The week ending March 22, 2026 added 9,605 behavioral health provider records to the CMS NPPES file, a national update dominated by a handful of large states and an unusually high concentration of very recent enumerations. California alone accounts for 1,663 records, while Florida adds 1,187. Together those two states contribute 2,850 records from the current weekly extract, making this a highly concentrated national snapshot rather than an evenly distributed one.

State Concentration Is Clear

After California and Florida, the largest state counts come from Texas with 513, Maryland with 482, Michigan with 426, North Carolina with 421, and Ohio with 396. The top seven states together contribute 5,088 records, and the top ten reach 5,930. That means well over half of this week's behavioral health file sits inside a relatively small group of large or high-demand markets, with California at 17% and Florida at 12% of the national total.

RBTs Lead, But Categories Overlap

The taxonomy mix is broad, and it should not be read as mutually exclusive market share because providers can list multiple specialties. RBT is the largest primary taxonomy with 3,319 records, followed by Clinical Social Worker at 1,540, Mental Health Counselor at 1,533, Pastoral Counselor at 864, and BCBA at 730. The overlap is substantial: 103 providers carry both BCBA and RBT taxonomy codes, 1,939 providers list a second taxonomy, and 774 list a third. That points to a workforce that is not limited to one credential lane and often spans ABA, counseling, speech-language, and adjacent behavioral specialties.

Predominantly Female Workforce

Among individuals in the file, the gender split remains heavily female. The current weekly extract is 79% female, 17% male, and 4% nonbinary or unspecified in the grouped breakout used for this report. That pattern matches the broader behavioral-health and education-adjacent labor pool, where caregiving and therapy roles continue to skew female even as the provider base expands into new specialties and service models.

Why The Year Chart Spikes

The sharp rise in the enrollment-by-year chart is coming from the year mix inside this week's file. Records carrying a 2026 provider enumeration date total 5,095, compared with 568 for 2025, 498 for 2024, and 506 for 2023. That does not mean the full historical registry suddenly multiplied tenfold in one year; it means the current weekly dissemination file is heavily weighted toward providers with very recent enumeration dates. In practical terms, the week-12 extract is capturing a large volume of fresh registrations and newly active records.

Organizations Showing Up Repeatedly

The organization list is topped by COMMONWEALTH OF MASSACHUSETTS with 21 records. Other names appearing multiple times include MARYLAND SPORTSCARE & REHAB LLC with 7, SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC with 5, SOUTHERN HOME CARE SERVICES, INC. with 5, IMIND HEALTH LLC with 5, and EASTERSEALS FLORIDA, INC. with 5. Repetition at that level usually signals multi-site hiring, system-level credentialing activity, or coordinated weekly updates flowing through one parent organization rather than isolated single-clinician registrations.

Put together, the week-12 national file shows a behavioral-health workforce that is still expanding, still geographically concentrated, and increasingly multi-specialty. The biggest numbers sit in California and Florida, the largest taxonomy bucket is still RBT, and the strongest year signal comes from providers whose enumeration dates are brand new in 2026. For readers using this report operationally, the main takeaway is straightforward: the current CMS weekly file is reflecting active, current-cycle workforce movement rather than a static historical directory.