Organization Active NPI

Genuine Life Wellness PLLC

  • Clinical Psychologist
  • Richardson, TX
National Provider Identifier
1851714166
Registry record updated May 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
32123 Issued in TX
Legal business name
GENUINE LIFE WELLNESS PLLC
Practice address
101 W Renner Rd Ste 165
Richardson, TX 75082-2022
Phone
(972) 742-2186
NPI assigned
Jan 23, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2026

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

Authorized official

Name
Dr. Jennifer S Hartman, PH.D.NPI 1114947199
Title
Single Member, Licensed Psychologis
Phone
(972) 742-2186

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 32123 TX Primary

Addresses

Primary practice location

101 W Renner Rd Ste 165
Richardson, TX 75082-2022

Mailing address

101 W Renner Rd Ste 165
Richardson, TX 75082-2022
Phone (972) 742-2186

Other names 1

  • Genuine Life Psychology & Wellness PLLC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140620000660 TX Part B Supplier - Clinic/Group Practice 2961626577 Receives reassigned benefits from 1 practitioner
Practice locations: Richardson, TX

National Provider Directory

National Provider Directory

Locations

101 W Renner Rd
Ste 165
Richardson, TX 75082
Phone (972) 742-2186

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1390435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780099200000",
    "number": "1851714166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W RENNER RD STE 165",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750822022",
            "telephone_number": "972-742-2186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W RENNER RD STE 165",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750822022",
            "telephone_number": "972-742-2186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENUINE LIFE WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-23",
        "last_updated": "2026-05-30",
        "certification_date": "2026-05-30",
        "status": "A",
        "authorized_official_last_name": "HARTMAN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "SINGLE MEMBER, LICENSED PSYCHOLOGIS",
        "authorized_official_telephone_number": "972-742-2186",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "32123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Genuine Life Psychology & Wellness PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Richardson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.