Clinical Supervision

About Rachael Julstrom, LPC:

Rachael comes from a background in marketing and corporate culture and migrated into counseling out of the need for people to be heard in a professional and personal arena. People come from all walks of life and many different hurts tend to cause people to become “stuck” and spinning their wheels in the same unhappy relationships, unsatisfying jobs and not knowing how to move forward.

After spending her internship in a large group practice she was able to dabble in multiple modalities she began to have a type of clientele that had higher needs and more acutely. Thus causing her to want to study suicidality and how to treat trauma. Dialectical Behavioral Therapy is the highest used therapy that utilizes real-life skills to help people move quickly out of a “stuck” place and to help develop quick forward momentum.

In order to keep up the momentum, some clients found they needed to have a deeper therapy and dive into some of their “trauma.” Therefore Rachael began to utilize EMDR to help clients move past their past ( actual book ). Using both DBT and EMDR causes many clients to find the ability to find their path.

Internship: Clinical Associates, PA
PLPC: Lilac Center
LPC: Rachael Julstrom, LPC
Owner & LPC: Middle Path Counseling MO


Supervision Requirements:

In order to be eligible for supervision and attain your provisional license to practice under supervision you must:

A) You must have conferred your masters or doctoral degree and have requested your school to send official transcripts to the licensing board (usu. costs $15-$20 – you do not need to pay extra for expedited shipping)

B) You must have completed the appropriate college courses required to become an LPC or PLPC and have documented this in your application (if you come from a CACREP accredited college than your classwork will likely meet all of these requirements, if not you may have to take an additional class or prove to the board documentation proving that a particular class meets their requirement).  Individuals with non-clinical focused masters degrees will likely not qualify.

C) You must have completed a college internship/practicum with the required number of clinical hours (which is often approximately 600-900 hours of clinical-related time, which means anything related to counseling and approximately 100 hours of face-to-face clinical time).

D) Once you have completed the LPC or PLPC application process you will be eligible to take the NBCC (National Board for Certified Counselors) NCE exam (National Counselor Exam – which costs around $150) and you will have to schedule to take that exam at a local testing center (offered monthly) and pass that exam before you can begin practicing under supervision.

E) You must have also completed all other LPC or PLPC application requirements which in Kansas includes professional reference letters (including one from your internship supervisor), and in Missouri includes a jurisprudence ethics exam (you can take on-line through their website), as well as an in-person finger-printing and background check (around $40)

F) After you are accepted as a supervisee you will also have to complete a Supervision Plan and application and submit that plan to the licensing board for approval to be supervised.   If you have ever been convicted of a felony or higher, you cannot go through this process until you have met face-to-face with the licensing board review committee.

After you have completed all of the steps above it often takes 1-3 months for the state licensing board to approve everything and issue you a license to practice under supervision.  Once you are licensed to begin practicing under supervision you will then be eligible to count your hours towards your license to practice on your own.  Any hours completed prior to being provisionally licensed will not qualify and cannot be applied towards licensure.

Missouri Committee for Professional Counselors
3605 Missouri Boulevard
P.O. Box 1335
Jefferson City, MO  65102-1335
573.751.0018 Telephone
573.751.0735 Fax


Missouri Hour Requirement (as of April 2019)

An LPC applicant must complete 3,000 hours and 24 months of supervised experience. Additionally, during the period of supervised experience, the applicant must 2 complete at least 1,200 hours of direct client contact. Direct client contact is defined as face to face counseling with an individual or group. Finally, the applicant must provide counseling or perform counseling related duties at least 15 hours per week during the period of supervised counseling experience. 

Supervision Shall Include But is Not Limited To The Following :

(1) Monitoring the supervisee’s activities to verify s/he is providing services that meet generally accepted standards of practice;

(2) Verifying that it is the practice of any supervisee to provide the mandatory disclosure form as required pursuant to C.R.S. § 12-43-214;

(3) If appropriate, verifying that clients are informed as to any changes in the supervisory relationship;

(4) Giving an adequate termination of supervision notice to the supervisee;

(5) Keeping records that document supervision that meet the generally accepted standards of practice;

(6) Assisting the supervisee in becoming aware of and adhering to all legal, ethical, and professional responsibilities;

(7) Assuring that no inappropriate relationships exist between the supervisor and supervisee, and supervisor and client;

(8) Assuring the supervisee meets any licensing, certification or registration requirements prior to engaging in any psychotherapy;

(9) Assisting to assure that the supervisee is in compliance with the Mental Health Practice Act;

(10) Verifying and assuring the supervisee is in compliance with any existing restricted licensure, certification or registration status or probation.