What Telehealth Nutrition Companies Expect From Your Licenses

When you join a telehealth nutrition company, your licenses become your territory. The platform routes clients to you by the state they are in, so a dietitian licensed in two states sees a fraction of the clients that one licensed in eight can. That makes licensing a business decision as much as a legal one, and it raises practical questions: which states, who pays, and who keeps track.

What do the companies say publicly?

Their public statements are short, and they put the license on the dietitian.

• Fay says it "exclusively partners with registered dietitians who maintain active state licenses and pass our rigorous vetting process," and that "every provider is verified for credentials, insurance participation, and clinical excellence."
• Berry Street publishes state-by-state licensing guides in its provider handbook and has run a license reimbursement program. Its handbook now says: "As of June 15, 2026, the Licensure Reimbursement Program is currently on pause." Licenses applied for on or before that date remain eligible for reimbursement.

The pattern is that the company verifies and the dietitian obtains. Some platforms help with costs; at least one that did has paused. Read your agreement for what applies to you.

The Commission on Dietetic Registration and the Academy of Nutrition and Dietetics both point dietitians to a resource titled "Best Practices for RDs Working with Telehealth Nutrition Companies," linked from CDR's compact page. It is worth reading before you sign.

Which licenses will a platform expect?

Whatever each client's state requires, plus whatever the platform's payers require. CDR's guidance is that dietitians serving clients in other states must comply with the laws "of the states in which the patients/clients are physically located at the time of service." In practice that means:

• A license where the state restricts practice, such as Florida or Ohio, or a telehealth registration where one exists and the platform accepts it.
• A license even in a title-only state like Texas if you will bill Medicare there. Medicare requires a dietitian to be "licensed or certified as a dietitian or nutrition professional by the State in which the services are performed," with CDR registration accepted only where the state provides no licensure or certification (42 CFR 410.134).
• Payer enrollment in each state, which is a separate process from licensure. Our sister site covers getting on insurance panels.

Who pays for a new state license?

It varies by company and changes over time, so ask in writing. Board fees are set by each state and published in its rules or fee schedule. The larger cost is usually your time: transcripts, verifications from every state you have held a license in, background checks, notarized forms, and following up with boards. Multiply by several states and renewal cycles that never line up.

What should you ask before joining or expanding?

1. Which states does the platform want you licensed in first, and why? Client demand, payer mix and open panels all matter.
2. Does the platform accept a telehealth registration (Florida, Delaware, Vermont) in place of a full license?
3. Will it reimburse board fees, and for which states? Is any program currently paused?
4. Who tracks renewals and continuing education for each state? If the answer is you, plan for it.
5. How does the platform confirm a client's location at each session, and what happens when a client travels?
6. Does it require Medicare enrollment, and in which states?

Do companies have licensing duties of their own?

Some states regulate the business as well as the clinician. Mississippi, for example, requires each provider entity or organization offering telehealth services in the state to register with the State Department of Health, according to the rule quoted in the Academy's March 2026 telehealth chart. If you run a small group practice, check for entity requirements in each state where you operate. Our post on running a private practice across states covers this from the owner's side.

How do you keep several platform licenses straight?

Keep one list with each state, the credential type, the number, the expiration date, the continuing education rule and the renewal fee. Add your CDR registration: CDR's annual maintenance fee is due August 31, and the credential "lapses on October 1 if a payment is not received." CDR says that once the credential lapses, its verification statement is no longer available for employers or third parties to download, and a platform that verifies credentials may rely on it. Our post on how many licenses a telehealth RDN needs helps decide where to stop.

Can we work with you and your platform?

Yes. We prepare each license or registration and track it; you review, sign, pay the board and submit. Multi-State Telehealth Packages are $1,499 for three states and $2,299 for five, and Annual Renewal and CE Compliance is $299 per license, per year. For telehealth companies onboarding several dietitians, we can work through a roster; see our pricing or start with a Readiness Review ($149) for one clinician.