In the U.S., the exact title varies by state, but the other most frequently used title is "licensed mental health counselor" (LMHC). Several U.S. states, including Illinois, Maine, and Tennessee, have implemented a two-tier system whereby both the LPC and LCPC (or equivalent) are used. In those states, higher tier professionals are granted the privilege to practice independently. However, in most states, LPC's or LMHC's may practice independently. Licensed Professional Counselors are one of the six types of licensed mental health professionals who provide psychotherapy in the United States.