Healthcare Provider Details

I. General information

NPI: 1922156108
Provider Name (Legal Business Name): JONI LYNNE CHAVEZ-MARTELL LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/06/2007
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

819 WATER ST STE 106
KERRVILLE TX
78028-5343
US

IV. Provider business mailing address

105 FM 3351 S
BOERNE TX
78006-5795
US

V. Phone/Fax

Practice location:
  • Phone: 210-725-5838
  • Fax: 830-336-3881
Mailing address:
  • Phone: 210-725-5838
  • Fax: 830-336-3881

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number16950
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: