KASSANDRA ARIANA BANUELOS
NPI 1154832780
Marriage & Family Therapist in Clovis, CA

Q: What is Kassandra Banuelos's NPI number?

The NPI number for Kassandra Banuelos is 1154832780. It was assigned to this individual provider in the NPPES registry on October 23, 2017.

Q: What is Kassandra Banuelos's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Active since October 23, 2017PECOS EnrolledAccepts Medicare Assignment

255 W BULLARD AVE STE 101, CLOVIS, CA 93612(559) 248-8550 Get Directions Write a Review

NPPES record last updated: January 6, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 6, 2025, Oct 3, 2024, Mar 6, 2023 and 1 more (4 updates tracked since 2017).

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About Kassandra Ariana Banuelos NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KASSANDRA ARIANA BANUELOS (NPI 1154832780) is an individual marriage & family therapist in Clovis, California, licensed in California (150145) and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1154832780

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameKASSANDRA ARIANA BANUELOS

Location Address255 W BULLARD AVE STE 101Clovis, CA 93612-0861

Mailing Address2740 Herndon AveClovis, CA 93611-6813

Phone(559) 248-8550

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateOctober 23, 2017

Last NPPES UpdateJanuary 6, 20254 updates tracked since enumeration

NPPES CertifiedJanuary 6, 2025

✔ NPI 1154832780 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

Licenses✔ Licensed in CA · 150145✔ Licensed in CA · 141597

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

255 W BULLARD AVE STE 101, Clovis, CA 93612

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kassandra Ariana Banuelos is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9234668310

PECOS Enrollment IDI20250120000807

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SAMUEL A MONTANO PHD

Psychologist (Clinical)