The credentials to check
Most states license acupuncturists, and the rules vary by state. In most states, a license requires national board certification or passing the national board's exams. That board was long known as NCCAOM. It changed its name to the National Certification Board for Acupuncture and Herbal Medicine (NCBAHM) in January 2026, and certifications issued under the old name are still accepted.
In states such as New York, only a licensed acupuncturist may use the initials L.Ac. Some physicians and dentists are also certified to practice acupuncture. Your state board's online lookup shows whether a license is current and whether there has been any professional misconduct.
How to find a good acupuncturist
- Ask for names from your doctor, physical therapist or a hospital integrative medicine program.
- Verify the license on your state board's site, including any discipline.
- Call first. Ask the cash price per visit, how long a visit lasts, and whether they've treated your problem before.
- Ask about needles. The answer should be sterile, single-use, disposable needles every time.
- Ask how they work with your doctors. A good practitioner is willing to coordinate with your other clinicians.
What to expect at the first visit
The first visit starts with a talk about your health history and goals and an exam. The acupuncturist then places very fine needles at chosen points. Nothing is injected. Needles usually stay in for a few minutes and up to 20 minutes.
You may feel a small prick, a dull ache or tingling. Many people find it calming, so plan to rest a few minutes before you drive. Visits are often weekly, and Cleveland Clinic suggests trying at least five sessions before you judge whether it helps.
What the evidence shows
| Use | What research shows |
|---|---|
| Chronic back or neck pain | Better than no treatment and than sham acupuncture; pain relief similar to NSAIDs |
| Knee osteoarthritis pain | Similar to back pain results |
| Migraine | Moderate-quality evidence of fewer migraines; small edge over sham |
| Pain after surgery | Less pain and less opioid use in studies |
| IBS, carpal tunnel, hot flashes, IVF success | No better than sham acupuncture |
Safety and red flags
With a trained practitioner and sterile needles, serious problems are rare. When acupuncture is done poorly or with nonsterile needles, it can cause infections, a punctured organ or nerve injury. The FDA requires acupuncture needles to be sterile and labeled for single use.
- No license you can verify, or a refusal to tell you their training.
- Reused needles, or no clear answer about how needles are handled.
- Promises to fix a serious disease, or advice to stop seeing your doctor or taking prescribed medicine.
- A large prepaid package before a first visit.
Tell your acupuncturist about all your health conditions and medicines, and if you're pregnant. Don't use acupuncture to put off seeing a doctor. Call 911 for chest pain, trouble breathing or signs of a stroke.
How Gabriel helps
Gabriel finds and books root-cause and holistic practitioners, including acupuncturists, naturopaths, chiropractors, functional medicine doctors and massage therapists. Learn more about acupuncture and whether you can use an HSA for acupuncture.
Common questions
How do I find a good acupuncturist near me?
Get names from your doctor or a hospital integrative program, verify the license on your state board's site, and choose someone who takes a full history and uses sterile, single-use needles.
What does L.Ac. mean?
L.Ac. stands for Licensed Acupuncturist. In states such as New York, only a licensed acupuncturist may use those initials.
What is NCCAOM certification?
It is national board certification for acupuncturists, which most states use for licensure. The board is now called NCBAHM, and certifications issued under the old name are still accepted.
Does acupuncture hurt?
Most people feel a small prick, a dull ache or tingling. The needles are very fine, and nothing is injected.
How many acupuncture sessions will I need?
Visits are often weekly, and Cleveland Clinic suggests trying at least five before you decide whether it helps. Ask your acupuncturist how progress will be measured.
Is acupuncture covered by insurance?
Most acupuncturists are cash pay only, so ask the price per visit when you call.
Sources
- Acupuncture: What You Need To Know National Center for Complementary and Integrative Health, NIH
- Credentialing, Licensing, and Education National Center for Complementary and Integrative Health, NIH
- Acupuncture: Consumer Information New York State Education Department, Office of the Professions
- Acupuncture Cleveland Clinic
- Acupuncture (NCCAOM name change notice) Indiana Professional Licensing Agency
This guide is general information, not medical advice. It does not replace a visit with a licensed clinician. Gabriel membership is not health insurance.