The purpose of this study was to examine current clinical supervision practices within primary care settings. We used a descriptive survey design and examined the current state of clinical supervision practices in primary care and the type of training the behavioral health providers received to provide supervision to pre-licensure level behavioral health trainees. Ninety-four participants completed the survey in 2022. Seventy-one percent of respondents felt they had adequate training to be an effective IBH supervisor; however, most training came from sources such as workshops, continuing education, or supervision of supervision. Further efforts to establish universal competencies and formal training programs are needed to meet the growing need for IBH services in primary care.