June 2026 snapshot · published August 2026

The Texas Mental Health Workforce

Texas has 68,626 active mental-health providers registered at practice addresses in the state, or 216.4 per 100,000 residents. That ranks 50 of 51 nationally, against a US average of 433.5.

68,626

active providers

216.4

per 100,000 residents

#50

of 51 jurisdictions by density

Key findings

  • Texas registers 216.4 active providers per 100,000 residents. That ranks 50 of 51 jurisdictions, below the national 433.5. #
  • Travis County has the state's highest registered density (507.5 per 100k); 62 of Texas's 254 counties have fewer than 3 registered providers. #
  • Counselors are the largest group at 52.4% of Texas's registered workforce, compared with 43.9% nationally. #
  • 5,319 providers with a Texas practice address first entered the NPI registry in 2025, versus 3,156 in 2019. These are registry entries, not licenses issued. #
  • 48% of Texas 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 62 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 / 100k20.9–50.550.5–68.968.9–96.896.8–172.7172.7+no rate published
CountyPopulationProvidersPer 100k
Harris County5,045,02611,485227.6
Dallas County2,661,3977,264272.9
Travis County1,389,6707,052507.5
Bexar County2,160,0886,722311.2
Tarrant County2,248,4665,835259.5
Collin County1,297,1793,404262.4
Denton County1,069,3462,012188.2
Williamson County752,8271,746231.9
El Paso County877,8581,697193.3
Fort Bend County975,1911,606164.7
Bell County402,2481,400348.1
Montgomery County781,1941,383177.1
Hidalgo County921,5491,157125.5
Lubbock County328,906956290.6
McLennan County272,020752276.3
Nueces County352,992740209.7
Brazoria County419,080644153.8
Galveston County372,207631169.6
Smith County252,549614242.9
Cameron County433,946571131.6
Comal County209,166506242
Brazos County249,088475190.6
Potter County114,453461402.8
Hays County304,390455149.5
Taylor County150,077430286.4
Jefferson County254,321401157.8
Wichita County129,555376290.5
Rockwall County140,738356253.1
Gregg County126,095353280.3
Ellis County240,867321133.3
Tom Green County120,602307254.2
Kaufman County209,235294140.6
Grayson County153,613260169.5
Johnson County218,048245112.5
Midland County187,855229122.1
Webb County281,22422580
Kerr County54,037200369.4
Randall County152,351199130.8
Victoria County92,656190204.8
Parker County184,767189102.4
Angelina County88,154171193.8
Guadalupe County201,11117184.9
Coryell County85,592166193.9
Hunt County123,336149120.5
Bowie County92,696141152.1
Nacogdoches County66,035129194.6
Kendall County53,289125235.5
Ector County173,80112571.8
Bastrop County118,90811999.8
Hood County70,501107151.2
Howard County30,504100327.8
Brown County38,71198252.4
Henderson County88,5957686.3
Wise County83,7787589.9
Lamar County51,50374143.6
Burnet County57,01571124.6
Erath County43,91166150.9
Walker County83,8426678.2
Harrison County71,9566488.7
Fannin County39,26561156.4
Cherokee County53,33761114.9
Caldwell County55,15057103.1
Hale County31,81953167.6
Bandera County22,87653231.7
Navarro County57,1815291.4
Hardin County58,7235288.6
Waller County69,8585173.6
Medina County56,8814883.5
Polk County53,4344584.2
Anderson County59,8054575.1
Orange County86,2664450.5
Jim Wells County38,80443111.5
Liberty County121,3644335.1
Titus County31,56341129.2
San Patricio County72,0533953.7
Atascosa County53,5903972
Van Zandt County66,1303858.1
Hopkins County39,0633693
Gillespie County28,52735124.1
Chambers County57,5943560.8
Val Verde County47,8353573.2
Wilson County56,1393562.3
Washington County38,2883591
Wood County49,6883468.9
Wharton County42,0603480.8
Cooke County44,4613374.8
Aransas County26,14631119.1
Rusk County54,8543053.9
Starr County66,3192943.7
Upshur County44,4102863.5
Wilbarger County12,48127216.6
Lampasas County23,65727112.5
Kleberg County30,3152582.4
Shelby County24,2862499.6
Uvalde County24,9632392.1
Hill County39,5032256.5
Matagorda County36,4632260.5
Jasper County33,0752265.8
Maverick County58,8232135.7
Young County18,15421113.7
Hockley County21,6002092.2
Limestone County22,8492085.9
Gray County20,9191888.2
Fayette County25,4591871.1
Brewster County9,45818190.3
Austin County33,6251853.3
Bosque County18,9181893.4
Bee County32,5151752.3
Nolan County14,11716112.7
Palo Pinto County30,7911650.8
Hamilton County8,68014163.9
Eastland County18,1431475.3
Llano County23,3531357.4
Hutchinson County19,6331366.2
Comanche County14,4321387.8
Cass County28,6511343.7
Houston County22,3161253.8
Panola County23,0181250.7
Willacy County19,9711258
Grimes County34,2521133.4
Jones County20,8611153
Gonzales County20,1591153.6
Colorado County21,4391047
Mills County4,58010218.3
Tyler County20,4431048.9
Scurry County16,1621061.8
Lee County18,7291052.6
Camp County13,3801072.5
Franklin County10,994986
Milam County26,258935.7
Lavaca County20,651944.8
San Jacinto County29,488931.4
DeWitt County20,309943.2
Robertson County17,839948.7
Callahan County14,491856.2
Rains County13,542859.6
Madison County14,226856.6
Lamb County12,579863.9
Childress County6,6438120.2
Falls County17,869842.9
Somervell County10,261873.3
Haskell County5,4997133.3
Stephens County9,380775.4
Calhoun County19,599735.8
Frio County18,823737.2
Moore County21,891731.6
Montague County21,966730.4
Hemphill County3,0837215.6
Leon County16,894638.4
Marion County9,896664
Jackson County15,393639.2
Burleson County20,549629.2
La Salle County6,517692.1
Zavala County9,037665
Carson County5,805695.7
Shackelford County3,1976172.7
Blanco County13,581539.1
Trinity County14,384535.5
Andrews County18,914526.4
Gaines County23,956520.9
Jeff Davis County1,7115292.2
Yoakum County7,438567.2
Archer County9,129553.9
Freestone County20,811523.2
Karnes County15,018531.1
Dallam County7,508561.9
Runnels County9,693445.2
Newton County11,954436.3
Ochiltree County9,284444.6
Dimmit County8,024451.5
Red River County11,816434.5
Collingsworth County2,4874162
Kimble County4,438490.1
McCulloch County7,472453.5
Oldham County1,7834224.3
Pecos County14,560427.5
Presidio County5,433473.6
Brooks County6,579460
Deaf Smith County18,626421.1
Clay County10,764434.9
Bailey County6,963453.5
Morris County12,133429.1
Goliad County7,208346.7
Wheeler County4,773369.7
Lynn County6,017353.4
Delta County5,549355.6
Hansford County4,944362.5
Knox County3,192396.8
Jack County9,563331.7
Hardeman County3,292391.1
Reeves County12,138324.7
Ward County11,125327
Sabine County10,0123n/a
Crosby County4,8523n/a
San Augustine County7,7222n/a
Hartley County4,9042n/a
Live Oak County11,9292n/a
Mason County3,9902n/a
San Saba County5,7872n/a
Schleicher County2,2452n/a
Stonewall County1,1862n/a
Floyd County4,8812n/a
Parmer County9,6781n/a
Coleman County7,9151n/a
Castro County7,2951n/a
Irion County1,4631n/a
Garza County4,5101n/a
Kent County6741n/a
Concho County3,6071n/a
Crockett County2,7691n/a
Culberson County2,2671n/a
Dawson County11,7761n/a
Edwards County1,3701n/a
McMullen County5441n/a
Menard County1,9561n/a
Real County2,7451n/a
Refugio County6,6571n/a
Terry County11,7201n/a
Throckmorton County1,5541n/a
Zapata County13,7531n/a
Dickens County1,6921n/a
Mitchell County8,9471n/a
Sherman County2,7811n/a
Foard County1,0441n/a
Martin County5,2841n/a
Lipscomb County2,9551n/a
Duval County9,4021n/a
Swisher County6,7031n/a
Fisher County3,6920n/a
Motley County1,0430n/a
Cochran County2,5460n/a
Cottle County1,2240n/a
Roberts County8670n/a
Armstrong County1,8430n/a
Baylor County3,4720n/a
Borden County5670n/a
Briscoe County1,4740n/a
Coke County3,4120n/a
Crane County4,5540n/a
Donley County3,2130n/a
Glasscock County1,1280n/a
Hall County2,7370n/a
Hudspeth County3,4330n/a
Jim Hogg County4,5550n/a
Kenedy County3190n/a
King County1920n/a
Kinney County3,1280n/a
Loving County520n/a
Reagan County3,1660n/a
Sterling County1,3490n/a
Sutton County3,2030n/a
Terrell County7020n/a
Upton County3,1310n/a
Winkler County7,5400n/a

Provider-type mix vs the national picture

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

Counselors52.4% · 35,972 · US 43.9%
Social workers22.1% · 15,175 · US 30.4%
Psychologists9.1% · 6,233 · US 10.2%
Psychiatric NPs6.3% · 4,335 · US 4.0%
Psychiatrists5.8% · 3,960 · US 4.6%
Marriage & family therapists4.3% · 2,951 · US 6.8%

When Texas'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.

1,77920102014201820225,3192,3972026

Practice-location size

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

Only provider at their location33.1% · 22,702
2–5 providers at the location19.1% · 13,095
6+ providers at the location47.8% · 32,822
Location unknown0.0% · 7

Get the numbers

County-level figures for all states (including Texas) 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).

county-density.csv ↓state-density.csv ↓all downloads →

Use this chart

Download SVGDownload PNG
<a href="https://www.certification.app/data/mental-health-workforce"><img src="https://www.certification.app/data/mental-health-workforce/charts/tx-county-density.svg" alt="Texas mental health providers per 100,000 residents by county" width="100%" /></a>
<p style="font-size:12px">"Texas 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 Texaspractice addresses. They are headcounts, not FTEs or license tallies. Telehealth and multi-state practice don't show up, a self-designated taxonomy isn't license verification, and the registry lags behind moves and retirements. The methodology page has the details.

CE requirements for Texas clinicians

Texas LPC CE requirements →Texas LMFT CE requirements →Texas LCSW CE requirements →Texas Psychologist CE requirements →Texas Addiction Counselor CE requirements →Texas PMHNP CE requirements →
← #49 Georgia (243.3)#50 Texas (216.4)#51 Alabama (191.9) →
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