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NAICS Code· 621420

NAICS 621420: Outpatient Mental Health and Substance Abuse Centers

This industry comprises establishments with medical staff primarily engaged in providing outpatient services related to the diagnosis and treatment of mental health disorders and alcohol and other substance abuse. These establishments generally treat patients who do not require inpatient treatment. They may provide a counseling staff and information regarding a wide range of mental health and substance abuse issues and/or refer patients to more extensive treatment programs, if necessary. Illustrative Examples: Outpatient alcoholism treatment centers and clinics (except hospitals) Outpatient mental health centers and clinics (except hospitals) Outpatient detoxification centers and clinics (except hospitals) Outpatient substance abuse treatment centers and clinics (except hospitals) Outpatient drug addiction treatment centers and clinics (except hospitals) Cross-References.Show more

NAICS 621420 – Outpatient Mental Health and Substance Abuse Centers encompasses the provision of ambulatory behavioral health services, including individual and group psychotherapy, crisis intervention, substance use disorder counseling, psychiatric evaluation, and co-occurring disorder treatment delivered in non-residential settings. These services are critical to federal health and human service missions, supporting veterans, active-duty personnel, federal employees, and beneficiaries of the Indian Health Service and Medicaid programs.

95
Active Contracts
$41.4M
Total Obligations (12mo)
284
Awarded Contracts (12mo)
73
Contractors Awarded (12mo)
1
Median Bidders per Award
-34.6%
YoY Growth

Industry Spending Overview

Federal obligations, top contractors and agencies, and related industry codes for NAICS 621420.

AI Industry Description

NAICS 621420 – Outpatient Mental Health and Substance Abuse Centers encompasses the provision of ambulatory behavioral health services, including individual and group psychotherapy, crisis intervention, substance use disorder counseling, psychiatric evaluation, and co-occurring disorder treatment de...

NAICS 621420 – Outpatient Mental Health and Substance Abuse Centers encompasses the provision of ambulatory behavioral health services, including individual and group psychotherapy, crisis intervention, substance use disorder counseling, psychiatric evaluation, and co-occurring disorder treatment delivered in non-residential settings. These services are critical to federal health and human service missions, supporting veterans, active-duty personnel, federal employees, and beneficiaries of the Indian Health Service and Medicaid programs. The sector operates within a complex regulatory framework governed by SAMHSA guidelines, HIPAA compliance, and accreditation standards such as CARF or JCAHO. Contractors in this space must demonstrate clinical expertise, workforce credentialing, and interoperability with electronic health record systems to meet federal contracting requirements. No contractor data is available to identify leading primes or small businesses operating in this sector. However, typical participants include community mental health centers, nonprofit behavioral health networks, and specialized clinical service providers with experience in federal grant-funded programs. No agency data is available to specify primary buyers. Nonetheless, demand is likely driven by the Department of Veterans Affairs, the Substance Abuse and Mental Health Services Administration, the Department of Health and Human Services, and the Department of Defense through its Military Health System and TRICARE network, all of which prioritize accessible, evidence-based outpatient behavioral health care. The competitive landscape is characterized by high regulatory barriers and a reliance on skilled clinical staff, creating opportunities for specialized providers with proven track records in federal compliance and telehealth delivery. Growing emphasis on integrated care models and workforce expansion in underserved areas suggests increasing procurement activity in rural and veteran-focused regions.

Small Business Size Standard

The SBA threshold that decides who can bid NAICS 621420 work as a small business.

$19.0M
Applies to the whole industry code

The SBA cap for this NAICS (13 CFR 121.201). A business at or under it can self-certify as small for work in this code, which is what makes it eligible for a small-business set-aside. The cap is set per NAICS, so the same company can be small in one code and not in another.

13 CFR 121.201, effective January 1, 2026. The SBA revises the table roughly once a year.

Top Contractors

Companies with the highest total award value under NAICS 621420, ranked by dollars won.

Competition

How many companies historically bid on federal awards in NAICS 621420, from bidder counts reported on USAspending.

Usually Single-Bid

Half or more of reported awards drew exactly one bidder, usually a sign of incumbent-held work rather than an open field. · 6,094 reported awards

Median Bidders

1

Per reported award, all-time

Single-Bid Awards

61%

Share of reported awards with one bidder

10+ Bidder Awards

2%

Share of reported awards with 10+ bidders

Reported Awards

6,094

69% of 8,856 total awards

Bidder Count Distribution by Fiscal Year

Share of reported awards in each bidder-count bracket per federal fiscal year.

How this code compares up the NAICS hierarchy. Parent cohorts pool every code under their prefix, so they are the steadier baseline when a 6-digit sample is thin.

Industry FamilyCompetitionMedian BiddersSingle-BidBidder MixReported Awards
621420This Code
Outpatient Mental Health and Substance Abuse Centers
Usually Single-Bid161%
6,09469% of 8,856
62142NAICS Industry
Usually Single-Bid161%
6,09469% of 8,856
6214Industry Group
Outpatient Care Centers
Usually Single-Bid152%
29,50784% of 35,330
621Subsector
Usually Single-Bid165%
305,49284% of 362,305
62Sector
Health Care and Social Assistance
Usually Single-Bid171%
550,70684% of 657,924

Bidder counts reported on past federal awards in this NAICS (USAspending). An open opportunity has no bidders yet, so this is the historical norm for similar work, not a fact about this solicitation. Not all awards report bidder counts, and fewer bidders often means incumbent-held work rather than an easier win. Federal reporting of bidder counts fell from ~96% of awards (FY2016) to ~30% (FY2018 onward); the chart shows shares of reported awards, and washed-out stretches mark years with fewer than 30 of them.

Related NAICS Codes

Industries similar to Outpatient Mental Health and Substance Abuse Centers, by shared sector, subsector, and industry group.

Explore contracts across multiple NAICS codes Browse all NAICS Codes

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NAICS 621420 FAQ

Frequently Asked Questions

NAICS code 621420 covers Outpatient Mental Health and Substance Abuse Centers. This industry comprises establishments with medical staff primarily engaged in providing outpatient services related to the diagnosis and treatment of mental health disorders and alcohol and other substance abuse. These establishments generally treat patients who do not require inpatient treatment. They may provide a counseling staff and information regarding a wide range of mental health and substance abuse issues and/or refer patients to more extensive treatment programs, if necessary. Illustrative Examples: Outpatient alcoholism treatment centers and clinics (except hospitals) Outpatient mental health centers and clinics (except hospitals) Outpatient detoxification centers and clinics (except hospitals) Outpatient substance abuse treatment centers and clinics (except hospitals) Outpatient drug addiction treatment centers and clinics (except hospitals) Cross-References.

Recently Posted in Outpatient Mental Health and Substance Abuse Centers

NAICS: 621420
New
SLED
Employee Assistance Program with Mobile Tool
Solicitation # 3160008302
The Mississippi Department of Corrections is soliciting bids for a fixed-price service contract to provide an Employee Assistance Program (EAP) with a Mobile Tool for approximately 2,000 employees and their immediate families. The program must offer short-term counseling, crisis intervention, and educational resources via face-to-face, telephonic, and virtual consultations. Key deliverables include a 24/7 centralized toll-free crisis line, a secure HIPAA-compliant mobile application for iOS and Android, and quarterly usage analytics. The contract is for an initial one-year term with two optional two-year renewals, and the selected vendor must be available for an implementation meeting within ten working days of the award. To be eligible, bidders must have at least three years of experience providing EAP services to organizations of similar size and be authorized to conduct business in Mississippi. Required personnel must include licensed clinical staff, such as LCSWs, LPCs, LMFTs, or Clinical Psychologists, each holding a bachelor's degree and 3-4 years of relevant experience. Vendors must maintain professional and general liability insurance of at least $1,000,000 per occurrence and a fidelity bond of $1,000,000. Award will be granted to the responsive and responsible bidder offering the lowest price. Bids are due by November 13, 2026, at 3:00 PM CST, and must be submitted physically or via postal service to the MDOC office in Jackson, Mississippi.
MS DEPT of CORRECTIONS

POSTED

1 day ago

DEADLINE

in about 1 month
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NAICS: 621420
New
SLED
RFP - SCHOOL - BASED INCREDIBLE YEARS
Solicitation # 13367
The County of San Diego is soliciting proposals for School-Based Incredible Years behavioral health services to provide outpatient diagnostic and treatment services for Medi-Cal eligible, low-income, or uninsured children from preschool through third grade. The procurement is divided into six lots based on Special Education Local Plan Areas (SELPA), with Lot 1 specifically covering SDUSD, Central, which has an estimated maximum contract value between $5,816,144 and $6,462,382. The selected contractor will implement group-based social-emotional skill-building interventions using The Incredible Years evidence-based curriculum to improve academic readiness and reduce aggressive behavior. The contract structure consists of an initial one-year base period starting July 1, 2027, with four subsequent one-year options, potentially extending the term through June 30, 2032. Proposals are due by November 20, 2026, and must be submitted electronically via BuyNet in PDF format with original handwritten signatures. Evaluation will be based on program approach, organizational capability, and the submission of a Linguistic and Cultural Diversity Plan and Letters of Intent from participating school districts. Contractors must adhere to strict regulatory standards, including 42 CFR 438.608 for program integrity, 2 CFR Part 200 for fiscal records, and the Katie A. Settlement Agreement for family-centered services. Payment is based on established County rates and is processed monthly upon the submission of detailed invoices and progress reports to the Contracting Officer's Representative.
San Diego County

POSTED

3 days ago

DEADLINE

in about 1 month
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NAICS: 621420
New
SLED
MCD Pre-Admission Screening and Resident Review for Indications of Serious Mental Illness Level II Assessments and Select Determinations
Solicitation # SRC0000037365
The Ohio Department of Administrative Services, on behalf of the Department of Medicaid, is soliciting proposals for a single contractor to perform statewide Level II Pre-Admission Screening and Resident Review (PASRR) evaluations. The primary objective is to assess individuals with indications of serious mental illness (SMI), including those with dual diagnoses of SMI and developmental disabilities, to determine if they require nursing facility services and specialized mental health services. The contractor is responsible for conducting in-depth psychiatric, psycho-social, and functional assessments, as well as providing clinical recommendations to ensure individuals are placed in the least restrictive environment. The selected contractor must implement and maintain a secure, HIPAA-compliant web-based data management system featuring a smart-form for real-time onsite evaluations. Compliance with State IT policies and strict data privacy standards, including HIPAA and 42 C.F.R. Part 2, is mandatory. The contract term runs from the date of signature through June 30, 2029, with options for short-term renewals and potential extensions for up to six additional years. Award selection is based on the highest total score derived from technical, cost, and presentation evaluations, with a minimum technical threshold required to avoid disqualification. Administrative requirements include the submission of a firm fixed-price cost proposal and adherence to Minority Business Enterprise (MBE) set-aside goals. The contractor must establish an agency-approved quality assurance program and provide documentation of robust cybersecurity controls, such as SOC 2 Type 2, ISO 27001, or HITRUST certification. All proposals must be submitted electronically via the OhioBuys portal, and the contractor will be required to utilize an automated electronic invoicing system for fiscal monitoring and auditing.
Administrative Services, Mcd-medicaid

POSTED

3 days ago

DEADLINE

in 25 days
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NAICS: 621420
New
Federal
15BCTS25Q00000014 - SU/MH/SOT in Wichita, KS
Solicitation # 15BCTS25Q00000014
Solicitation 15BCTS25Q00000014 is a combined synopsis and request for quotation issued by the Federal Bureau of Prisons to secure community-based outpatient treatment services in Wichita, Kansas. The contract is a total small business set-aside under NAICS code 621420, seeking a provider to deliver substance use disorder, mental health, and sex offender treatment for male and female adults in custody residing in Residential Re-entry Centers or on home confinement. The award is envisioned as an indefinite-delivery contract consisting of a one-year base period starting December 1, 2026, with four one-year option periods and a potential six-month extension. The selected contractor must operate a facility within a five-mile radius of the US Post Office at 2325 N. Arkansas Ave, Wichita, KS, and within 0.5 miles of public transportation. Facilities must be ADA compliant and meet strict safety and confidentiality standards. All clinical staff must be licensed to practice independently in the state of Kansas. The government will evaluate quotes based on best value, considering technical capability and the lowest price technically available. Required submission documents include a completed SF-1449, technical and business quotation packets, a pricing chart, proof of active SAM registration, and professional liability insurance.
Community Treatment Services - Co

POSTED

3 days ago

DEADLINE

in 2 days
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NAICS: 621420
New
Federal
15BCTS25Q00000015 - SU/MH/SOT in Rapid City, SD
Solicitation # 15BCTS25Q00000015
Solicitation 15BCTS25Q00000015 is a combined synopsis and request for quotation issued by the Federal Bureau of Prisons for community-based outpatient treatment services in Rapid City, South Dakota. The contract seeks a provider to deliver substance use disorder, mental health, and sex offender treatment services for male and female Adults in Custody residing at the local Residential Re-entry Center or on home confinement. This is a total small business set-aside under NAICS code 621420. The anticipated award date is December 1, 2026, for an indefinite-delivery contract consisting of a one-year base period, four one-year option periods, and a potential six-month extension. The selected contractor must operate a facility within a 10-mile radius of the U.S. Post Office at 500 East Boulevard, Rapid City, SD, and within a half-mile walk of public transportation. Facilities must be ADA compliant and meet strict safety and privacy requirements, including the submission of office diagrams and a local areas of concern report. Clinical staff must be licensed or certified to practice independently in South Dakota. The government will utilize a Lowest Price Technically Acceptable approach to evaluate quotes, which must be submitted electronically to the contracting officer by October 13, 2026. Required documentation includes a completed SF-1449, pricing charts, technical and business information packets, proof of active SAM registration, and professional liability insurance of at least $1 million per specialty per occurrence.
Community Treatment Services - Co

POSTED

3 days ago

DEADLINE

in 2 days
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NAICS: 621420
New
SLED
EMPLOYEE ASSISTANCE PROGRAM (EAP) SERVICES
Solicitation # RFP 26-25
The City of Camden is soliciting proposals under RFP 26-25 from qualified mental health care professionals to provide an Employee Assistance Program (EAP) for approximately 580 employees and their families. The contract term is for one year, effective from January 1, 2027, to January 1, 2028. The selected provider must maintain a physical office within the City of Camden and deliver comprehensive services focusing on mental health, substance abuse, and intervention. Key deliverables include short-term problem resolution consisting of one to six sessions, Critical Incident Stress Management, annual supervisory training workshops, quarterly utilization reports, and the provision of educational in-service workshops. Proposals must be submitted electronically via the Bids&Tenders portal by October 27, 2026, at 11:00 AM. The award will be determined by the City Council based on the most advantageous response, considering both price and other factors. Required submission materials include a lump sum price proposal, a detailed fee schedule, an organizational chart, and resumes for five key personnel with relevant licenses and certifications. Vendors must comply with various legal mandates, including the Municipal Rehabilitation and Economic Recovery Act, the Americans with Disabilities Act, and New Jersey affirmative action and non-discrimination laws. Additionally, successful bidders must provide a Non-Collusion Affidavit, Iran Investment Certification, and proof of insurance naming the City of Camden as an additional insured.
City of Camden

POSTED

4 days ago

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in 16 days
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