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Doula: how many are there, and how many are in private practice?

Doulas are trained to work in varied settings and provide physical, emotional, and informational support before, during, and just after birth, as well as emotional and practical postpartum support. This page summarizes the US footprint of the Doula taxonomy (374J00000X) within Nursing Service Related Providers, including active primary-taxonomy NPI records, state distribution, the NPPES sole-proprietor flag, and recent NPI enumeration patterns.

National totals

Active NPI records16,613
Registered sole proprietors12,271 (73.9%)
NUCC taxonomy code374J00000X
GroupingNursing 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

StateActive NPIsSole proprietorsShare
California3,1952,40675.3%
Michigan1,15086775.4%
New York1,13589578.9%
Florida98969970.7%
Washington89068877.3%
Oregon83861172.9%
Massachusetts73354874.8%
New Jersey67955181.1%
Texas62348678.0%
Colorado50639177.3%
Virginia49931462.9%
Pennsylvania45531569.2%
North Carolina41130474.0%
Illinois39927568.9%
Maryland38728373.1%
Georgia38728774.2%
Ohio34623367.3%
Missouri31221970.2%
Minnesota30422473.7%
Rhode Island1808145.0%
Oklahoma17011366.5%
Indiana14210876.1%
South Carolina13610375.7%
Arizona1319975.6%
Tennessee13110177.1%
Louisiana1218570.2%
Wisconsin1218872.7%
Iowa1129080.4%
Connecticut1088074.1%
Kansas997373.7%
Nevada986061.2%
Kentucky866777.9%
District of Columbia826275.6%
New Mexico795468.4%
Arkansas734967.1%
Delaware644671.9%
Utah554174.5%
Alabama534381.1%
Hawaii372567.6%
South Dakota371951.4%
New Hampshire342779.4%
Nebraska332060.6%
Maine272177.8%
Idaho262180.8%
Mississippi251768.0%
Montana221777.3%
Alaska191368.4%
West Virginia171588.2%
Vermont17<11not reported
Wyoming161487.5%
North Dakota11<11not reported

New NPI registrations by year

Year first enumeratedNPIs
2017260
2018371
2019435
2020552
2021779
20221,250
20232,175
20243,335
20254,849
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

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 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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