The PCMHI provider provides a full range of mental health services (assessment/treatment) as indicated for primary care environment and diagnoses mental disorders, particularly for complex or unusually difficult patients including those with medical conditions that have mental health components ( e.g., diabetes, thyroid disorders, digestive system disorders, chronic pain, other chronic illnesses as well as substance use disorders). Senior LPMHCs must have five years of post-licensed experience that demonstrates possession of advanced practice skills and judgment, demonstrating progressive professional competency and expertise and be licensed to provide clinical supervision to trainees or unlicensed LPMHCs.