While the ICHWC's attempt to standardize coaching certification standards internationally is a worthwhile effort, one certification does not meet the needs of all healthcare providers, nor all patients with varying acuity levels. In recognizing this distinct difference, the NSHC requires higher eligibility criteria for its Health Coach Certification; that which requires a current license, registration or certification to assess, plan, treat, implement and/or evaluate interventions in clinical and wellness settings.

Clinicians and practitioners should coach those with chronic conditions, co-morbidities, and high to moderate health risk for the same. NSHC's program of study is based on this premise. For this reason, the NSHC differentiates its Health Coach Certification and will remain independent of this consortium.