This study examined factors in immigrant children’s use of mental health services. Employed data described 4873 immigrant parents and children participating in the 2018 National Survey of Children’s Health. Logistic regression results associated these children’s likelihood of receipt of mental health services with, in positive direction, child mental health problems (ADD/ADHD; depression; anxiety; conduct/behavior problems), child age, parent education, and English proficiency. Associated in negative direction with likelihood of receipt of services were child physical health, Asian ethnicity, married parent, employed parent, and first-generation immigrant family. We found no association of services receipt with “other mental health problem”, child gender, other minority races/ethnicities, parent gender, parent age, percentage of child’s lifetime spent as U.S. resident, or health insurance status. Study implications include need to disseminate, in immigrants’ native languages, information on mental health, available services, and Medicaid; and need to increase access to services by providing immigrant families with child care, interpreters, flexible scheduling, in-home therapy, bilingual therapists, and therapists sharing child’s own race/ethnicity.