The North Dakota Mental Health Workforce

Key findings

• North Dakota registers 435.6 active providers per 100,000 residents. That ranks 26 of 51 jurisdictions, above the national 433.5. #
• Golden Valley County has the state's highest registered density (1327.4 per 100k); 19 of North Dakota's 53 counties have fewer than 3 registered providers. #
• Social workers are the largest group at 43.6% of North Dakota's registered workforce, compared with 30.4% nationally. #
• 195 providers with a North Dakota practice address first entered the NPI registry in 2025, versus 140 in 2019. These are registry entries, not licenses issued. #
• 67% of North Dakota 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 19 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 North Dakota figure for comparison.

When North Dakota'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 North Dakotaproviders 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 North Dakota clinicians