{ "title": "US lactation care access by state", "description": "Counts of lactation providers enrolled in the federal NPI registry, per state, with live births as a denominator. Counts only — no names.", "licence": "Derived from US federal public-domain sources (NPPES, NCHS). Our compilation is CC BY 4.0 — reuse with attribution to https://lactationconsultantsnearme.com.", "attribution": "https://lactationconsultantsnearme.com", "asOf": "2026-09-10", "generatedBy": "scripts/collect-npi-coverage.mjs", "source": { "label": "NPPES — National Plan and Provider Enumeration System (CMS)", "url": "https://npiregistry.cms.hhs.gov/", "licence": "US federal government public domain." }, "denominator": { "label": "NCHS VSRR — provisional live births by state, 2023", "url": "https://data.cdc.gov/resource/hmz2-vwda" }, "whatThisIsNot": "NPI provider taxonomies are self-selected at enrollment. CMS does not verify that a provider claiming a lactation taxonomy holds any lactation credential. These are counts of providers ENROLLED TO BILL for lactation services, not counts of verified IBCLCs.", "privacy": "Counts only. No names, no NPI numbers, no addresses are published from this source.", "taxonomies": [ { "code": "174N00000X", "label": "Lactation Consultant, Non-RN" }, { "code": "163WL0100X", "label": "RN, Lactation Consultant" } ], "caveats": [ "Providers without an NPI are absent. Many private-practice IBCLCs who do not bill insurance never enroll, so this undercounts them — and it undercounts them unevenly, since enrolling correlates with taking insurance.", "Roughly half of individual lactation providers are enumerated under the RN lactation taxonomy rather than the non-RN one. Counting only the latter halves the total.", "A provider registered in one state may practise in another.", "No state saturated the API pagination ceiling." ], "national": { "individuals": 9782, "births": 3502287, "perTenThousandBirths": 27.9, "organisations": 1850, "rnLactation": 4907, "rnShare": 0.502, "saturatedStates": [] }, "states": [ { "state": "AL", "name": "Alabama", "slug": "alabama", "individuals": 98, "organisations": 13, "rnLactation": 73, "nonRnLactation": 25, "withLicenceNumber": 87, "citiesRepresented": 50, "births": 57815, "perTenThousandBirths": 17, "licensureStatus": "none_identified", "stateLicensedCount": null, "saturated": false }, { "state": "AK", "name": "Alaska", "slug": "alaska", "individuals": 28, "organisations": 2, "rnLactation": 15, "nonRnLactation": 13, "withLicenceNumber": 23, "citiesRepresented": 9, "births": 9001, "perTenThousandBirths": 31.1, "licensureStatus": "none_identified", "stateLicensedCount": null, "saturated": false }, { "state": "AZ", "name": "Arizona", "slug": "arizona", "individuals": 232, "organisations": 40, "rnLactation": 135, "nonRnLactation": 97, "withLicenceNumber": 205, "citiesRepresented": 41, "births": 78007, "perTenThousandBirths": 29.7, "licensureStatus": "none_identified", "stateLicensedCount": null, "saturated": false }, { "state": "AR", "name": "Arkansas", "slug": "arkansas", "individuals": 62, "organisations": 16, "rnLactation": 22, "nonRnLactation": 40, "withLicenceNumber": 46, "citiesRepresented": 29, "births": 35229, "perTenThousandBirths": 17.6, "licensureStatus": "none_identified", "stateLicensedCount": null, "saturated": false }, { "state": "CA", "name": "California", "slug": "california", "individuals": 1293, "organisations": 205, "rnLactation": 551, "nonRnLactation": 742, "withLicenceNumber": 1081, "citiesRepresented": 357, "births": 399776, "perTenThousandBirths": 32.3, "licensureStatus": "none_identified", "stateLicensedCount": null, "saturated": false }, { "state": "CO", "name": "Colorado", "slug": "colorado", "individuals": 247, "organisations": 61, "rnLactation": 107, "nonRnLactation": 140, "withLicenceNumber": 196, "citiesRepresented": 56, "births": 61480, "perTenThousandBirths": 40.2, "licensureStatus": "none_identified", "stateLicensedCount": null, "saturated": false }, { "state": "CT", "name": "Connecticut", "slug": "connecticut", "individuals": 112, "organisations": 30, "rnLactation": 60, "nonRnLactation": 52, "withLicenceNumber": 95, "citiesRepresented": 60, "births": 34527, "perTenThousandBirths": 32.4, "licensureStatus": "licensed", "stateLicensedCount": 96, "saturated": false }, { "state": "DE", "name": "Delaware", "slug": "delaware", "individuals": 42, "organisations": 11, "rnLactation": 28, "nonRnLactation": 14, "withLicenceNumber": 36, "citiesRepresented": 16, "births": 10382, "perTenThousandBirths": 40.5, "licensureStatus": "none_identified", "stateLicensedCount": null, "saturated": false }, { "state": "DC", "name": "District of Columbia", "slug": "district-of-columbia", "individuals": 50, "organisations": 14, "rnLactation": 22, "nonRnLactation": 28, "withLicenceNumber": 44, "citiesRepresented": 1, "births": 7838, "perTenThousandBirths": 63.8, "licensureStatus": "none_identified", "stateLicensedCount": null, "saturated": false }, { "state": "FL", "name": "Florida", "slug": "florida", "individuals": 518, "organisations": 103, "rnLactation": 251, "nonRnLactation": 267, "withLicenceNumber": 416, "citiesRepresented": 176, "births": 221376, "perTenThousandBirths": 23.4, "licensureStatus": "none_identified", "stateLicensedCount": null, "saturated": false }, { "state": "GA", "name": "Georgia", "slug": "georgia", "individuals": 293, "organisations": 61, "rnLactation": 132, "nonRnLactation": 161, "withLicenceNumber": 233, "citiesRepresented": 116, "births": 125146, "perTenThousandBirths": 23.4, "licensureStatus": "struck_down", "stateLicensedCount": null, "saturated": false }, { "state": "HI", "name": "Hawaii", "slug": "hawaii", "individuals": 62, "organisations": 11, "rnLactation": 37, "nonRnLactation": 25, "withLicenceNumber": 56, "citiesRepresented": 23, "births": 14785, "perTenThousandBirths": 41.9, "licensureStatus": "none_identified", "stateLicensedCount": null, "saturated": false }, { "state": "ID", "name": "Idaho", "slug": "idaho", "individuals": 71, "organisations": 13, "rnLactation": 44, "nonRnLactation": 27, "withLicenceNumber": 63, "citiesRepresented": 23, "births": 22364, "perTenThousandBirths": 31.7, "licensureStatus": "none_identified", "stateLicensedCount": null, "saturated": false }, { "state": "IL", "name": "Illinois", "slug": "illinois", "individuals": 471, "organisations": 147, "rnLactation": 240, "nonRnLactation": 231, "withLicenceNumber": 382, "citiesRepresented": 174, "births": 124771, "perTenThousandBirths": 37.7, "licensureStatus": "none_identified", "stateLicensedCount": null, "saturated": false }, { "state": "IN", "name": "Indiana", "slug": "indiana", "individuals": 144, "organisations": 25, "rnLactation": 75, "nonRnLactation": 69, "withLicenceNumber": 110, "citiesRepresented": 56, "births": 79138, "perTenThousandBirths": 18.2, "licensureStatus": "none_identified", "stateLicensedCount": null, "saturated": false }, { "state": "IA", "name": "Iowa", "slug": "iowa", "individuals": 49, "organisations": 7, "rnLactation": 30, "nonRnLactation": 19, "withLicenceNumber": 42, "citiesRepresented": 33, "births": 36109, "perTenThousandBirths": 13.6, "licensureStatus": "none_identified", "stateLicensedCount": null, "saturated": false }, { "state": "KS", "name": "Kansas", "slug": "kansas", "individuals": 85, "organisations": 7, "rnLactation": 56, "nonRnLactation": 29, "withLicenceNumber": 72, "citiesRepresented": 39, "births": 34001, "perTenThousandBirths": 25, "licensureStatus": "none_identified", "stateLicensedCount": null, "saturated": false }, { "state": "KY", "name": "Kentucky", "slug": "kentucky", "individuals": 71, "organisations": 17, "rnLactation": 36, "nonRnLactation": 35, "withLicenceNumber": 61, "citiesRepresented": 29, "births": 51772, "perTenThousandBirths": 13.7, "licensureStatus": "none_identified", "stateLicensedCount": null, "saturated": false }, { "state": "LA", "name": "Louisiana", "slug": "louisiana", "individuals": 116, "organisations": 14, "rnLactation": 66, "nonRnLactation": 50, "withLicenceNumber": 96, "citiesRepresented": 51, "births": 54801, "perTenThousandBirths": 21.2, "licensureStatus": "none_identified", "stateLicensedCount": null, "saturated": false }, { "state": "ME", "name": "Maine", "slug": "maine", "individuals": 43, "organisations": 5, "rnLactation": 20, "nonRnLactation": 23, "withLicenceNumber": 32, "citiesRepresented": 25, "births": 11669, "perTenThousandBirths": 36.8, "licensureStatus": "none_identified", "stateLicensedCount": null, "saturated": false }, { "state": "MD", "name": "Maryland", "slug": "maryland", "individuals": 257, "organisations": 74, "rnLactation": 151, "nonRnLactation": 106, "withLicenceNumber": 214, "citiesRepresented": 98, "births": 65473, "perTenThousandBirths": 39.3, "licensureStatus": "none_identified", "stateLicensedCount": null, "saturated": false }, { "state": "MA", "name": "Massachusetts", "slug": "massachusetts", "individuals": 255, "organisations": 35, "rnLactation": 138, "nonRnLactation": 117, "withLicenceNumber": 191, "citiesRepresented": 138, "births": 67084, "perTenThousandBirths": 38, "licensureStatus": "none_identified", "stateLicensedCount": null, "saturated": false }, { "state": "MI", "name": "Michigan", "slug": "michigan", "individuals": 234, "organisations": 41, "rnLactation": 102, "nonRnLactation": 132, "withLicenceNumber": 188, "citiesRepresented": 119, "births": 99033, "perTenThousandBirths": 23.6, "licensureStatus": "none_identified", "stateLicensedCount": null, "saturated": false }, { "state": "MN", "name": "Minnesota", "slug": "minnesota", "individuals": 118, "organisations": 18, "rnLactation": 57, "nonRnLactation": 61, "withLicenceNumber": 97, "citiesRepresented": 65, "births": 61761, "perTenThousandBirths": 19.1, "licensureStatus": "none_identified", "stateLicensedCount": null, "saturated": false }, { "state": "MS", "name": "Mississippi", "slug": "mississippi", "individuals": 30, "organisations": 8, "rnLactation": 17, "nonRnLactation": 13, "withLicenceNumber": 23, "citiesRepresented": 23, "births": 34467, "perTenThousandBirths": 8.7, "licensureStatus": "none_identified", "stateLicensedCount": null, "saturated": false }, { "state": "MO", "name": "Missouri", "slug": "missouri", "individuals": 168, "organisations": 18, "rnLactation": 95, "nonRnLactation": 73, "withLicenceNumber": 139, "citiesRepresented": 64, "births": 67112, "perTenThousandBirths": 25, "licensureStatus": "none_identified", "stateLicensedCount": null, "saturated": false }, { "state": "MT", "name": "Montana", "slug": "montana", "individuals": 35, "organisations": 5, "rnLactation": 17, "nonRnLactation": 18, "withLicenceNumber": 29, "citiesRepresented": 19, "births": 11048, "perTenThousandBirths": 31.7, "licensureStatus": "none_identified", "stateLicensedCount": null, "saturated": false }, { "state": "NE", "name": "Nebraska", "slug": "nebraska", "individuals": 71, "organisations": 13, "rnLactation": 44, "nonRnLactation": 27, "withLicenceNumber": 64, "citiesRepresented": 16, "births": 24015, "perTenThousandBirths": 29.6, "licensureStatus": "none_identified", "stateLicensedCount": null, "saturated": false }, { "state": "NV", "name": "Nevada", "slug": "nevada", "individuals": 59, "organisations": 19, "rnLactation": 21, "nonRnLactation": 38, "withLicenceNumber": 44, "citiesRepresented": 11, "births": 31776, "perTenThousandBirths": 18.6, "licensureStatus": "none_identified", "stateLicensedCount": null, "saturated": false }, { "state": "NH", "name": "New Hampshire", "slug": "new-hampshire", "individuals": 46, "organisations": 6, "rnLactation": 28, "nonRnLactation": 18, "withLicenceNumber": 35, "citiesRepresented": 34, "births": 11830, "perTenThousandBirths": 38.9, "licensureStatus": "none_identified", "stateLicensedCount": null, "saturated": false }, { "state": "NJ", "name": "New Jersey", "slug": "new-jersey", "individuals": 330, "organisations": 58, "rnLactation": 142, "nonRnLactation": 188, "withLicenceNumber": 253, "citiesRepresented": 179, "births": 101036, "perTenThousandBirths": 32.7, "licensureStatus": "none_identified", "stateLicensedCount": null, "saturated": false }, { "state": "NM", "name": "New Mexico", "slug": "new-mexico", "individuals": 78, "organisations": 22, "rnLactation": 34, "nonRnLactation": 44, "withLicenceNumber": 72, "citiesRepresented": 22, "births": 20955, "perTenThousandBirths": 37.2, "licensureStatus": "licensed", "stateLicensedCount": null, "saturated": false }, { "state": "NY", "name": "New York", "slug": "new-york", "individuals": 638, "organisations": 96, "rnLactation": 290, "nonRnLactation": 348, "withLicenceNumber": 488, "citiesRepresented": 241, "births": 112134, "perTenThousandBirths": 56.9, "licensureStatus": "none_identified", "stateLicensedCount": null, "saturated": false }, { "state": "NC", "name": "North Carolina", "slug": "north-carolina", "individuals": 403, "organisations": 84, "rnLactation": 174, "nonRnLactation": 229, "withLicenceNumber": 338, "citiesRepresented": 125, "births": 119771, "perTenThousandBirths": 33.6, "licensureStatus": "none_identified", "stateLicensedCount": null, "saturated": false }, { "state": "ND", "name": "North Dakota", "slug": "north-dakota", "individuals": 17, "organisations": 4, "rnLactation": 10, "nonRnLactation": 7, "withLicenceNumber": 15, "citiesRepresented": 9, "births": 9639, "perTenThousandBirths": 17.6, "licensureStatus": "none_identified", "stateLicensedCount": null, "saturated": false }, { "state": "OH", "name": "Ohio", "slug": "ohio", "individuals": 216, "organisations": 30, "rnLactation": 118, "nonRnLactation": 98, "withLicenceNumber": 176, "citiesRepresented": 111, "births": 126752, "perTenThousandBirths": 17, "licensureStatus": "none_identified", "stateLicensedCount": null, "saturated": false }, { "state": "OK", "name": "Oklahoma", "slug": "oklahoma", "individuals": 192, "organisations": 23, "rnLactation": 139, "nonRnLactation": 53, "withLicenceNumber": 181, "citiesRepresented": 44, "births": 47873, "perTenThousandBirths": 40.1, "licensureStatus": "none_identified", "stateLicensedCount": null, "saturated": false }, { "state": "OR", "name": "Oregon", "slug": "oregon", "individuals": 222, "organisations": 39, "rnLactation": 97, "nonRnLactation": 125, "withLicenceNumber": 180, "citiesRepresented": 51, "births": 38238, "perTenThousandBirths": 58.1, "licensureStatus": "licensed", "stateLicensedCount": null, "saturated": false }, { "state": "PA", "name": "Pennsylvania", "slug": "pennsylvania", "individuals": 337, "organisations": 74, "rnLactation": 147, "nonRnLactation": 190, "withLicenceNumber": 272, "citiesRepresented": 166, "births": 126783, "perTenThousandBirths": 26.6, "licensureStatus": "none_identified", "stateLicensedCount": null, "saturated": false }, { "state": "RI", "name": "Rhode Island", "slug": "rhode-island", "individuals": 49, "organisations": 10, "rnLactation": 32, "nonRnLactation": 17, "withLicenceNumber": 45, "citiesRepresented": 23, "births": 9871, "perTenThousandBirths": 49.6, "licensureStatus": "licensed", "stateLicensedCount": null, "saturated": false }, { "state": "SC", "name": "South Carolina", "slug": "south-carolina", "individuals": 107, "organisations": 28, "rnLactation": 49, "nonRnLactation": 58, "withLicenceNumber": 89, "citiesRepresented": 42, "births": 57695, "perTenThousandBirths": 18.5, "licensureStatus": "none_identified", "stateLicensedCount": null, "saturated": false }, { "state": "SD", "name": "South Dakota", "slug": "south-dakota", "individuals": 19, "organisations": 4, "rnLactation": 12, "nonRnLactation": 7, "withLicenceNumber": 17, "citiesRepresented": 6, "births": 11166, "perTenThousandBirths": 17, "licensureStatus": "none_identified", "stateLicensedCount": null, "saturated": false }, { "state": "TN", "name": "Tennessee", "slug": "tennessee", "individuals": 193, "organisations": 38, "rnLactation": 113, "nonRnLactation": 80, "withLicenceNumber": 165, "citiesRepresented": 61, "births": 82936, "perTenThousandBirths": 23.3, "licensureStatus": "none_identified", "stateLicensedCount": null, "saturated": false }, { "state": "TX", "name": "Texas", "slug": "texas", "individuals": 749, "organisations": 140, "rnLactation": 369, "nonRnLactation": 380, "withLicenceNumber": 620, "citiesRepresented": 195, "births": 387729, "perTenThousandBirths": 19.3, "licensureStatus": "none_identified", "stateLicensedCount": null, "saturated": false }, { "state": "UT", "name": "Utah", "slug": "utah", "individuals": 85, "organisations": 19, "rnLactation": 43, "nonRnLactation": 42, "withLicenceNumber": 73, "citiesRepresented": 38, "births": 44989, "perTenThousandBirths": 18.9, "licensureStatus": "none_identified", "stateLicensedCount": null, "saturated": false }, { "state": "VT", "name": "Vermont", "slug": "vermont", "individuals": 52, "organisations": 7, "rnLactation": 42, "nonRnLactation": 10, "withLicenceNumber": 48, "citiesRepresented": 31, "births": 5040, "perTenThousandBirths": 103.2, "licensureStatus": "none_identified", "stateLicensedCount": null, "saturated": false }, { "state": "VA", "name": "Virginia", "slug": "virginia", "individuals": 347, "organisations": 55, "rnLactation": 209, "nonRnLactation": 138, "withLicenceNumber": 292, "citiesRepresented": 88, "births": 92705, "perTenThousandBirths": 37.4, "licensureStatus": "none_identified", "stateLicensedCount": null, "saturated": false }, { "state": "WA", "name": "Washington", "slug": "washington", "individuals": 247, "organisations": 48, "rnLactation": 138, "nonRnLactation": 109, "withLicenceNumber": 210, "citiesRepresented": 84, "births": 80965, "perTenThousandBirths": 30.5, "licensureStatus": "none_identified", "stateLicensedCount": null, "saturated": false }, { "state": "WV", "name": "West Virginia", "slug": "west-virginia", "individuals": 29, "organisations": 7, "rnLactation": 17, "nonRnLactation": 12, "withLicenceNumber": 26, "citiesRepresented": 18, "births": 16716, "perTenThousandBirths": 17.3, "licensureStatus": "none_identified", "stateLicensedCount": null, "saturated": false }, { "state": "WI", "name": "Wisconsin", "slug": "wisconsin", "individuals": 97, "organisations": 21, "rnLactation": 56, "nonRnLactation": 41, "withLicenceNumber": 80, "citiesRepresented": 50, "births": 59677, "perTenThousandBirths": 16.3, "licensureStatus": "none_identified", "stateLicensedCount": null, "saturated": false }, { "state": "WY", "name": "Wyoming", "slug": "wyoming", "individuals": 15, "organisations": 4, "rnLactation": 6, "nonRnLactation": 9, "withLicenceNumber": 13, "citiesRepresented": 8, "births": 6031, "perTenThousandBirths": 24.9, "licensureStatus": "none_identified", "stateLicensedCount": null, "saturated": false } ] }