CMS NPPES recorded 162 deactivations among Behavioral Health Providers during the week of Sept. 7-13, 2026. Hipa.ai’s name cache captured 161 of those records, meaning names were retrievable for nearly all deactivations. California led the country with 28 deactivations, representing 17% of the weekly total. The file included 147 individuals and 14 organizations, showing that the week’s activity was concentrated primarily among individual providers.
California Leads State Activity
California was followed by Texas, with 15 deactivations, or 9%, while New York and Michigan each recorded 9, or 6%. Washington and Ohio posted 7 apiece, followed by New Jersey and North Carolina with 6 each. Colorado recorded 5, while Pennsylvania, Tennessee, Oregon and Louisiana each reported 4. Maryland and Oklahoma rounded out the listed states with 3 each.
The geographic pattern is broad but uneven. California’s lead is more than three times the count reported by several states in the middle of the ranking, while Texas also stood apart from the remaining states. Activity in large and established behavioral health markets is consistent with the volume of clinicians, counseling practices and community-based organizations represented in the national registry. The state totals describe where NPI records were deactivated, not the size of provider shortages or the status of services in any particular community.
Counselors Dominate Taxonomy Mix
Among the named providers, Clinical Social Worker was the most common taxonomy, with 26 records, or 16%. Mental Health Counselor followed with 21 records, or 13%, and RBT with 20, or 12%. Professional Counselor accounted for 17 records, or 11%, while Addiction (Substance Use Disorder) Counselor accounted for 15, or 9%. Counselor represented 14 records, also 9%.
The remaining leading categories included Specialist with 12 records, Psychologist with 11, Case Manager/Care Coordinator with 7 and Speech-Language Pathologist with 6. The mix spans therapy, counseling, applied behavioral services, care coordination and communication-related care. That breadth suggests the deactivations reflect administrative movement across a multidisciplinary workforce rather than one isolated professional group.
Registry Status Needs Context
CMS reports the full count, but CMS removes names, addresses and taxonomies from most deactivated records under its privacy policy. In this file, one record was scrubbed, so the 161 named providers are the subset captured by Hipa.ai’s public-source name cache before deactivation.
An NPI deactivation is an administrative registry change, not by itself evidence of a license action, malpractice or a provider leaving practice. Records may be retired during routine maintenance, workforce churn, organizational changes or multi-NPI re-registrations. The weekly file therefore measures registry activity, with provider-level interpretation requiring additional evidence.
