Organization Active NPI

JKC Psych LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Wichita, KS
National Provider Identifier
1619441680
Registry record updated Oct 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
JKC PSYCH LLC
Practice address
8118 E Douglas Ave Ste 103
Wichita, KS 67206-2364
Phone
(316) 847-9824
NPI assigned
Jan 14, 2019
Last updated
Oct 8, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2026

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

Authorized official

Name
Janine Kesterson-Cravens, PH.D, BCBA-DNPI 1174097133
Title
Psychologist
Phone
(918) 527-5864

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary

Addresses

Primary practice location

8118 E Douglas Ave Ste 103
Wichita, KS 67206-2364

Mailing address

8118 E Douglas Ave Ste 103
Wichita, KS 67206-2364
Phone (316) 847-9824

Other practice location 1

8118 E Douglas Ave Ste 103
Wichita, KS 67206-2364
Phone (316) 847-9824

National Provider Directory

National Provider Directory

Locations

8118 E Douglas Ave
Ste 103
Wichita, KS 67206
Phone (316) 847-9824

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1547424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791417600000",
    "number": "1619441680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8118 E DOUGLAS AVE STE 103",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672062364",
            "telephone_number": "316-847-9824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8118 E DOUGLAS AVE STE 103",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672062364",
            "telephone_number": "316-847-9824"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8118 E Douglas Ave Ste 103",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672062364",
            "country_code": "US",
            "telephone_number": "316-847-9824",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JKC PSYCH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-14",
        "last_updated": "2026-10-08",
        "certification_date": "2026-10-08",
        "status": "A",
        "authorized_official_last_name": "KESTERSON-CRAVENS",
        "authorized_official_first_name": "JANINE",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "918-527-5864",
        "authorized_official_credential": "PH.D, BCBA-D"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 8, 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.