The Montana Mental Health Workforce

Key findings

• Montana registers 486.2 active providers per 100,000 residents. That ranks 20 of 51 jurisdictions, above the national 433.5. #
• Missoula County has the state's highest registered density (816.8 per 100k); 14 of Montana's 56 counties have fewer than 3 registered providers. #
• Counselors are the largest group at 54.8% of Montana's registered workforce, compared with 43.9% nationally. #
• 394 providers with a Montana practice address first entered the NPI registry in 2025, versus 244 in 2019. These are registry entries, not licenses issued. #
• 44% of Montana 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 14 counties 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.

Provider-type mix vs the national picture

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

When Montana's providers entered the registry

This chart shows active providers by the year they entered the NPI registry. 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.

Practice-location size

This shows the share of Montanaproviders at single- and multi-provider practice locations, grouped by normalized practice address. It's only a proxy, so see the limitations below.

CE requirements for Montana clinicians