Wisconsin Department of Safety and Professional Services
Health & Business Renewal Application
Application Status Query
Instructions:
Please allow one hour after receipt of your status update email for the updates to be reflected in the online checklist.
Please verify the checklist information below, including your address. If your address has changed, please
e-mail
your application number, name, profession, along with your old and new address. The Credentialing department posts status information following receipt and review of application materials.
As of
:
01/24/2018
Application#
:
621459
Name
:
Jackson, Christopher D
Profession
:
Licensed Professional Counselor
Address
:
Temple, TX
Application Status
:
(Permanent license issued)
Requirements Not Met:
Description
Status
Comments (Please note, not all requirements will include comments)
Requirements Met:
Description
Status
Comments (Please note, not all requirements will include comments)
Application Complete
Met
Application Fee
Met
$175
Supervised Professional Counseling Experience Form(s)
Met
11/20/17: Rec'd personal narrative and forms #2464. Out of state hours will be submitted for review upon receiving form #2239 and course descriptions. SO
-----------------------------------9/18/17: Rec'd out of state hours. All hours need to be on WI forms #2464. We have rec'd applicants personal narrative, however copies of the out of state supervisors resumes are also needed. It is unclear whether applicant holds a license in order to accrue the submitted hours. These hours will need board review. Please resubmit all hours on form #2464. SO
Certification of Professional Education
Met
11/13/17: Rec'd form #1960, however degree needs to be specifically Clinical Mental Health Counseling in order to be CACREP therefore this form is not necessary. SO
------------------------------------------9/18/17: Only needed if your degree IS CORE or CACREP (Clinical Mental Health Counseling or Community Counseling majors only for CACREP accreditations) accredited.
Curriculum Requirement Grid (Form #2239)
Met
1/10/18: complete so
-------------------------------------11/13/17: Please submit form #2239 with all courses listed. SO
-------------------------------------Only needed if your coursework does not match the pre-approved grid (Please see http://dsps.wi.gov/Documents/Credentialing%20Forms/Education%20Forms/Pre-License%20Education/Professional%20Counselor/Approved%20Programs.pdf)
Official Transcript of Graduate Degree
Met
10/24/17: Rec'd SO
--------------------------------------9/18/17 NEED: Transcripts sent directly from school. Please have school mail directly to: "DSPS, ATTN: LPC Section, PO Box 8935, Madison WI 53708."
Course Descriptions
Met
1/10/18: rec'd course descriptions
----------------------------------------11/13/17: Please submit course descriptions for all courses listed on form #2239. SO
---------------------------------------Only needed if your coursework does not match the pre-approved grid (Please see http://dsps.wi.gov/Documents/Credentialing%20Forms/Education%20Forms/Pre-License%20Education/Professional%20Counselor/Approved%20Programs.pdf)
Wisconsin Statutes and Rules Exam
Met
12/14/17: Complete; cc
-----
See the “Exam Information” link on our main LPC page (http://dsps.wi.gov/Default.aspx?Page=327ccb79-1373-4ce9-8a68-bfdd52ea3566) for details. Both your exam name and your password are “LPC13B” (no quotes). Your student ID is your application ID number. Please put an “X” in each of the lines that says “Notes”. Technical or exam content-related questions can be directed to: DSPSCredentialingCSC@wisconsin.gov
NCHMHE, NCE or CRCE Exam
Met
10/23/17: complete
---------------------------------------Please have scores sent to DSPS directly from the NCE, NCMHE, or CRCE
Verification of other state license(s) and/or credential(s)
Met
1/10/18: complete. so
---------------------------------------9/18/2017: NEED: NY- If you have not done so, please contact other state board(s) for them to send verification of your license directly to DSPS, ATTN: LPC Section, PO BOX 8935 MADISON, WI 53708-8935. Photocopies, internet lookups, and license verifications submitted by the applicant are not acceptable.
Other General
Met
Rec'd rules for NYS mental health counseling. Rec'd notification of applicant submitting verification request to NY. SO
Board Approval
Met
1/24/18: Liaison approved so
--------------------------------------1/10/18: File submitted to board liaison for review of out of state hours and education. Please note that reviews are currently taking up to 4 weeks. so
--------------------------------------9/18/17: Out of state hours and education will be submitted to board for review upon receiving all requirements. SO
Login
Application Status
DSPS Home Page
License Look-up
Main Menu
PIN Look-up