United States · Licensing exam

How many questions are on the NCE and NCMHCE?

The NCE has 200 multiple-choice questions, and 160 of them count. The NCMHCE has 11 case studies with 130 to 150 questions, and 100 count. Neither exam has a fixed pass mark. Experts set the passing score for each exam version, so how many you can miss changes slightly from version to version.

The two exams side by side

NCENCMHCE
FormatMultiple choiceClinical case studies with multiple-choice questions
Questions200130 to 150 (9 to 15 per case)
Scored160100
Unscored40 field-test questions1 whole case study
Answer options4 (A to D)4 (A to D)
Time to answer225 minutes225 minutes
Break15 minutes, after question 10015 minutes, after the fifth case
Going backYes, but online you can’t return to questions 1 to 100 after the breakNot to an earlier section of a case

As of October 2026, from NBCC’s state licensure handbooks:

How the passing score is set

NBCC uses a standard-setting process. For the NCE it’s a modified Angoff method: a committee of experienced counselors rates every question and decides how many correct answers a minimally qualified, entry-level counselor should get. The NCMHCE uses a similar expert review.

Each version of the exam has different questions, so NBCC uses statistical equating. If your version is slightly harder, the passing score moves down a little, and if it’s easier, it moves up. Your result depends only on your own answers, not on how other people did.

So how many can you miss?

There’s no fixed answer. Your score is the number of scored questions you got right: out of 160 on the NCE and out of 100 on the NCMHCE. Your score report shows that number and the passing score for your version.

NBCC doesn’t publish a typical cut score or a percentage. Figures you see online aren’t official. In our practice test we use 70% as a target, but that’s our choice, not NBCC’s rule.

There’s no penalty for guessing, so answer every question.

Pass rates

We couldn’t find NCE or NCMHCE pass rates on NBCC’s exam, licensure or score report pages. If you see a pass rate quoted elsewhere, check where it comes from.

Both exams change on July 1, 2027

NBCC has published new specifications that take effect July 1, 2027, based on a new work analysis. The NCE will have 170 questions with three answer options each, 30 of them unscored. The NCMHCE will have 10 case studies with 130 to 150 questions, 30 to 50 of them unscored. Both will keep 225 minutes of testing time. If you test before then, study for the current format.