June 2026 snapshot · published August 2026

The Hawaii Mental Health Workforce

Hawaii has 5,688 active mental-health providers registered at practice addresses in the state, or 397 per 100,000 residents. That ranks 31 of 51 nationally, against a US average of 433.5.

5,688

active providers

397

per 100,000 residents

#31

of 51 jurisdictions by density

Key findings

  • Hawaii registers 397 active providers per 100,000 residents. That ranks 31 of 51 jurisdictions, below the national 433.5. #
  • Hawaii County has the state's highest registered density (436.6 per 100k); 1 of Hawaii's 5 counties have fewer than 3 registered providers. #
  • Counselors are the largest group at 32.9% of Hawaii's registered workforce (US: 43.9%). #
  • 192 providers with a Hawaii practice address first entered the NPI registry in 2025, versus 260 in 2019. These are registry entries, not licenses issued. #
  • 56% of Hawaii providers share a registered practice location with six or more in-scope providers. #

Providers per 100,000 by county

Providers are allocated to counties from their practice ZIP code. For 1 county with under 3 allocated providers or under 1,000 residents, we show the count but no per-100k rate, because numbers that small don't make a reliable rate. The same values appear in the table.

providers / 100k321.3–335.1335.1–404.8404.8–436.6436.6+no rate published
CountyPopulationProvidersPer 100k
Honolulu County988,7034,002404.8
Hawaii County210,043917436.6
Maui County160,592516321.3
Kauai County73,400246335.1
Kalawao County820n/a

Provider-type mix vs the national picture

Each provider counts once under their primary taxonomy; the US share is printed beside each Hawaii figure for comparison.

Counselors32.9% · 1,872 · US 43.9%
Social workers28.1% · 1,600 · US 30.4%
Psychologists17.7% · 1,009 · US 10.2%
Marriage & family therapists11.2% · 637 · US 6.8%
Psychiatrists7.3% · 415 · US 4.6%
Psychiatric NPs2.7% · 155 · US 4.0%

When Hawaii's providers entered the registry

Active providers by NPI registry-entry year. Registry entry is not licensure. Clinicians typically register when they start billing, so this measures registrations, not the workforce itself. 2026 is a partial year.

2102010286201420182022882026

Practice-location size

Share of Hawaii providers at single- vs multi-provider practice locations, by normalized practice address. This is a proxy; see the limitations below.

Only provider at their location30.5% · 1,735
2–5 providers at the location13.7% · 779
6+ providers at the location55.8% · 3,173
Location unknown0.0% · 1

Get the numbers

County-level figures for all states (including Hawaii) are in the county CSV; state totals and mix are in their own files. Everything is CC BY 4.0, so cite certification.app, "US Mental Health Workforce" (June 2026 NPPES snapshot).

Use this chart

<a href="https://www.certification.app/data/mental-health-workforce"><img src="https://www.certification.app/data/mental-health-workforce/charts/hi-county-density.svg" alt="Hawaii mental health providers per 100,000 residents by county" width="100%" /></a>
<p style="font-size:12px">"Hawaii mental health providers per 100k by county, June 2026 snapshot" by <a href="https://www.certification.app/data/mental-health-workforce">certification.app</a>, CC BY 4.0</p>

Reading these numbers

Counts are NPPES registrations at Hawaii practice addresses. They are headcounts, not FTEs or license tallies. Telehealth and multi-state practice are invisible; taxonomy self-designation is not license verification; the registry lags moves and retirements. Details: methodology.

CE requirements for Hawaii clinicians

All states ▾