26 States license
naturopathic doctors
47 States require
massage licensure
50 States license
acupuncturists
0 States license
health coaches
21 State guides
now live

Comprehensive regulation overviews for the 10 most populous states. Each guide covers every major holistic modality, relevant licensing boards, and how ICONIC Board credentialing fits within the state framework.

All 50 States + DC

21 state guides now live. Remaining guides are being added quarterly. Click any live guide to view the full regulation overview.

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Frequently Asked Questions

As of 2026, naturopathic doctors (NDs) are licensed in 26 US states and the District of Columbia. These include California, Washington, Oregon, Arizona, Colorado, Minnesota, and others. The remaining states do not have formal ND licensure, which means NDs may practice under more limited scope or not at all depending on local interpretation.
No US state currently requires a government-issued license for health coaching. However, practicing as a health coach and making medical diagnoses or prescribing treatment protocols can create unauthorized practice of medicine issues in all states. Professional credentialing from bodies like NBHWC, ACE, or ICONIC Board defines scope of practice and reduces legal risk even where no government license exists.
Massage therapy is regulated in 47 states, the District of Columbia, and four Canadian provinces. The three states without statewide massage licensure as of 2026 are Kansas, Minnesota, and Wyoming — though individual cities and counties in those states may have local licensing requirements. Most licensed states require 500–1,000 hours of education plus passage of the MBLEx exam.
Nutrition practice laws vary dramatically by state. Some states have "nutrition monopoly" laws that restrict nutrition counseling to licensed dietitians. Others use a tiered system of licensure, certification, and registration. A handful of states have minimal restriction. Holistic nutritionists, functional nutritionists, and health coaches offering general wellness nutrition guidance typically operate under different (and less restrictive) provisions than medical nutrition therapy. Each state guide covers the specific nutrition practice environment.
ICONIC Board credentials are voluntary professional credentials — like board certifications in medicine. They operate independently of state licensure and are recognized across all 50 states. They define professional competency standards, ethical practice, and continuing education requirements. In states where a modality is unregulated, ICONIC Board credentialing provides the market-recognized signal of professional qualification that licensure would otherwise provide.