June 2026 snapshot · published August 2026

The Tennessee Mental Health Workforce

Tennessee has 19,801 active mental-health providers registered at practice addresses in the state, or 270.7 per 100,000 residents. That ranks 47 of 51 nationally, against a US average of 433.5.

19,801

active providers

270.7

per 100,000 residents

#47

of 51 jurisdictions by density

Key findings

  • Tennessee registers 270.7 active providers per 100,000 residents. That ranks 47 of 51 jurisdictions, below the national 433.5. #
  • Knox County has the state's highest registered density (588.6 per 100k); 3 of Tennessee's 95 counties have fewer than 3 registered providers. #
  • Counselors are the largest group at 46.2% of Tennessee's registered workforce (US: 43.9%). #
  • 1,139 providers with a Tennessee practice address first entered the NPI registry in 2025, versus 836 in 2019. These are registry entries, not licenses issued. #
  • 59% of Tennessee 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 3 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.

providers / 100k12.7–5050–74.974.9–107.8107.8–194.3194.3+no rate published
CountyPopulationProvidersPer 100k
Davidson County745,9044,231567.3
Knox County511,4533,011588.6
Shelby County910,2262,646290.7
Hamilton County390,8331,434367
Williamson County272,061985361.9
Montgomery County249,935826330.4
Washington County141,199781552.8
Rutherford County386,352780201.9
Madison County100,790422418.7
Sumner County215,538372172.7
Blount County143,820347241.2
Sullivan County163,759318194.3
Maury County118,131300253.6
Putnam County86,612261301
Wilson County175,033232132.8
Bradley County115,465228197.6
Hamblen County68,843201292.6
Coffee County62,419157250.9
Anderson County82,066138168.3
Sevier County101,342137135.2
Greene County73,831117158.7
Dickson County58,66294160.7
McMinn County57,40483144.6
Robertson County80,1757694.2
Lawrence County46,91469147.3
Henry County32,89667205.1
Tipton County62,28767107.8
Carter County57,36163109
Hardeman County25,27462244
Jefferson County60,0246099.4
Loudon County63,7645078.9
Roane County57,3955086.7
Cheatham County42,77848113.3
Franklin County45,5794598.4
Bedford County55,2734480.2
Cocke County37,88944116
Warren County43,7174296.2
Hardin County27,98341145.8
Dyer County36,32037101.8
McNairy County26,23637140.3
Monroe County49,7303773.9
Marshall County38,0713695.3
Hawkins County59,5593457.8
Cumberland County66,3003451.1
White County29,61234114
Campbell County40,2903382.6
Gibson County51,7792854.2
Houston County8,47926305.3
Giles County31,4332477.4
Fayette County45,0712453.3
Chester County17,99423129.8
Weakley County33,2612367.7
Carroll County29,2002274.9
Henderson County28,5182175.3
Johnson County18,71821111
Marion County29,8042067.7
Hickman County26,2192075.5
Scott County22,6711879.6
Decatur County11,82018150.3
Lincoln County36,8531848.1
Union County21,4501676
Wayne County16,4161592.9
Obion County30,0671550
Rhea County34,8441542.7
Claiborne County33,2291440.7
Morgan County22,1601357.7
Humphreys County19,6461260.4
Fentress County20,3221154.9
Lewis County13,4871179
DeKalb County21,8731046.5
Lauderdale County24,6171040.3
Unicoi County17,8561053.9
Benton County16,183955.6
Cannon County15,296957.8
Macon County27,663829.9
Polk County18,592843.4
Smith County20,981735.5
Stewart County14,439750.7
Grainger County25,739726.5
Perry County9,126666.9
Haywood County17,042635.5
Moore County6,920577.2
Grundy County14,116537.2
Jackson County12,466536.7
Lake County6,249464
Bledsoe County15,920424.9
Hancock County7,075455.8
Trousdale County12,623430.7
Van Buren County6,874349.6
Sequatchie County17,861317.1
Overton County23,787312.7
Crockett County14,006321.4
Meigs County14,1861n/a
Clay County7,8210n/a
Pickett County5,2190n/a

Provider-type mix vs the national picture

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

Counselors46.2% · 9,152 · US 43.9%
Social workers27.0% · 5,337 · US 30.4%
Psychologists8.8% · 1,745 · US 10.2%
Psychiatric NPs8.2% · 1,632 · US 4.0%
Marriage & family therapists5.5% · 1,094 · US 6.8%
Psychiatrists4.2% · 841 · US 4.6%

When Tennessee'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.

5522010201420181,22220225172026

Practice-location size

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

Only provider at their location22.7% · 4,486
2–5 providers at the location18.7% · 3,704
6+ providers at the location58.6% · 11,605
Location unknown0.0% · 6

Get the numbers

County-level figures for all states (including Tennessee) 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/tn-county-density.svg" alt="Tennessee mental health providers per 100,000 residents by county" width="100%" /></a>
<p style="font-size:12px">"Tennessee 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 Tennessee 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 Tennessee clinicians

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