CMS NPPES recorded 220 deactivations among Behavioral Health Providers during the week of August 24 through August 30, 2026. Names were retrievable for 215 records, meaning nearly all of the week’s deactivations had a name available in Hipa.ai’s cache. California led the states with 32 deactivations, or 15% of the national total.
Five records were scrubbed by CMS: the total count comes from CMS, while the named subset reflects records that Hipa.ai’s public-source name cache captured before deactivation. The registry counts 195 individuals and 20 organizations, showing that the week’s activity was concentrated among individual providers but also included behavioral health agencies, clinics and other organizational records.
California Leads State Activity
New York ranked second with 22 deactivations, followed by Florida with 15, Michigan with 14 and Illinois with 13. Oregon and North Carolina each recorded 9 deactivations, while Ohio had 8 and Massachusetts had 7. Nevada, Arizona, Minnesota, Oklahoma, Georgia and Texas each posted 5 deactivations.
The distribution is concentrated in large and established behavioral health markets, with California and New York together accounting for 54 deactivations. The state pattern can reflect the size of local provider networks, the number of organizations operating across multiple locations and the administrative turnover associated with practices changing ownership or billing structures. It should not be read as a direct measure of providers leaving the workforce or of service capacity declining in any state.
Social Work Tops Taxonomy Mix
Among the named providers, Clinical Social Worker was the leading taxonomy, with 50 records, or 23% of the named subset. RBT followed with 33 records, or 15%. Mental Health Counselor accounted for 23 records, or 11%, while Counselor represented 18 records, or 8%.
Addiction (Substance Use Disorder) Counselor and Case Manager/Care Coordinator each had 16 records, or 7%. Specialist also accounted for 14 records, or 7%. Psychologist and Speech-Language Pathologist each recorded 10 deactivations, while Professional Counselor had 9. The mix spans counseling, social work, care coordination, addiction services and autism-related roles rather than pointing to a single occupational source of registry turnover.
Registry Status Requires Context
An NPI deactivation is an administrative registry change, not by itself evidence of a license action, malpractice or a provider stopping practice. Records may be retired during routine maintenance, after retirement or organizational changes, or when a provider re-registers under a different NPI. The weekly file therefore captures registry maintenance and workforce churn, while multi-NPI re-registrations can make administrative activity differ from changes in actual care delivery.
