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Speech-Language Pathologist: how many are there, and how many are in private practice?

Speech-language pathologists provide clinical and related services for communication and swallowing across the life span, including speech, voice, language, cognition, feeding, and swallowing. This page reports 200,966 active US NPI records whose primary NUCC taxonomy is Speech-Language Pathologist and shows how many are flagged as sole proprietors in NPPES, a self-reported field that can help describe, but does not define, private practice.

National totals

Active NPI records200,966
Registered sole proprietors72,081 (35.9%)
NUCC taxonomy code235Z00000X
GroupingSpeech, Language and Hearing Service Providers

What this specialty covers

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Reading the sole-proprietor share

For this specialty, 72,081 records, or 35.9%, have the sole-proprietor flag. Treat that share as a description of NPPES reporting, not a direct count of speech-language pathologists in private practice, because business arrangements and reporting practices can differ.

By state

StateActive NPIsSole proprietorsShare
New York24,83111,55446.5%
Texas17,4625,83333.4%
Florida12,2745,64046.0%
California11,0614,21638.1%
Illinois10,5763,88336.7%
Ohio7,6852,37130.9%
Pennsylvania7,1762,66437.1%
North Carolina6,9592,20231.6%
New Jersey5,2452,33144.4%
Georgia5,1692,04639.6%
Missouri5,1101,44128.2%
Virginia5,0961,32025.9%
Maryland4,6881,18725.3%
Colorado4,5991,37429.9%
Arizona4,5391,62935.9%
Washington4,2181,18728.1%
Massachusetts4,0321,38934.4%
Tennessee3,81685622.4%
Arkansas3,8161,56941.1%
Michigan3,7901,19931.6%
South Carolina3,4571,14433.1%
Louisiana3,3901,32939.2%
Indiana3,03391030.0%
Kentucky2,9751,20440.5%
Wisconsin2,91975926.0%
Oklahoma2,56699938.9%
Minnesota2,30140317.5%
Oregon2,12456926.8%
New Mexico2,08298447.3%
Nebraska1,85650427.2%
Alabama1,84250427.4%
Connecticut1,68253231.6%
Mississippi1,55968143.7%
Kansas1,51747331.2%
West Virginia1,38755640.1%
Utah1,34032724.4%
Maine1,22941733.9%
New Hampshire1,14336431.8%
Iowa1,09321619.8%
North Dakota1,03915715.1%
Idaho1,02335034.2%
Nevada96232934.2%
Rhode Island65622634.5%
Delaware65617526.7%
District of Columbia65017526.9%
South Dakota63518729.4%
Montana61021334.9%
Hawaii58724942.4%
Alaska47115933.8%
Wyoming34010631.2%
Vermont33816147.6%

New NPI registrations by year

Year first enumeratedNPIs
20179,663
201811,299
201910,008
20208,859
202110,254
202211,554
202310,461
202410,419
202510,016
2026 (partial year)221

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 speech-language pathologists are there in the US?

The page reports 200,966 active NPI records nationally with Speech-Language Pathologist as the primary taxonomy. This is a count of records, not necessarily a count of unique people.

How many speech-language pathologists are in private practice?

There are 72,081 records, or 35.9%, flagged as sole proprietors in NPPES. Because this is a self-reported field, it is an imperfect proxy for how many speech-language pathologists are in private practice.

Which states have the most speech-language pathologists?

The largest listed states are New York, Texas, Florida, California, and Illinois. These state figures describe NPI records assigned to this primary taxonomy, not necessarily every speech-language pathologist practicing in each state.

How many new speech-language pathologist NPIs were first enumerated recently?

Among the most recent full years available, first enumerations were 10,419 in 2024, 10,016 in 2025, and 221 in 2026. These figures describe when NPIs were first enumerated, not necessarily when clinicians entered practice.

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