The latest update from the CMS NPPES public registry for the week of May 11-17, 2026, shows 207 deactivations within the Behavioral Health Providers segment. Of these, Hipa.ai's name cache captured 205 records with retrievable names, indicating that two records had their identifying information removed by CMS prior to our capture. California led all states with 29 deactivations during this period.

Geographic Patterns in Deactivations

Geographically, California accounted for the highest number of deactivations, representing 14% of the total with 29 records. New York and Kansas followed, each reporting 13 deactivations, or 6% of the weekly total. Pennsylvania and Massachusetts each saw 10 deactivations, making up 5% of the total. Other states with notable deactivation counts included Illinois with 9 records, and Colorado, Michigan, Ohio, and Florida each with 8 deactivations. This concentration in populous states may reflect the larger overall volume of providers in these areas, leading to more frequent administrative updates in the registry.

Credential and Taxonomy Mix

An analysis of the named deactivations reveals a diverse mix of behavioral health professionals. Clinical Social Workers represented the largest group, with 31 deactivations, or 15% of the named total. Mental Health Counselors followed closely with 28 deactivations, accounting for 14%. Addiction (Substance Use Disorder) Counselors saw 21 deactivations, or 10%. Other significant categories included Case Managers/Care Coordinators and Professional Counselors, each with 16 deactivations (8% each). Specialists, Registered Behavior Technicians (RBTs), and Case Management Agencies each recorded 15 deactivations (7% each), while Psychologists accounted for 14 deactivations (7%). The data indicates that 172 deactivations were individual providers, and 33 were organizations.

Understanding NPI Deactivations

NPI deactivations are a routine part of maintaining the federal NPPES registry. They signify an administrative status change and do not inherently indicate license actions, malpractice, or that a provider has ceased practice. Providers may obtain new NPIs, retire, change their entity type, or have their records retired for clerical reasons. The increasing number of deactivations year over year is a natural consequence of the registry's aging and the dynamic nature of the U.S. healthcare workforce, reflecting ongoing churn, career transitions, and administrative updates rather than a direct measure of workforce reduction.