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Community Health Worker: how many are there, and how many are in private practice?

Community health workers are lay members of communities who may work for pay or as volunteers alongside local health care systems. They often share ethnicity, language, socioeconomic status, and life experiences with the people they serve. This page counts active U.S. NPI records whose primary NUCC taxonomy is Community Health Worker (172V00000X), within Other Service Providers, and reports geographic distribution, enumeration years, and the NPPES sole-proprietor share.

National totals

Active NPI records47,282
Registered sole proprietors17,896 (37.8%)
NUCC taxonomy code172V00000X
GroupingOther Service Providers

What this specialty covers

Community health workers (CHW) are lay members of communities who work either for pay or as volunteers in association with the local health care system in both urban and rural environments and usually share ethnicity, language, socioeconomic status and life experiences with the community members they serve. They have been identified by many titles such as community health advisors, lay health advocates, "promotores(as), outreach educators, community health representatives, peer health promoters, and peer health educators. CHWs offer interpretation and translation services, provide culturally appropriate health education and information, assist people in receiving the care they need, give informal counseling and guidance on health behaviors, advocate for individual and community health needs, and provide some direct services such as first aid and blood pressure screening. Some examples o

Reading the sole-proprietor share

For this specialty, 17,896 of the 47,282 active records, or 37.8%, have the sole-proprietor flag. That flag is a self-reported NPPES field and an imperfect proxy for private practice because CHWs may be paid employees, volunteers, or connected to community and health care organizations; it does not identify independent clinical practice.

By state

StateActive NPIsSole proprietorsShare
California12,7183,34926.3%
Utah4,5951,50232.7%
West Virginia3,9793,85196.8%
Ohio3,1701,59050.2%
Michigan2,49370528.3%
Alaska2,12733915.9%
Kentucky1,69193255.1%
Wyoming1,39559642.7%
Oregon1,19425221.1%
Nevada1,09464358.8%
Washington1,08921719.9%
New Mexico1,08425323.3%
New York94124726.2%
Texas88748654.8%
Florida77637147.8%
Massachusetts74029840.3%
District of Columbia66934751.9%
Kansas553162.9%
Georgia51627954.1%
Colorado4818217.0%
Nebraska4228820.9%
Maryland35616646.6%
Minnesota35311031.2%
Vermont329185.5%
Missouri2845218.3%
Illinois27910136.2%
Oklahoma2538734.4%
Connecticut2433012.3%
North Carolina2197735.2%
Louisiana2196630.1%
Tennessee2177132.7%
Pennsylvania1956734.4%
Idaho1892513.2%
Hawaii1762815.9%
Rhode Island1616238.5%
New Jersey1617446.0%
Indiana1567950.6%
Virginia1436344.1%
Wisconsin1264535.7%
Arizona1144640.4%
South Carolina844452.4%
South Dakota67<11not reported
Mississippi632438.1%
Maine402562.5%
New Hampshire39<11not reported
Iowa351645.7%
Arkansas341338.2%
Alabama331854.5%
North Dakota261142.3%
Montana24<11not reported
Delaware18<11not reported

New NPI registrations by year

Year first enumeratedNPIs
20171,490
20182,222
20192,481
20201,954
20214,945
20224,199
20236,455
20246,776
20256,443
2026 (partial year)115

Counts reflect the year each NPI was first issued, among records still active today. The final year is partial: this data covers through 2026-01-11.

Data notes

Source: CMS National Plan and Provider Enumeration System (NPPES) Data Dissemination file, FOIA-disclosable public data under CMS-6060-N. Aggregated by Hero EMR on 2026-08-03; deactivated NPIs excluded; specialty assigned from the primary taxonomy code (NUCC 25.1). Counts below 11 are suppressed. Individual providers are never published. All provider data pages.

Common questions

How many community health workers are there in the United States?

The page reports 47,282 active NPI records nationally with Community Health Worker as the primary taxonomy. This is an NPI-record count, not necessarily a count of unique people or jobs.

How many community health workers are in private practice?

NPPES flags 17,896 records, or 37.8%, as sole proprietors. This self-reported flag is only an imperfect proxy for private practice.

Which states have the most community health workers?

The largest reported state counts are in California, Utah, West Virginia, Ohio, and Michigan. California leads with 12,718 active records.

How many Community Health Worker NPIs were first enumerated recently?

The records first enumerated were 6,776 in 2024, 6,443 in 2025, and 115 in 2026.

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