AI scribe for North Carolina counselors (LCMHC)
Facts checked on 17 October 2026.
MentalNote is an AI scribe for Licensed Clinical Mental Health Counselors (LCMHCs) in North Carolina: record the session in your browser, pick DAP, BIRP, GIRP, SOAP, Progress, Intake or Treatment Plan, and get a draft to review and sign, on a free plan or Premium at $99 a month, with a BAA on every plan. LCMHC Associates (LCMHCAs) can use it with their supervisor's usual review and sign-off.
North Carolina LCMHCs serve clients in private practice, community agencies, college counseling centers and rural telehealth, often with long waitlists behind them. MentalNote listens to the session (with your client's consent) and drafts the note in the format you use, so the chart is done before the next client sits down. You review it, edit it and paste it into your EHR.
5 free scribe sessions a month. No credit card. BAA on every plan.
The short answer
- Record the session in your browser, in the room or on a telehealth call in a browser tab, and get a draft note when the session ends.
- Pick the format you chart in: DAP, BIRP, GIRP, SOAP, PIRP, Progress, Intake / Biopsychosocial or Treatment Plan, or your own structure with custom instructions.
- It is told not to fill gaps. The app instructs the AI to write "Not documented in session" for anything the session did not cover, and not to add a denial, a diagnosis or a risk rating you did not state. Check every draft.
- Start free: 5 scribe sessions a month, no time limit, no credit card. Premium is $99 a month or $990 a year.
- MentalNote is HIPAA-compliant, with a BAA included on every plan, the free plan too. Many AI scribes offer only a time-limited trial.
Who it is for
Solo clinicians and small practices that want to sign up today, pay a published price and start without a sales call or an IT project. Premium is for solo clinicians. Practices can apply for the Practice Pilot.
Built for LCMHCs in North Carolina
- LCMHCs, LCMHCAs and LCMHCSs: North Carolina counselors are licensed by the North Carolina Board of Licensed Clinical Mental Health Counselors. LCMHCAs can draft notes and route them through their LCMHCS or other approved supervisor as usual.
- Goal-linked notes: GIRP and Treatment Plan drafts tie each session to the goals in the plan, which is what a payer or auditor looks for.
- Telehealth: capture a video call from its browser tab plus your microphone, useful for clients far from the office. No bot joins the call.
- Speaker labels: a speaker-labeled transcript sits beside the draft, so you can check who said what.
- Consent first: the web app asks you to confirm your client's consent before every recording.
Note formats you can generate
| Format | Sections | Good for |
|---|---|---|
| DAP | Data, Assessment, Plan | Fast, compact progress notes |
| BIRP | Behavior, Intervention, Response, Plan | Showing what you did and how the client responded |
| GIRP | Goals, Intervention, Response, Plan | Tying each session to treatment plan goals |
| SOAP | Subjective, Objective, Assessment, Plan | Insurance-friendly notes and scores such as the PHQ-9 |
| PIRP | Problem, Intervention, Response, Plan | Problem-focused sessions |
| Progress note | Session overview, client report, interventions, response, risk and safety, plan | A fuller narrative note |
| Intake / Biopsychosocial | History, mental status observations, risk and safety, impressions, plan | First sessions and assessments |
Also available: SIRP, PIE and Treatment Plan, plus custom instructions for your own structure. Format guides for LCMHCs: GIRP notes for mental health counselors, DAP notes for mental health counselors, BIRP notes for mental health counselors, progress notes for mental health counselors, and the North Carolina mental health documentation overview.
What a GIRP draft looks like
A human-written, shortened illustration based on a fictional session (no real client). It is not verbatim app output, and your drafts will vary with what is said.
Fictional example: Session 6, low mood after a job loss (GIRP)
Goals
Treatment plan goal 2: rebuild a daily routine and re-engage with job searching. Client reports getting up by 8 a.m. on five days this week, up from two.
Intervention
Behavioral activation review; broke the job search into three 30-minute tasks. Explored the thought "nobody will hire me" and looked at evidence for and against it.
Response
Client completed two applications and called a former coworker. States: "It was easier once I stopped waiting to feel ready."
Plan
Continue weekly telehealth sessions. Homework: three job-search blocks and one social contact this week.
Risk content is not in this draft because it was not discussed in this fictional session. MentalNote is instructed never to write "denies SI" for a question you did not ask.
Documentation notes for North Carolina LCMHCs
North Carolina LCMHCs document under the Licensed Clinical Mental Health Counselors Act and the board's rules, plus any Medicaid, LME/MCO or payer rules where they work. The board does not prescribe one note format, so GIRP, DAP, BIRP, SOAP and narrative progress notes are all common.
- Consent to record: Whatever North Carolina's recording law allows, the ACA Code of Ethics expects counselors to get a client's permission before recording a session. MentalNote asks you to confirm consent before every recording.
- Supervision: LCMHCAs keep the review and sign-off process their supervisor sets. The AI draft does not change who is responsible for the note.
- Record keeping: Keep the reviewed note in your EHR and follow the North Carolina board's rules, and any payer or employer rules, on how long records are kept. MentalNote is a drafting tool, not your record system.
- Telehealth: record a video call that runs in a browser tab. No bot joins the call. Most boards look at where the client is located during the session, so check your license covers that state.
What it will not do
These are instructions the app gives the AI for every therapy note. They are meant to reduce errors, but they are not a guarantee. Review every line.
| What can go wrong | What MentalNote instructs the AI to do |
|---|---|
| A risk statement that was never asked ("denies SI") | Include risk and safety content only if it was explicitly discussed, and never write that the client denied something the session did not ask about. |
| A diagnosis the AI guessed | Give no diagnosis, diagnostic impression or code unless you stated it in the session. |
| An intervention you did not use | Use only what the session contains: no invented interventions, scores, dates or homework. |
| A gap filled with typical content | Write "Not documented in session" for anything the session did not cover. |
How it works
- Confirm you have your client's consent. The web app asks you to confirm it before every recording.
- Record in the browser, in the room or on a telehealth call in another tab.
- When the session ends, choose a format and get the draft, with the speaker-labeled transcript beside it.
- Review and edit every line, then copy or export it into your EHR.
Prefer Microsoft Word? The optional Word add-in drafts a therapy note from a short typed summary, with no recording.
What it costs
| Plan | Price | What you get |
|---|---|---|
| Free | $0, no time limit | 5 web-app scribe sessions a month. No credit card. |
| Premium | $99 a month, or $990 a year ($82.50 a month) | Unlimited note generation, browser app and Word add-in. |
| Practice Pilot | Apply | A guided evaluation for practices. |
No sales call needed: sign up and choose a plan yourself. MentalNote is HIPAA-compliant, with a BAA included on every plan. You accept the BAA in the app before your first session.
Frequently asked questions
Is there a free AI scribe for North Carolina LCMHCs?
Yes. MentalNote's free plan includes 5 scribe sessions a month, with no time limit and no credit card. The BAA covers the free plan too. Premium is $99 a month or $990 a year.
Can LCMHCAs use MentalNote?
Yes. LCMHC Associates can record sessions and draft notes, then follow their supervisor's usual review and sign-off. You stay responsible for every note you sign.
Is LCMHC the same as an LPC?
It is North Carolina's title for the license many states call an LPC or LMHC. MentalNote works the same way whatever your title is.
Can I use it for telehealth sessions?
Yes. Record a video call that runs in a browser tab; MentalNote captures the tab audio and your microphone. No bot joins the call.
Is MentalNote HIPAA compliant?
MentalNote is HIPAA-compliant, with a BAA included on every plan. You accept it in the app before your first session.
Does it connect to my EHR?
Not directly. Copy or export the reviewed note into your EHR or practice management system.
Write tonight's notes in minutes
Start free: 5 scribe sessions a month, no credit card, BAA included.
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A clinician must review every AI draft. MentalNote does not give medical advice or make diagnoses. Spotted something out of date? Email support@mentalnote.ai and we will fix it.