This environmental cross-sectional study investigated the prevalence and species distribution of house dust mites in household dust samples collected from homes of individuals presenting with allergic complaints in Ordu Province, Turkey. Dust samples were collected from 160 households of individuals reporting asthma or other allergic complaints during outpatient clinic visits. Allergic conditions were based on participants’ self-reports and were not clinically confirmed. Samples were obtained from various areas of the home, including bedrooms and living spaces, using a portable vacuum cleaner, and were examined microscopically following the lactic acid precipitation method. Species identification was performed on positive samples using standard morphological keys. House dust mites were detected in 105 (65.6%) households, with detections throughout the year. The most frequently identified species were Dermatophagoides pteronyssinus, Dermatophagoides farinae, Dermatophagoides spp., Cheyletus spp., Chortoglyphus arcuatus, Acarus siro, Glycyphagus domesticus, Oribatida spp., and Euroglyphus maynei. Statistical analyses showed no significant association between mite presence and most demographic, environmental, or housing-related variables; however, age was identified as a factor associated with mite positivity. The findings indicate that house dust mites are highly prevalent in households within this humid Black Sea region and highlight their potential relevance for individuals with atopic conditions. Providing patients and their families with practical information on household mite control measures can improve indoor environmental quality and symptom management.