Mental Health Practitioners NAICS 621330

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Industry Summary
The 40,900 mental health practitioners in the US diagnose and treat mental, emotional, and behavioral disorders and problems due to mental illness, alcohol and substance abuse, physical and emotional trauma, or stress. Practitioners include psychologists, counselors, therapists, social workers, and nurses. Practitioners may operate private or group practices or work within third-party facilities, such as hospitals, medical centers, substance abuse treatment centers, hospitals, and colleges.
Dependence on Third-Party Payers
Mental health practitioners are highly dependent on government programs and third-party insurers to pay for services.
Battling The Stigma
The stigma associated with mental health problems often discourages individuals from seeking help and can delay treatment.
Recent Developments
May 15, 2025 - States Sue Trump Administration Over HHS Changes
- Nineteen states and the District of Columbia filed a lawsuit against the federal government to block the Trump administration’s restructuring of the US Department of Health and Human Services (HHS). The plaintiffs argue that the restructuring is an “unconstitutional and illegal dismantling of the department.” They contend that the government has violated hundreds of laws and bypassed congressional authority by enacting the plan, leaving HHS unable to execute many vital functions. The plaintiffs also said that the restructuring has significantly hindered mental health and substance use services, HIV/AIDS response efforts, maternal mortality monitoring and disability support, among other key services.
- The US Congress is considering plans to cut Medicaid to help pay for tax cuts, according to health policy organization KFF. A House of Representatives budget resolution targets $880 billion or more in potential reductions to federal Medicaid spending. Mental health practitioners are highly dependent on government programs and third-party insurers to pay for services. Public sources including Medicare, Medicaid, State Children's Health Insurance Program (SCHIP), and other federal and state programs are the main payers of behavioral health services, according to the US Department of Health and Human Services. Medicaid is the primary program providing comprehensive health and long-term care to one in five US residents and accounts for nearly $1 out of every $5 spent on health care.
- Medicare payments to Medicare Advantage plans are expected to increase an average of 3.7%, or over $16 billion in 2025, according to the Centers for Medicare & Medicaid Services. Medicare Advantage plans are required to cover all mental health and substance use disorder services covered under Medicare Parts A and B. The finalized the Calendar Year 2025 Rate Announcement for Medicare Advantage is projected to result in payments of between $500 and $600 billion in Medicare Advantage payments to private health plans in 2025.
- Mental health industry employment increased slightly and average wages for nonsupervisory employees decreased slightly during the first three months of 2025, according to the US Bureau of Labor Statistics. US mental health industry sales are forecast to grow at a 5.75% compounded annual rate from 2025 to 2029, faster than the growth of the overall economy, according to Inforum and the Interindustry Economic Research Fund, Inc.
Industry Revenue
Mental Health Practitioners

Industry Structure
Industry size & Structure
The average mental health practitioner operates out of a single location, employs about 6 workers, and generates $517,800 annually.
- The mental health practitioner industry consists of about 40,900 establishments that employ about 247,900 workers and generate $20.1 billion annually.
- The industry is highly fragmented; the top 50 companies account for 11% of industry revenue.
- The industry does not include psychiatrists, psychoanalysts, and psychotherapists having the degree of MD (Doctor of Medicine) or DO (Doctor of Osteopathy).
Industry Forecast
Industry Forecast
Mental Health Practitioners Industry Growth

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