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Key Facts: NAADAC NCAC I Exam
$235
NAADAC Application Fee
NAADAC 2026
150
Multiple-Choice Questions
NCC AP exam form
3 hours
Time Limit
NAADAC testing information
6,000 hrs
Supervised Experience Required
NAADAC NCAC I eligibility
270 hrs
SUD-Specific Education
NAADAC NCAC I eligibility
25+ states
Accept NCC AP Exams
NAADAC states list
The NCAC I is the most accessible national addiction-counseling credential in the US: a 150-question, 3-hour exam weighted across orientation to the treatment process (14%), assessment (23%), ongoing treatment planning and implementation (25%), addiction counseling practices and skills (21%), and professional practices (17%), with 67% (100/150) needed to pass. The NCAC I application fee is $235 (renewal $200 every two years), and test fees are separate. Roughly 25+ states use NCC AP exams for licensure (CADC, LCDC, CSAC, CADAC).
Sample NAADAC NCAC I Practice Questions
Try these sample questions to review concepts for the NAADAC NCAC I exam. Each question includes a detailed explanation. Start the interactive quiz above for the full 150+ question experience with AI tutoring.
1Which of the 12 Core Functions of addiction counseling involves administering a brief instrument such as the AUDIT or DAST-10 to determine whether further assessment is needed?
2A client has documented six DSM-5-TR criteria for alcohol use disorder over the past 12 months. What is the correct severity classification?
3Which ASAM Criteria dimension addresses a client's living situation, family relationships, and social supports as they relate to recovery?
4A counselor receives a subpoena for a client's SUD treatment records. Under 42 CFR Part 2, which of the following is required before disclosure?
5Which medication is a partial opioid agonist used in medication-assisted treatment for opioid use disorder?
6Which stage of the Transtheoretical Model is characterized by a client who acknowledges a problem but is ambivalent and not yet ready to take action?
7Which acronym describes the four core micro-skills of motivational interviewing?
8A counselor learns that a client has been driving a vehicle while intoxicated and has minor children in the home. Under most state mandated-reporting laws, what is the counselor's primary obligation?
9Which assessment tool is most appropriate for monitoring alcohol withdrawal severity in an inpatient setting?
10Which medication blocks opioid receptors and is contraindicated for patients who have used opioids within the past 7-10 days?
About the NAADAC NCAC I Exam
The NAADAC National Certified Addiction Counselor, Level I (NCAC I) is the entry-tier national credential for addiction professionals who hold a high school diploma or GED, a current state credential or license, 6,000 hours of supervised counseling experience and 270 contact hours of SUD-specific education. The 150-question, 3-hour exam covers orientation to the treatment process (14%), assessment (23%), ongoing treatment planning and implementation (25%), addiction counseling practices and skills (21%), and professional practices (17%); a score of 67% (100/150) passes. NCAC I is widely accepted as a license-pathway exam in 25+ US states and territories.
Exam sponsor: National Certification Commission for Addiction Professionals (NCC AP), a NAADAC affiliate. The requirements and fees below concern the certification or admission exam, separate from our free practice resources.
Questions
150 questions
Time Limit
3 hours
Passing Score
67% (100/150)
Exam / Certification Fees
$235 non-refundable NCAC I application/certification review fee (renewal $200 every two years); test applications and fees are separate
Exam sponsor websiteFees, eligibility, and exam policies can change. Confirm them with the exam sponsor before applying or paying.
Our practice resources: topics covered
We aim to reflect publicly available exam outlines and topic information in our study resources. Coverage, format, and difficulty may differ from the actual exam, and we cannot guarantee that every detail is accurate or current. Confirm exam requirements, fees, and policies with the official exam sponsor.
Orientation to the Treatment Process
Treatment admission: screening, intake and orientation
Assessment
Clinical assessment of the client
Ongoing Treatment Planning and Implementation
Ongoing treatment planning and carrying out the plan
Addiction Counseling Practices and Skills
Counseling services: individual, group, family, crisis intervention and client education
Professional Practices
Legal, ethical and professional growth issues
Preparing for the NAADAC NCAC I Exam
What You Need to Know
- Passing score: 67% (100/150)
- Exam length: 150 questions
- Time limit: 3 hours
- Exam / certification fees: $235 non-refundable NCAC I application/certification review fee (renewal $200 every two years); test applications and fees are separate Official sources
Using Our Practice Resources
- Work through all 150 available questions
- Review every answer and explanation
- Track weak areas and revisit them
- Use our AI tutor for tough concepts
NAADAC NCAC I: Suggested Study Strategy
Frequently Asked Questions
Who is eligible for the NAADAC NCAC I exam?
Candidates need a GED, high school diploma or higher; a current credential or license as an addiction counselor or professional counselor issued by a state or credentialing authority (associate, provisional, intern or trainee credentials are not accepted); at least three years full-time or 6,000 hours of supervised experience as an addiction counselor; and at least 270 contact hours of education and training, including six hours of ethics and six hours of HIV/other pathogens training within the last six years. They also need a passing score on the NCAC Level One exam or the IC&RC ADC exam, written verification of competency from a supervisor, and a signed statement of adherence to the NAADAC/NCC AP Code of Ethics.
How is the NCAC I exam structured?
The NCAC I written examination has 150 multiple-choice questions with a total testing time of three hours. Registration is online through NCC AP's testing partner, Kryterion, after NCC AP (or your state board) approves you and sends a code; testing is on demand at a testing center or by distance proctoring. NAADAC lists nine skill groups the exam evaluates, from treatment admission and clinical assessment to documentation, case management, discharge and continuing care, and physiology and psychopharmacology.
What does the NCAC I cost in 2026?
The NCC AP application/certification review fee for NCAC I is $235 (non-refundable), and renewal every two years is $200. Test applications and fees are separate from the credential application, and candidates testing for a state credential arrange the exam through their state board. NAADAC publishes the current schedule at naadac.org/Applications-fees and notes that fees are subject to change with notice.
What is the passing score for the NCAC I exam?
NAADAC states that a score of 67% (100 of 150 questions) is passing on the NCAC I written examination.
What are the 12 Core Functions and why do they matter?
The 12 Core Functions of addiction counseling (screening, intake, orientation, assessment, treatment planning, counseling, case management, crisis intervention, client education, referral, reports and recordkeeping, consultation) describe the counselor's workflow. NAADAC's NCAC I page lists nine related skill groups, such as treatment admission (screening, intake and orientation), clinical assessment, counseling services, documentation and case management, and weights the exam across five areas rather than by core function.
How long should I study for the NCAC I?
Most working counselors report 80-120 hours (OEP estimate) of focused review over 6-10 weeks, including a large MCQ bank, a re-read of SAMHSA TAP 21, a focused review of the NAADAC Code of Ethics, and DSM-5-TR SUD chapter review. Candidates who have been in active practice for 3+ years often need less time on the 12 Core Functions and more on pharmacology, ethics, and 42 CFR Part 2.
Does the NCAC I qualify me for state licensure?
More than 25 US states and territories accept NCC AP exams (NCAC I, NCAC II, MAC) as the testing requirement for state-level credentials such as CADC, LCDC, CSAC, CADAC, and equivalent titles. The exam alone does not confer state licensure - you must still apply to your state board and meet its experience, education, and supervision requirements. The NAADAC States and Boards page lists current jurisdictions accepting NCC AP exams.
What is the difference between NCAC I and NCAC II?
NCAC I requires a high school diploma or GED and 270 contact hours of SUD education; NCAC II requires a bachelor's degree and 450 contact hours plus 10,000 hours (5 years) of supervised experience. Both exams are 150 questions in 3 hours and cover the same domains, but NCAC II questions emphasize advanced clinical judgment, treatment planning complexity, supervision, and program-level decision-making. Many counselors take NCAC I first and progress to NCAC II after earning a bachelor's degree.