DR. CAROL LACEY RICHARDSON PHD
NPI 1780950436
Psychologist in Fort Worth, TX

Active since March 27, 2012PECOS Enrolled
4316 LAKE STONE TRL, FORT WORTH, TX 76123(817) 542-2595 Get Directions Write a Review

NPPES record last updated: March 27, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Carol Lacey Richardson Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CAROL LACEY RICHARDSON PHD (NPI 1780950436) is an individual psychologist in Fort Worth, Texas, licensed in Texas (35034) and active in the NPI registry since March 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780950436
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. CAROL LACEY RICHARDSONCredential: PHD
Location Address4316 LAKE STONE TRLFort Worth, TX 76123-8009
Mailing Address4316 Lake Stone TrlFort Worth, TX 76123-8009 · (817) 542-2595
Sole ProprietorYes
Enumeration DateMarch 27, 2012
✔ NPI 1780950436 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License✔ Licensed in TX · 35034
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
4316 LAKE STONE TRL, Fort Worth, TX 76123

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Carol Lacey Richardson Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Carol Richardson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Psychologist
1320 S UNIVERSITY DR STE 810
Fort Worth, TX 76107
  • Reassigned Medicare billing, Texas enrollment
  • 12 clinicians in this Medicare group
Psychologist
6043 W INTERSTATE 20
Arlington, TX 76017
  • Reassigned Medicare billing, Texas enrollment
  • 14 clinicians in this Medicare group
Psychologist
1400 PRESTON RD STE 260
Plano, TX 75093
  • Reassigned Medicare billing, Texas enrollment
  • 13 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carol Richardson's NPI number?

The NPI number for Carol Richardson is 1780950436. It was assigned to this individual provider in the NPPES registry on March 27, 2012.

Where is Carol Richardson located?

Carol Richardson practices at 4316 Lake Stone Trl, Fort Worth, TX 76123. The listed phone number is (817) 542-2595.

What is Carol Richardson's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Carol Richardson enrolled in Medicare?

Yes. Carol Richardson is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Carol Richardson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carol Richardson reassigns Medicare benefits to 3 organizations: Cpst Healthcare, LLC (Fort Worth, TX), Center For Psychological Services, PLLC (Arlington, TX) and Michelle Rinella, Psyd, PA (Plano, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Carol Richardson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carol Richardson accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Cigna Healthcare, Molina Healthcare and Oscar Insurance Company and 2 other insurers list Carol Richardson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Carol Richardson was last updated on March 27, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.