Individual provider Active NPI

Jennifer Rawley, PSY, D

  • Clinical Psychologist
  • Dallas, TX
National Provider Identifier
1417255423
Registry record updated Jun 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
35098 Issued in TX
Practice address
509 N Winnetka Ave
#102B-4
Dallas, TX 75208-3934
Phone
(214) 417-9538
NPI assigned
Mar 1, 2011
Last updated
Jun 6, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 35098 TX Primary

Addresses

Primary practice location

509 N Winnetka Ave
#102B-4
Dallas, TX 75208-3934

Mailing address

509 N Winnetka Ave
#102B-4
Dallas, TX 75208-3934
Phone (214) 417-9538

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160908001192 TX Practitioner - Clinical Psychologist 3971899592 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35098TXMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Senior Psychological Care Sa I, LLC Clinical CurrentSince Feb 28, 2021 Accepting new patients
Senior Psychological Care I, LLC Clinical CurrentSince Oct 20, 2021 Accepting new patients
Dr Jen Rawley, PLLC CurrentSince Jun 9, 2025 Accepting new patients
Senior Psychological Care Dallas I, LLC Clinical CurrentSince Aug 11, 2016 Accepting new patients
Lifeworks Counseling Center PLLC Past Accepting new patients

Locations

11127 Circle Dr
Austin, TX 78736
Phone (512) 288-8844

1175 Denton St
Beaumont, TX 77707
Phone (409) 842-3120

202 Fortune Dr
Corpus Christi, TX 78405
Phone (361) 289-0889

509 N Winnetka Ave
#102B4
Dallas, TX 75208
Phone (214) 417-9538

509 N Winnetka Ave
Ste 102B4
Dallas, TX 75208
Phone (214) 417-9538

1900 Oneal St
Gainesville, TX 76240
Phone (940) 665-2826

4635 Southwest Fwy
Ste 635
Houston, TX 77027
Phone (281) 759-2900

4653 SW Fwy
Ste 635
Houston, TX 77027

413 Garland Dr
Lake Jackson, TX 77566
Phone (979) 297-3266

434 Paza Dr
Mesquite, TX 75149
Phone (972) 286-6489

7146 Baker Blvd
Richland Hills, TX 76118
Phone (817) 589-1734

5027 Pecan Grove Blvd
San Antonio, TX 78222
Phone (210) 333-6815

920 E Avenue L
Silsbee, TX 77656
Phone (409) 385-5571

6602 Memorial Dr
Texas City, TX 77591
Phone (409) 935-2451

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1298937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749168000000",
    "number": "1417255423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 N WINNETKA AVE",
            "address_2": "#102B-4",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752083934",
            "telephone_number": "214-417-9538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 N WINNETKA AVE",
            "address_2": "#102B-4",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752083934",
            "telephone_number": "214-417-9538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAWLEY",
        "first_name": "JENNIFER",
        "name_prefix": "Dr.",
        "credential": "PSY, D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-01",
        "last_updated": "2025-06-06",
        "certification_date": "2025-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "35098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.