Individual provider Active NPI

Adolph Chavez Jr., LCMFT

  • Marriage & Family Therapist
  • Wichita, KS
National Provider Identifier
1245386259
Registry record updated Apr 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
718 Issued in KS
Practice address
1999 N Amidon
Ste. 232
Wichita, KS 67203-2112
Phone
(316) 779-3694
Fax
(316) 618-9584
NPI assigned
Jan 25, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 718 KS Primary

Addresses

Primary practice location

1999 N Amidon
Ste. 232
Wichita, KS 67203-2112

Mailing address

4688 N Briargate CT
Park City, KS 67219-5525
Phone (316) 305-8065

Other identifiers 1

IdentifierTypeStateIssuer
200434030CMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
718KSMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Adolph Chavez Jr Lcmft LLC Marriage & Family Therapist CurrentSince Oct 20, 2024 Accepting new patients

Locations

1999 N Amidon Ave
Ste 232
Wichita, KS 67203
Phone (316) 440-5536

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776038400000",
    "number": "1245386259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4688 N BRIARGATE CT",
            "city": "PARK CITY",
            "state": "KS",
            "postal_code": "672195525",
            "telephone_number": "316-305-8065",
            "fax_number": "316-618-9584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1999 N AMIDON",
            "address_2": "STE. 232",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672032112",
            "telephone_number": "316-779-3694",
            "fax_number": "316-618-9584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAVEZ",
        "first_name": "ADOLPH",
        "name_suffix": "Jr.",
        "credential": "LCMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-25",
        "last_updated": "2026-04-13",
        "certification_date": "2026-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "KS",
            "license": "718",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200434030C",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.