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This study was conducted to determine: how a US sample of American Counseling Association (ACA) affiliated school-based counselors viewed their role; the extent to which various activities were practiced; and, how demographic variables (e.g., work setting and professional identity) were related to both perceptions of role and practice. Participants (N = 249) completed the International Survey of School Counselors Activities-US (ISSA-US) online, which measured both perceptions of the appropriateness of 42 activities and whether these activities are reported to be enacted. US counselors had a broad definition of their role and showed a high degree of consensus regarding the appropriateness of activities. Grade level proved to be an important determinate of the level of enactment of both group counseling and college and career counseling. The implications for of these findings for redefining the role of school counselors in the US and for international comparative research are discussed.