Request a Verification

National Register HSP Credentialed Members: Submit this form to request that the National Register submit a verification letter to a licensing board. Please enter the email address you have on file with the National Register when submitting this request. You must include your name and email address for us to process your request.

Review Licensure Mobility Details

Social Security Administration: Complete the form below and add provider details to the “Special Instructions” box.

Other employers: Access your account (or create an account as a “credentials verification specialist” using your work email address if this is your first visit) to verify providers through our verification directory.

Verification Request:
Who is submitting this request?*
Are you the National Register member or are you with the Social Security Administration? Reminder to Employers and Healthcare Organizations: Create an account (with your organization email address) as a “credentials verification specialist” to verify a provider’s credentials. See link above.
- I am the National Register member (I currently hold an active National Register HSP Credential)
- I am with the Social Security Administration
To verify for Social Security Administration, you can complete this form and add provider details to the “Special Instructions” box on the form below (incomplete verification requests cannot be processed).
To verify as an employer, please see details at the top of the page for creating a National Register account as a "credential verifications specialist"
Reminder: Please create an account (simply go to https://my.nationalregister.org and create an account with your organization email address) as a "credentials verification specialist" to verify a provider’s credentials. Once you have created your account, you will receive an email with more information on how to verify provider credentials.
Please note: If the state for which you are requesting a verification letter is not a participating jurisdiction in our licensure mobility program, or is currently noted as "in process," we cannot guarantee the licensing board will accept our verification letter.
REQUIRED: Your Information (Psychologist/National Register Member):
Name of National Register Member*
First Last
Email of National Register Member*

Should match your primary email address on file with National Register
Purpose of Verification*
If other, please specify organization*
Details:
Select Licensing Board*
Please note: If the jurisdiction for which you are requesting a verification letter is not a participating in our licensure mobility program, or is currently noted as "IP/in process," we cannot guarantee the licensing board will accept our verification letter.
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Licensing Board
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Organization:
Name of Contact at Organization*
First Last
Name of Contact at Licensing Board
First Last
Email of Contact at Organization*

Should be different than the National Register member's email address. Please note that verification requests for employers should follow the instructions provided at the top of this page.
Email of Contact at Licensing Board
Special Instructions (if applicable)
Please Provide Member's National Register HSP Credential Registrant ID (if available)
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Email Address for Email Copy*
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How would you like the verification sent?*
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Name
First Last
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Address for Hardcopy Mailing*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Request a Verification

Verification Request:

REQUIRED: Your Information (Psychologist/National Register Member):

Details:

Endorsed by the National Register

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