Disability-accessible route: Take the elevator in the North end of Old Main (toward Edens Hall) to the 5th floor. As you leave the elevator jog slightly left, then go straight down the hall and follow the signs to 540.
Alternate routes: Take the central staircase to the 5th floor and turn left into the Counseling Center; or
Take the elevator in the South end of Old Main (toward the rose garden) to the 4th floor (that's as far as it goes). Walk straight down the hall to the central staircase, go up one flight to the 5th floor and turn left into the Counseling Center.
The map below shows the locations of the elevators in relation to the Counseling Center: