National totals
| Active NPI records | 16,613 |
| Registered sole proprietors | 12,271 (73.9%) |
| NUCC taxonomy code | 374J00000X |
| Grouping | Nursing Service Related Providers |
What this specialty covers
Doulas work in a variety of settings and have been trained to provide physical, emotional, and informational support to a mother before, during, and just after birth and/or provide emotional and practical support to a mother during the postpartum period.
Reading the sole-proprietor share
For this specialty, the 73.9% share means that 12,271 active Doula-taxonomy NPI records have the sole-proprietor field marked yes in NPPES. Because that field is self-reported, it is an imperfect proxy for private practice and does not by itself show a doula's legal, employment, billing, or practice arrangement.
By state
| State | Active NPIs | Sole proprietors | Share |
|---|---|---|---|
| California | 3,195 | 2,406 | 75.3% |
| Michigan | 1,150 | 867 | 75.4% |
| New York | 1,135 | 895 | 78.9% |
| Florida | 989 | 699 | 70.7% |
| Washington | 890 | 688 | 77.3% |
| Oregon | 838 | 611 | 72.9% |
| Massachusetts | 733 | 548 | 74.8% |
| New Jersey | 679 | 551 | 81.1% |
| Texas | 623 | 486 | 78.0% |
| Colorado | 506 | 391 | 77.3% |
| Virginia | 499 | 314 | 62.9% |
| Pennsylvania | 455 | 315 | 69.2% |
| North Carolina | 411 | 304 | 74.0% |
| Illinois | 399 | 275 | 68.9% |
| Maryland | 387 | 283 | 73.1% |
| Georgia | 387 | 287 | 74.2% |
| Ohio | 346 | 233 | 67.3% |
| Missouri | 312 | 219 | 70.2% |
| Minnesota | 304 | 224 | 73.7% |
| Rhode Island | 180 | 81 | 45.0% |
| Oklahoma | 170 | 113 | 66.5% |
| Indiana | 142 | 108 | 76.1% |
| South Carolina | 136 | 103 | 75.7% |
| Arizona | 131 | 99 | 75.6% |
| Tennessee | 131 | 101 | 77.1% |
| Louisiana | 121 | 85 | 70.2% |
| Wisconsin | 121 | 88 | 72.7% |
| Iowa | 112 | 90 | 80.4% |
| Connecticut | 108 | 80 | 74.1% |
| Kansas | 99 | 73 | 73.7% |
| Nevada | 98 | 60 | 61.2% |
| Kentucky | 86 | 67 | 77.9% |
| District of Columbia | 82 | 62 | 75.6% |
| New Mexico | 79 | 54 | 68.4% |
| Arkansas | 73 | 49 | 67.1% |
| Delaware | 64 | 46 | 71.9% |
| Utah | 55 | 41 | 74.5% |
| Alabama | 53 | 43 | 81.1% |
| Hawaii | 37 | 25 | 67.6% |
| South Dakota | 37 | 19 | 51.4% |
| New Hampshire | 34 | 27 | 79.4% |
| Nebraska | 33 | 20 | 60.6% |
| Maine | 27 | 21 | 77.8% |
| Idaho | 26 | 21 | 80.8% |
| Mississippi | 25 | 17 | 68.0% |
| Montana | 22 | 17 | 77.3% |
| Alaska | 19 | 13 | 68.4% |
| West Virginia | 17 | 15 | 88.2% |
| Vermont | 17 | <11 | not reported |
| Wyoming | 16 | 14 | 87.5% |
| North Dakota | 11 | <11 | not reported |
New NPI registrations by year
| Year first enumerated | NPIs |
|---|---|
| 2017 | 260 |
| 2018 | 371 |
| 2019 | 435 |
| 2020 | 552 |
| 2021 | 779 |
| 2022 | 1,250 |
| 2023 | 2,175 |
| 2024 | 3,335 |
| 2025 | 4,849 |
| 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
- The sole-proprietor field is self-reported by the provider in NPPES and is an imperfect proxy for private practice.
- A sole-proprietor count shown as <11 is suppressed: the true value is below 11, which could include zero.
- These are active NPI records with Doula as the primary taxonomy, not a census of every practicing doula.
- First-enumeration year reflects when an NPI was first issued, not necessarily when a doula began practicing or how many are currently active.
- Providers are counted once, by their primary taxonomy code only.
Common questions
How many doulas are there in the United States?
There are 16,613 active NPI records nationally with Doula as the primary taxonomy. This is an NPI-based count, not a census of every practicing doula.
What percentage of doulas are sole proprietors or in private practice?
NPPES flags 12,271 records, or 73.9%, as sole proprietors. The flag is self-reported and is only an imperfect proxy for private practice.
Which states have the most doulas?
The largest state counts are in California, Michigan, New York, Florida, and Washington.
How many new doula NPIs were enumerated recently?
The reported first-enumeration counts are 3,335 in 2024, 4,849 in 2025, and 115 in 2026. These counts describe NPI enumeration, not necessarily new entrants to the profession.
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