Provider Demographics
NPI:1922156108
Name:CHAVEZ-MARTELL, JONI LYNNE (LPC)
Entity type:Individual
Prefix:MRS
First Name:JONI
Middle Name:LYNNE
Last Name:CHAVEZ-MARTELL
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27010 BOERNE FRST
Mailing Address - Street 2:
Mailing Address - City:BOERNE
Mailing Address - State:TX
Mailing Address - Zip Code:78006-5223
Mailing Address - Country:US
Mailing Address - Phone:210-725-5838
Mailing Address - Fax:830-249-2084
Practice Address - Street 1:819 WATER ST STE 106
Practice Address - Street 2:
Practice Address - City:KERRVILLE
Practice Address - State:TX
Practice Address - Zip Code:78028-5343
Practice Address - Country:US
Practice Address - Phone:210-725-5838
Practice Address - Fax:830-336-3881
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-06
Last Update Date:2025-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX16950101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1430373-01Medicaid