KATHLEEN BANIWAS LMFT
NPI 1710339650
Social Worker - Clinical in Vista, CA
About Kathleen Baniwas Lmft NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KATHLEEN BANIWAS LMFT (NPI 1710339650) is an individual clinical provider in Vista, California, licensed in California (107813) and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kathleen Baniwas Lmft 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.
Medicare Billing Reassignment
Medicare enrollment records show Kathleen Baniwas reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Diego, CA 92120
- Reassigned Medicare billing, California enrollment
- Also billed through NPI 1023425972 (California)
- 13,921 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92083 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kathleen Baniwas's NPI number?
The NPI number for Kathleen Baniwas is 1710339650. It was assigned to this individual provider in the NPPES registry on July 4, 2016.
Where is Kathleen Baniwas located?
Kathleen Baniwas practices at 780 Shadowridge Dr, Vista, CA 92083. The listed phone number is (760) 599-2471.
What is Kathleen Baniwas's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Kathleen Baniwas enrolled in Medicare?
Yes. Kathleen Baniwas is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Kathleen Baniwas's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kathleen Baniwas reassigns Medicare benefits to Southern California Permanente Medical Group (San Diego, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kathleen Baniwas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kathleen Baniwas was last updated on November 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Kathleen Baniwas, LMFT · NPI 1710339650
Clinical provider in Vista, California. Individual provider, active in the CMS NPPES registry since July 4, 2016.
## Identity
- **NPI:** 1710339650 (Entity type: Individual)
- **Enumerated:** July 4, 2016
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 107813 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 780 SHADOWRIDGE DR, Vista, CA 92083-7986
- **Phone:** (760) 599-2471
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Southern California Permanente Medical Group (NPI 1225060742, San Diego, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** November 19, 2021
- **Other identifiers:** Other 95-2633765 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1710339650) · Data from the CMS NPPES public registry.