Washington State Credentialing Requirements
Agency Affiliated Counselor
(Chapter 18.19 RCW, 246-810 WAC)
Type of Credential: DOH Contact:
Registration Customer Service Center - 360-236-4700
Credentialing Requirements Verification Documents Obtained
Applicants for agency affiliated Applicants must have their employer complete and
counselors must be employed by, or have sign the employment verification form provided by the
an offer of employment from an agency Department of Health.
or facility that is licensed, operated,
certified by Washington State, a federally
recognized Indian tribe located within the
state, or a county.
State licensure verification Applicant lists all states where credentials are or were
held, including where applicant has applied but a
credential was not granted. A verification form must be
completed and submitted by the jurisdiction where the
applicant is or was credentialed. Applicant sends form
to jurisdiction for completion. The jurisdiction sends
completed form directly to the department.
Statement about: Applicant must answer personal data questions. An
appropriate explanation and required documentation must
• physical and mental health status
be sent with positive answers. If there is a positive answer
• lack of impairment due to chemical to the professional liability claims history question, the
dependency/substance abuse applicant must send an explanation of the nature of the
• history of loss of license, certification case, data and summary of care given, copies of the
or registration original complaint, and the settlement or final disposition.
• felony convictions If pending, applicant must indicate status.
• loss or limitations of privileges
• disciplinary actions
• professional liability claims history
Additional Information/Documents Required
• HIV/AIDS training - four hours
NOTE: An agency affiliated counselor may only provide counseling services as part of his or her employ-
ment for a recognized agency.
Agency affiliated counselors must notify the department within 30 calendar days if they are no longer
employed by the agency identified on their application, are now employed with another agency, or both.
Agency affiliated counselors may not practice counseling unless they are employed by an agency.
Rev May 2012 Back to TOC
Process for Approving/Denying Applications
Credentialing staff review the application and supporting documents to make an initial determination
on eligibility. The recommendation is based upon the requirements outlined in RCW 18.19 & WAC
246-810. Credentialing supervisors approve applications that do not have positive answers to personal
data questions, have questionable verifying documents, or are otherwise “red flag” application. Red
flag applications are forwarded to the exception application process for determination by the appropriate
disciplinary authority. An applicant will be formally notified of a denial and has the opportunity for a
Agency affiliated counselors must renew their license every year. Credentials expire on the credential
holder’s birthday and may be renewed within 90-days of the expiration date.
Continuing Education Requirements
There are no continuing education requirements at this time. However, agency affiliated counselor’s are
required by law to obtain continuing education. The Department of Health will establish and implement
this requirement at a later date.
Rev May 2012 Back to TOC