CMS NPPES recorded 193 deactivations in the Behavioral Health Providers segment during the week of Sept. 21–27. Names were retrievable for 190 records, about 98% of the total, and California led the state tally with 18 deactivations. The count captures administrative changes to registry records, not a measure of how many behavioral health providers stopped practicing.

California Leads State Counts

New York and Florida followed California, with 16 deactivations each. Texas recorded 12, and Ohio had 11. Georgia and Maryland each reported eight, while New Jersey had seven; Illinois and Massachusetts each had six. The remaining states in the leading group reported five or fewer.

The leading states account for records across several large, populous regions rather than a single local cluster. The numbers show where deactivations were recorded, but they do not establish where workforce losses were greatest: the data provide neither state-level provider totals nor a comparison with active records. The city figures are also dispersed. Houston, Washington, D.C., and New York each had three records, the largest city counts listed, while no city dominated the weekly results.

Counselors Top Taxonomy Mix

Among the named records, Mental Health Counselor was the most frequent taxonomy, with 36 deactivations. Clinical Social Worker followed at 33, and RBT at 23. Case Manager/Care Coordinator accounted for 15, Specialist for 14, and Addiction (Substance Use Disorder) Counselor for 13. Psychologists numbered 12, while Professional Counselors and Counselors each numbered 10.

The mix spans counseling, social work, behavioral technician and care-coordination roles. It indicates that the registry’s behavioral health segment covers varied provider types, not only therapists or clinicians with a single professional pathway. Taxonomy is a registry classification, however, and does not establish a person’s current duties, caseload or clinical availability.

Individuals made up 176 records, compared with 14 organizations. CMS’s total is 193; three deactivated records had names scrubbed under its privacy policy, so Hipa.ai’s named subset reflects records its public-source name cache captured before that information was removed. A deactivation is an administrative status change and does not, by itself, indicate a license action, malpractice or that care has ended. Registry maintenance can reflect retirement, organizational changes or other record updates; providers may also re-register under a new NPI. The weekly count describes registry churn, not a direct tally of departures from behavioral health practice.