NAICS 621330 Quarterly Industry Report
Offices of Mental Health Practitioners (except Physicians)
Comprehensive industry research for valuation professionals, business owners, buyers, and lenders
NAICS Code: 621330Sector: Health Care and Social Assistance (62)Updated: Q1 2026
About This Report
This industry profile for Offices of Mental Health Practitioners (NAICS 621330) draws on data from the U.S. Census Bureau[6], Bureau of Labor Statistics[9], National Institute of Mental Health[10], and SBA size standards database[8]. Published by Fair Market Value and updated quarterly, it provides valuation professionals, behavioral health analysts, and practice brokers with current market data. All quantitative claims are sourced to publicly verifiable databases.
Industry Snapshot
Key metrics for the offices of mental health practitioners (except physicians) industry.
NAICS Sector
62
Health Care and Social Assistance
Industry Definition & Overview
Offices of Mental Health Practitioners (Except Physicians) (NAICS 621330) encompasses establishments of independent mental health practitioners (except physicians) primarily engaged in the diagnosis and treatment of mental, emotional, and behavioral disorders per the U.S. Census Bureau[5]. Covered professionals include clinical psychologists, psychoanalysts, psychotherapists, and mental health social workers who operate private or group practices in their own offices or within facilities such as hospitals and HMO medical centers.
The Census Bureau[6] reports that industry revenue reached $16.2 billion in 2021, a 104 percent increase from $7.9 billion in 2015. Roughly 36,000 establishments employ over 500,000 professionals. Substance abuse, behavioral disorder, and mental health counselors earned a median annual wage of $59,190 in May 2024 per the Bureau of Labor Statistics[7], with wages ranging from $39,090 at the 10th percentile to $98,210 at the 90th.
Per the SBA Table of Size Standards[8], the size standard is $9 million in average annual receipts. Over 122 million Americans live in Mental Health Professional Shortage Areas, and the Health Resources and Services Administration projects shortages of nearly 88,000 mental health counselors by 2037. Telehealth has become a standard delivery channel, with 37 percent of mental health visits occurring virtually by Q3 2023 per community health data. Employment of mental health counselors is projected to grow 17 to 18 percent from 2024 to 2034 per the BLS[9], much faster than the average for all occupations, with roughly 48,300 openings projected annually. HIPAA compliance governs all electronic health records, and updated 42 CFR Part 2 regulations for substance use disorder protections took effect April 2024.
What's Included in This Industry
- Clinical psychology assessment and treatment services
- Licensed professional counselor (LPC) therapy sessions
- Marriage and family therapy (LMFT) office operations
- Licensed clinical social worker (LCSW) practice services
- Substance abuse and addiction counseling programs
- Telehealth and virtual therapy session delivery
- Group therapy and psychoeducation workshop facilitation
- Child and adolescent behavioral health treatment
- Crisis intervention and trauma-focused counseling
- Employee assistance program (EAP) contract services
NAICS Classification Hierarchy
| Level | Description | Code |
|---|---|---|
| Sector | Health Care and Social Assistance | 62 |
| Subsector | Ambulatory Health Care Services | 621 |
| Industry Group | Offices of Other Health Practitioners | 6213 |
| NAICS Industry | Offices of Mental Health Practitioners (except Physicians) | 62133 |
| National Industry | Offices of Mental Health Practitioners (except Physicians) | 621330 |
Related NAICS Codes
| Code | Description | Relationship |
|---|---|---|
| 621112 | Offices of Physicians, Mental Health Specialists | Offices of Physicians, Mental Health Specialists employ psychiatrists who prescribe medication, while non-physician mental health practitioners focus on psychotherapy and counseling, with many patients receiving coordinated care from both provider types |
| 621399 | Offices of All Other Miscellaneous Health Practitioners | Offices of All Other Miscellaneous Health Practitioners include hypnotherapists and related providers whose services overlap with mental health counseling, particularly in complementary and alternative treatment approaches to anxiety and behavioral disorders |
| 621410 | Family Planning Centers | Family Planning Centers provide reproductive health counseling that intersects with mental health services when patients present with perinatal mood disorders, pregnancy-related anxiety, and grief or loss counseling needs |
| 621420 | Outpatient Mental Health and Substance Abuse Centers | Outpatient Mental Health and Substance Abuse Centers deliver similar behavioral health services through clinic-based rather than private practice models, with both settings competing for the same licensed counselor and social worker workforce |
| 622210 | Psychiatric and Substance Abuse Hospitals | Psychiatric and Substance Abuse Hospitals serve as step-up care destinations for patients whose conditions exceed outpatient practitioner capacity, with hospital discharge planning creating ongoing patient referral flow back to community-based practitioners |
| 624110 | Child and Youth Services | Child and Youth Services organizations address behavioral health needs in younger populations through community-based programs that frequently coordinate with licensed mental health practitioners for clinical treatment referrals |
Geographic Concentration
Top states by share of national establishments.
| # | State | % Est. | Total Est. |
|---|---|---|---|
| 1 | California | 14.2% | 5,791 |
| 2 | Florida | 8.3% | 3,409 |
| 3 | New York | 6.2% | 2,525 |
| 4 | Texas | 6.2% | 2,523 |
| 5 | Illinois | 5.6% | 2,303 |
| 6 | Colorado | 4.0% | 1,638 |
| 7 | Georgia | 3.2% | 1,297 |
| 8 | Pennsylvania | 3.0% | 1,229 |
| 9 | Washington | 3.0% | 1,224 |
| 10 | Virginia | 3.0% | 1,217 |
% Of Establishments
0%
14%
Source: County Business Patterns, U.S. Census Bureau[3]
SBA Lending Summary
4,584
Total SBA Loans
$1.3B
Total Loan Volume
$280K
Average Loan Size
12 yrs
Average Loan Term
10.62%
Average Interest Rate
54,984
Jobs Supported
Source: SBA 7(a) Program Data, U.S. Small Business Administration — FY 2025[4]
Key Insight: Per the SBA Table of Size Standards[8], Offices of Mental Health Practitioners (NAICS 621330) has a size standard of $9 million in average annual receipts for federal contracting purposes. SBA lending programs[11] support practice acquisition, telehealth technology investment, and facility expansion for qualifying mental health practice operators. Eligible businesses can access SBA 7(a) loans[12] for working capital, equipment, and acquisition financing, while 504 loans[13] support major fixed-asset purchases including real estate and heavy machinery.
Top SBA Lenders
| # | Lender | Loans | Volume | Avg Loan |
|---|---|---|---|---|
| 1 | Newtek Bank, National Association | 128 | $97.5M | $762K |
| 2 | First Internet Bank of Indiana | 40 | $77.0M | $1.9M |
| 3 | Harvest Small Business Finance, LLC | 96 | $68.1M | $709K |
| 4 | Bank Five Nine | 120 | $61.6M | $513K |
| 5 | Northeast Bank | 544 | $61.1M | $112K |
Frequently Asked Questions
Common questions about this industry.
What is the NAICS code for mental health counseling offices?
NAICS 621330 covers offices of independent mental health practitioners (except physicians) providing diagnosis and treatment of mental, emotional, and behavioral disorders per the U.S. Census Bureau[5].
How large is the mental health practitioner industry?
Industry revenue reached $16.2 billion in 2021, a 104 percent increase from $7.9 billion in 2015, with roughly 36,000 establishments employing over 500,000 professionals per Census Bureau[6] data.
What is the SBA size standard for mental health practices?
The SBA size standard[8] is $9 million in average annual receipts, determining eligibility for federal small business contracting programs and SBA lending products.
How severe is the mental health workforce shortage?
Over 122 million Americans live in Mental Health Professional Shortage Areas, and HRSA projects shortages of nearly 88,000 mental health counselors by 2037 per Bureau of Labor Statistics[9] labor market data.
How common is telehealth in mental health practice?
Roughly 37 percent of mental health visits occurred virtually by Q3 2023, up from 26 percent in 2020, making behavioral health one of the highest telehealth adoption categories across all healthcare disciplines.
What licenses are required to open a mental health practice?
Practitioners must hold active state licenses such as Licensed Professional Counselor (LPC), Licensed Marriage and Family Therapist (LMFT), Licensed Clinical Social Worker (LCSW), or Clinical Psychologist, typically requiring a master's degree and 1,500 to 3,000 supervised clinical hours per state licensing board requirements.
What is the job outlook for mental health counselors?
Employment is projected to grow 17 to 18 percent from 2024 to 2034, with roughly 48,300 annual openings per the Bureau of Labor Statistics[9], much faster than the average for all occupations.
What are typical earnings for mental health practitioners?
Substance abuse, behavioral disorder, and mental health counselors earned a median annual wage of $59,190 in May 2024 per the Bureau of Labor Statistics[7], with wages ranging from $39,090 at the 10th percentile to $98,210 at the 90th.
Sources & References
Government datasets and editorial sources used in this report.
- [1]U.S. Bureau of Labor Statistics, Quarterly Census of Employment and Wages bls.gov
- [2]U.S. Census Bureau, Economic Census census.gov
- [3]U.S. Census Bureau, County Business Patterns census.gov
- [4]U.S. Small Business Administration, SBA 7(a) Loan Program Data data.sba.gov
- [5]U.S. Census Bureau census.gov
- [6]Census Bureau census.gov
- [7]Bureau of Labor Statistics bls.gov
- [8]SBA Table of Size Standards sba.gov
- [9]BLS bls.gov
- [10]National Institute of Mental Health nimh.nih.gov
- [11]SBA lending programs sba.gov
- [12]SBA 7(a) loans sba.gov
- [13]504 loans sba.gov
Disclaimer
This publication has been prepared by Fair Market Value (“Fair Market Value”) for informational purposes only. It is provided on an “as-is” and “as available” basis. Fair Market Value makes no representations or warranties, express or implied, regarding the merchantability, fitness for a particular purpose, completeness, or accuracy of the data or information contained herein. This publication is not intended to be, and should not be construed as, professional financial, legal, tax, or investment advice. Users should consult with qualified professionals before making any financial or business decisions based on the information presented.
To the extent permitted by law, Fair Market Value disclaims all liability for loss or damage, direct and indirect, suffered or incurred by any person resulting from the use of, or reliance upon, the data in this publication.
Copyright © 2026 Fair Market Value. All rights reserved. All data, information, articles, graphs, and content contained in this publication are copyrighted works and Fair Market Value hereby reserves all rights. No part of this publication may be copied, reproduced, republished, uploaded to a third party, or distributed without the prior written permission of Fair Market Value.