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Business phone system for mental health practices in Colorado

1,923 mental health practices operated in Colorado in 2023. Where they are, how big their teams are, and what phone service costs them.

Establishments
1,923CBP 2023
Employees
7,278mid-March 2023
Per 100k residents
32.3U.S. 13.7
State rank
6th of 51by count

The therapy practice industry in Colorado

The Census Bureau counted 1,923 mental health practices in Colorado in its 2023 County Business Patterns (NAICS 621330). They employed 7,278 people in mid-March and reported $362.4 million in annual payroll. That is the 6th highest count among the 51 states and DC with published figures. Mental health practices make up 1.1% of the 182,486 business establishments in the state.

Per 100,000 residents (2024 estimate) Colorado has 32.3 mental health practices, 136.0% above the national rate of 13.7. The average establishment has 3.8 employees against 5.9 nationally. Payroll per employee is $49,796, 10.0% above the U.S. figure of $45,252.

Mental health practices: Colorado compared with the U.S., 2023
MeasureColoradoUnited States
Establishments1,92346,513
Mid-March employees7,278 (moderate noise)276,277
Annual payroll$362,414,000$12,502,175,000
Employees per establishment3.85.9
Payroll per employee$49,796$45,252
Establishments per 100,000 residents32.313.7

Census County Business Patterns 2023 (mid-March employment; annual payroll). Employees and payroll flagged high-noise are shown but not used in the text. Residents: Census Vintage 2024 estimates.

Mental health practices by metro area in Colorado

Census published therapy practice counts for 14 metro or micropolitan areas that include part of Colorado. The largest is Denver, CO, with 1,009 establishments. Single-state metro and micropolitan areas account for 98% of the statewide total; the rest are outside any published area or in areas Census suppressed.

Mental health practices by metro or micropolitan area, Colorado, 2023
AreaEstablishmentsEmployeesPer 100k residents
Denver, CO1,0093,37133.1
Colorado Springs, CO2901,72137.3
Boulder, CO25454876.9
Fort Collins, CO14950439.8
Grand Junction, CO4413327.3
Greeley, CO3714610.0
Rifle, CO2611932.6
Durango, CO20—35.2
Pueblo, CO141898.2
Breckenridge, CO134334.0
Steamboat Springs, CO12—31.3
Cañon City, CO11—22.0
Edwards, CO8—14.7
Montrose, CO7—15.6

Source: Census County Business Patterns 2023; population from Census Vintage 2024 estimates.

Team sizes at mental health practices in Colorado

85.2% of Colorado's mental health practices with employees had fewer than five people in March 2023, compared with 78.1% nationally. 91.5% had fewer than ten. At that size the phone is shared, so routing (who rings, when, and what happens after hours) matters more than the number of desk phones.

Mental health practices in Colorado by employment size, 2023
Employment sizeEstablishmentsShareU.S. share
1–4 employees1,63885.2%78.1%
5–9 employees1226.3%9.0%
10–19 employees794.1%6.6%
20–49 employees623.2%4.7%
50 or more employees221.1%1.7%

Employment-size classes count establishments by mid-March 2023 employment. Establishments with no March employees are excluded from the size classes, so shares are of establishments with employees. Source: Census County Business Patterns 2023.

Calls a therapy practice in Colorado has to catch

Counselors and therapists are often in session when the phone rings, so first contacts frequently land in voicemail. Prospective clients reaching out for the first time may not call twice, which makes prompt, accurate callbacks important. That holds for mental health practices in Colorado as much as anywhere.

A few of the calls that come in to mental health practices in Colorado:

What mental health practices text about

Many practices limit texting to scheduling logistics, such as confirming a session time, and keep clinical conversation in session.

Texting from a local number in Colorado requires carrier registration (10DLC), a one-time $49 fee on Callata.

What a phone system costs a therapy practice in Colorado

Mental health practices in Colorado average 3.8 employees, so the comparison uses a 4-person team. Per-seat business phone plans bill every one of those people. At month-to-month list prices checked September 28, 2026, 4 users on RingCentral RingEX Core cost $120.00 a month and 4 on Ooma Office Pro cost $99.80. Callata comes to $99.00 a month for 4 users ($99 a month with 5 users included, then $20 per additional user), below both.

Over a year, that is $252 less than RingCentral for a therapy practice in Colorado of that size. Annual contracts lower some competitors' prices, so compare the plan you would actually sign.

Monthly list price for a 4-person therapy practice
Provider (plan)Pricing basisPer monthPer year
Callata (Callata Office)$99 incl. 5 users, $20 per extra user$99.00$1,188.00
Quo (Starter)$19.00 per user$76.00$912.00
Nextiva (Core)$23.00 per user$92.00$1,104.00
Ooma (Office Pro)$24.95 per user$99.80$1,197.60
Dialpad (Standard)$27.00 per user$108.00$1,296.00
RingCentral (RingEX Core)$30.00 per user$120.00$1,440.00

Competitor prices are each vendor's published month-to-month list price per user for its lowest plan that includes business calling and texting, checked September 28, 2026: Quo Starter $19, Nextiva Core $23, Ooma Office Pro $24.95 (Essentials excludes texting; one-time $29.95 activation not included), Dialpad Standard $27, RingCentral RingEX Core $30 ($20 billed annually). Prices exclude taxes and fees and may change; annual contracts lower some competitors' prices.

Area codes in Colorado

Colorado has 6 geographic area codes in service according to NANPA. Callata includes up to 3 local numbers, so a therapy practice can hold a number in more than one of them.

Area codes in Colorado by assigned exchanges
Area codeExchangesTime zoneIn service sinceOverlay with
720785Mountain1998303, 983
303784Mountain1947720, 983
970775Mountain1995748
719665Mountain1988none
98346Mountain2022303, 720
7480Mountain2025970

Exchanges are NANPA-assigned central office codes (NPA-NXX) in the rate centers matched to the area's named places. Source: NANPA utilized code and NPA reports.

How Callata works for mental health practices in Colorado

Callata Office costs $99 per month for up to 5 people, and each additional user is $20 a month. That covers up to 3 local numbers, calling from a browser or your cell, transcribed voicemail, recorded calls with AI summaries, after-hours routing and E911 on each number.

Porting a number you already use in Colorado is free, and business texting is available once the carrier registration (10DLC) is approved; the registration carries a one-time $49 fee. Which specific numbers are open in a given area code depends on carrier inventory at the time you sign up.

AI agents are optional: an AI receptionist or scheduler can pick up when the team is busy or closed, take a message, send a text or email, or transfer the call. They draw on prepaid AI minutes ($0.25/minute), disclose that they are AI, and outbound AI calls require prior consent and are limited to 8am–9pm.

Practices that handle protected health information should review their own privacy obligations before recording calls, enabling AI summaries or texting appointment details, and keep clinical conversations out of text messages unless their policies allow it.

Frequently asked questions

How many mental health practices are in Colorado?

1,923 in 2023, according to Census County Business Patterns. They employed 7,278 people in mid-March.

Which Colorado metro area has the most mental health practices?

Denver, CO, with 1,009 establishments in 2023.

What does a phone system cost a 4-person therapy practice?

$120.00 a month on RingCentral RingEX Core or $99.80 on Ooma Office Pro at month-to-month list prices (checked September 28, 2026); $99.00 on Callata ($99 a month with 5 users included, then $20 per additional user).

Do I need to register to text customers from a Colorado number?

Yes. US carriers require business texting from local numbers to be registered (10DLC). On Callata the registration is a one-time $49 fee, and texting turns on once it is approved.