● Active Type 1 · Individual

Carol A. Park, LPC, RD, LD, CEDRED

Dietitian, Registered·Richardson, TX· NPI 1205913845 · Enumerated 2006 · 19 years on NPI

Park is 1 of 39 dietitian, registered providers in Richardson and 1 of 5402 in Texas.

NPI age

19 years

Enumerated 2006-11-01

Primary specialty

Dietitian, Registered

Plus 2 subspecialties

Licensed in

1 state

Status

Active

No deactivations on record

Last NPPES update

2020-08-24

Source: monthly bulk 2026-05

Sole proprietor

Yes

Solo practice on file

How this provider compares

Across 5402 active dietitian, registered providers in Texas.

NPI age

19 years

↑ 13 yr above median (5 yr)

State licenses

1 state

2% of peers hold multiple states

Subspecialties

In the 10% of peers with subspecialties

NPI lifetime · 2006 → 2026

2006-11Enumerated in NPPES

2006 2026

Where they practice

Practice location

1702 N. Collins Blvd. Ste 207

Richardson, TX 750803550

📞 4693249744fax 9725912943

Mailing address

1702 N Collins Blvd Ste 207

Richardson, TX 750803550

📞 4693249744fax 9726712087

Specialties

Dietary & Nutritional Service Providers › Dietitian, Registered

Dietitian, Registered Primary

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based...

TX license #DT02795 taxonomy 133V00000X
Counselor

Definition to come...

TX license #66588 taxonomy 101YM0800X
Counselor

Definition to come...

TX license #66588 taxonomy 101YP2500X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

Recently enumerated nearby: 1 new dietitian, registered provider has been added in Richardson in the last 180 days. See all →

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How to verify this provider

Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
Check the state license is currently active.State licensing boards publish current status; NPPES does not.
Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.