therapy services to a person, couple, family or
family group or other group of persons.
2. The term does not include:
(a) The diagnosis or treatment of a psychotic disorder; or
(b) The use of a psychological or psychometric assessment test to determine intelligence, personality,
aptitude, interests or addictions.
(Added to NRS by 1973, 486; A 1987, 2124; 1989, 1202; 1999, 795; 2007, 3055)
Rationale: Same as CPC rationale above.
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NRS 641A.100 Qualifications of members; removal for misconduct.
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NRS 641A.065 “Practice of clinical professional counseling” defined.

  1. “Practice of clinical professional counseling” means the provision of treatment, assessment and counseling, or equivalent activities, to a person or group of persons to achieve mental, emotional, physical and social development and adjustment.
  2. The term includes: (a) C counseling interventions to prevent, diagnose and treat mental, emotional or behavioral disorders and associated distresses which interfere with mental health; and shall include without limitation (b) Tthe assessment or treatment of couples orand families, if the assessment or treatment is provided by a person who, through the completion of coursework or supervised training or experience, has demonstrated competency in the assessment or treatment of couples or families as determined by the Board.
  3. The term does not include: (a) The practice of psychology or medicine; (b) The prescription of drugs or electroconvulsive therapy; (c) The treatment of physical disease, injury or deformity; (d) The diagnosis or treatment of a psychotic disorder; (e) The use of projective techniques in the assessment of personality; (f) The use of psychological, neuropsychological or clinical tests designed to identify or classify abnormal or pathological human behavior; (g) The use of individually administered intelligence tests, academic achievement tests or neuropsychological tests; or (h) The use of psychotherapy to treat the concomitants of organic illness except in consultation with a qualified physician or licensed clinical psychologist. (Added to NRS by 2007, 3052; A 2013, 540)

Rationale: This will open up CPC practice scope to treat couples and families, as well as individuals

with schizophrenia and other psychotic disorders, along with the ability to perform psychometric

testing, all of which will likely result in increased behavioral health workforce development as these

restrictions appear nowhere else in the United States. Removal of the bulleted language concerning

practice scope restriction aligns with professional ethics, which does not attempt to articulate what

cannot be done, as that is covered by competence ethic.

NRS 641A.080 “Practice of marriage and family therapy” defined.

  1. “Practice of marriage and family therapy” means the diagnosis and treatment of mental and emotional disorders, whether cognitive, affective or behavioral, within the context of interpersonal relationships, including, without limitation, marital and family systems, and involves the professional application or use of psychotherapy, counseling, evaluation, assessment instruments, consultation, treatment planning, supervision, research and prevention of mental and emotional disorders. The term includes, without limitation, the rendering of professional marital and family therapy services to a person, couple, family or family group or other group of persons.
  2. The term does not include: (a) The diagnosis or treatment of a psychotic disorder; or (b) The use of a psychological or psychometric assessment test to determine intelligence, personality, aptitude, interests or addictions. (Added to NRS by 1973, 486; A 1987, 2124; 1989, 1202; 1999, 795; 2007, 3055)

Rationale: Same as CPC rationale above.

NRS 641A.100 Qualifications of members; removal for misconduct.

  1. The Governor shall appoint to the Board: (a) Four Three members who are licensed marriage and family therapists and are in good standing with or acceptable for membership in their local or state societies and associations when they exist; (b) Three members who are licensed clinical professional counselors and are in good standing with or acceptable for membership in their local or state societies and associations when they exist; and (c) Two Three members who are representatives of the general public. These members must not be: (1) A marriage and family therapist; (2) A clinical professional counselor; or (3) The spouse or the parent or child, by blood, marriage or adoption, of a marriage and family therapist or clinical professional counselor.
  2. The Governor may, after notice and hearing, remove any member of the Board for misconduct in office, incompetence, neglect of duty or other sufficient cause. (Added to NRS by 1973, 486; A 1977, 1258; 1987, 2124; 2003, 1198; 2007, 3056, 3057 )

Rationale: In response to Dunning case from North Carolina and at the suggestion of Board legal

counsel, this will balance the representation on the Board and improve public accountability by increasing public membership.


NRS 641A.235 License: Issuance; expiration; proration of fee.

  1. The Board shall issue a license to an applicant who meets the requirements imposed pursuant to this chapter.
  2. Except as otherwise provided in NRS 641A.2 872 and 641A.2882, a license expires on January 1the licensee’s birthdate two years after issuance or renewal of each year.
  3. The Board may prorate the fee for a license which expires less than 6 months after the date of issuance. (Added to NRS by 1987, 2123; A 1989, 1570; 2007, 3059)

Rationale: Advantages are manifold. First, it will encourage attendance at extended conferences

where continuing education credits exceed the 20 required annually. Second, it will space out renewals throughout the calendar year, thus ensuring a more even revenue flow. Third, it will ease the burden on both staff who process renewal applications and verify CEUs. Fourth, it pulls into alignment this Board’s practices with those of other professions that no longer perform annual renewals.


NRS 641A.241 Expedited license by endorsement: Requirements; procedure for issuance.

  1. The Board may issue a license by endorsement to practice as a marriage and family therapist or clinical professional counselor to an applicant who meets the requirements set forth in this section. An applicant may submit to the Board an application for such a license if the applicant holds a corresponding valid and unrestricted license as a marriage and family therapist or clinical professional counselor, as applicable, in the District of Columbia or any state or territory of the United States.
  2. An applicant for a license by endorsement pursuant to this section must submit to the Board with his or her application: (a) Proof satisfactory to the Board that the applicant: (1) Satisfies the requirements of subsection 1; (2) Is a citizen of the United States or otherwise has the legal right to work in the United States;

Application of secondary supervisor status 75 150 Application of primary and secondary supervisor status 150 300 Continuing education course review and registration - initial 25 100 Continuing education course review and biennial renewal 10 100 Continuing education provider review and registration 100 500 Continuing education provider review and biennial renewal 100 500

  1. If an applicant submits an application for a license by endorsement pursuant to NRS 641A.242, the Board shall collect not more than one-half of the fee set forth in subsection 1 for the initial issuance of the license.
  2. Grace period for nonpayment of a biennial renewal fee shall be 10 business days, after which time the license will automatically be rendered inactive and the licensee shall remit the reinstatement fee to reactivate the license in addition to the late fee.
  3. The three-year extension fee is separate and apart from the six-month renewal fee. (this might have to go into regulation but maybe not…? Just trying to avoid confusion.)
  4. The Board shall adopt regulations to set and establish fees not inconsistent with this section. (is this redundant to 641A.160?) (Added to NRS by 1973, 490; A 1985, 651; 1987, 2127; 1989, 1202; 2015, 3914)

Rationale: This is obviously suggested to increase revenue. Presently the Board’s budget is around

$160k annually, which cannot fund many necessities, including a strong enough salary to attract a qualified full-time executive director, a complaint investigator, and market-competitive wages (plus fringe, such as health insurance) for office staff, which they currently do not receive.


NRS 641A.2872 Marriage and family therapist interns: Period of validity; eligibility for renewal; expiration. A license as a marriage and family therapist intern:

  1. Is valid for 3 years and may be renewed not more than once; and
  2. Expires upon: (a) The termination of the supervision agreement with an approved supervisor; or; (b) A change in the approved supervisor; or (c) (b) The issuance of a license as a marriage and family therapist to the holder of the license as a marriage and family therapist intern. (Added to NRS by 2007, 3054) NRS 641A.2882 Clinical professional counselor interns: Period of validity; eligibility for renewal; expiration. A license as a clinical professional counselor intern:
  3. Is valid for 3 years and may be renewed not more than once; and
  4. Expires upon: (a) The termination of the supervision agreement with an approved supervisor; or; (b) A change in the approved supervisor; or (c) (b) The issuance of a license as a clinical professional counselor to the holder of the license as a clinical professional counselor intern. (Added to NRS by 2007, 3053)

Rationale: As currently written, 2878 and 2888 state that interns can change supervisors and their

agreements and merely have to notify the Board. However, 2872 and 2882 state that internships (and, the intern’s ability to practice) terminate with the termination of a supervision agreement, which

obviously occurs with any supervisory change. Both cannot exist simultaneously so the Board would like to allow supervisory changes without resulting in internship termination, as that obstructs practice and, in turn, care access.