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Business phone system for mental health practices in Montana

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

Establishments
385CBP 2023
Employees
813mid-March 2023
Per 100k residents
33.9U.S. 13.7
State rank
34th of 51by count

The therapy practice industry in Montana

Montana had 385 mental health practices in 2023, according to Census County Business Patterns (NAICS 621330, Offices of Mental Health Practitioners (except Physicians)). They employed 813 people in mid-March and reported $33.4 million in annual payroll. That is the 34th highest count among the 51 states and DC with published figures. Mental health practices make up 0.90% of the 42,566 business establishments in the state.

Per 100,000 residents (2024 estimate) Montana has 33.9 mental health practices, 147.5% above the national rate of 13.7. The average establishment has 2.1 employees against 5.9 nationally. Payroll per employee is $41,101, 9.2% below the U.S. figure of $45,252.

Mental health practices: Montana compared with the U.S., 2023
MeasureMontanaUnited States
Establishments38546,513
Mid-March employees813 (moderate noise)276,277
Annual payroll$33,415,000$12,502,175,000
Employees per establishment2.15.9
Payroll per employee$41,101$45,252
Establishments per 100,000 residents33.913.7

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.

Where mental health practices in Montana are concentrated

Census published therapy practice counts for 7 metro or micropolitan areas that include part of Montana. The largest is Bozeman, MT, with 85 establishments. Single-state metro and micropolitan areas account for 85% of the statewide total; the rest are outside any published area or in areas Census suppressed.

Mental health practices by metro or micropolitan area, Montana, 2023
AreaEstablishmentsEmployeesPer 100k residents
Bozeman, MT85—66.9
Missoula, MT8016462.6
Billings, MT659033.8
Helena, MT345235.1
Kalispell, MT323127.9
Great Falls, MT2111024.8
Butte, MT10—27.7

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

Team sizes at mental health practices in Montana

91.9% of Montana's mental health practices with employees had fewer than five people in March 2023, compared with 78.1% nationally. 96.4% had fewer than ten. That is the size of team where a missed call usually means nobody was free, not that nobody was on staff.

Mental health practices in Montana by employment size, 2023
Employment sizeEstablishmentsShareU.S. share
1–4 employees35491.9%78.1%
5–9 employees174.4%9.0%
10–19 employees82.1%6.6%
20–49 employees61.6%4.7%
50 or more employees00.0%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.

What mental health practices in Montana use the phone for

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.

Typical inbound and outbound calls for mental health practices in Montana:

Calls after closing time

After-hours greetings should point callers in crisis to emergency services or a crisis line, with routine messages captured for the next day.

Callata voicemail is transcribed and triaged for urgency, and business-hours routing decides where calls go once you close.

Phone system pricing for a 2-person therapy practice

Mental health practices in Montana average 2.1 employees, so the comparison uses a 2-person team. Per-seat business phone plans bill every one of those people. At month-to-month list prices checked September 28, 2026, 2 users on RingCentral RingEX Core cost $60.00 a month and 2 on Ooma Office Pro cost $49.90. Callata is $99.00 a month with 5 users included, which is more than either per-seat plan for 2 people; it becomes the lower price at 4 users or more.

At this team size the per-seat plans cost less than Callata's $99 base price, which already covers 5 users; Callata becomes the lower price from 4 users.

Monthly list price for a 2-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$38.00$456.00
Nextiva (Core)$23.00 per user$46.00$552.00
Ooma (Office Pro)$24.95 per user$49.90$598.80
Dialpad (Standard)$27.00 per user$54.00$648.00
RingCentral (RingEX Core)$30.00 per user$60.00$720.00

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 Montana

Montana has 1 geographic area code in service according to NANPA. You can choose local numbers in the area codes your clients know, subject to carrier inventory, or port your current number for free.

Area codes in Montana by assigned exchanges
Area codeExchangesTime zoneIn service sinceOverlay with
406754Mountain1947none

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 Montana

For $99 a month, Callata puts a team of up to 5 on one plan ($20 for each person after that): up to 3 local numbers, unlimited inbound calls, a pooled allowance of 1,500 outbound US and Canada minutes per user, browser and cell calling, voicemail transcription with urgency triage, recorded calls with AI summaries and business-hours routing, with E911 on every number.

If you already have a number in Montana, porting it to Callata is free. Texting from a local number requires a one-time carrier registration (10DLC, $49), and the numbers available in any area code depend on carrier inventory when you choose them.

Optional AI agents (receptionist, sales, support or scheduler) can answer calls after hours or when nobody picks up, take messages, text, email and transfer to your team. They are billed from prepaid AI minutes at $0.25 per minute, identify themselves as AI, and may only place outbound calls to people who consented, between 8am and 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 Montana?

385 in 2023, according to Census County Business Patterns. They employed 813 people in mid-March.

Which Montana metro area has the most mental health practices?

Bozeman, MT, with 85 establishments in 2023.

What does a phone system cost a 2-person therapy practice?

$60.00 a month on RingCentral RingEX Core or $49.90 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 Montana 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.