KATHLEEN BANIWAS LMFT
NPI 1710339650
Social Worker - Clinical in Vista, CA

Q: 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.

Q: What is Kathleen Baniwas's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: 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.

Active since July 04, 2016PECOS EnrolledAccepts Medicare Assignment

780 SHADOWRIDGE DR, VISTA, CA 92083(760) 599-2471 Get Directions Write a Review

NPPES record last updated: November 19, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 19, 2021, Aug 21, 2019, Mar 17, 2018 and 1 more (4 updates tracked since 2018).

On this page

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

NPI1710339650

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameKATHLEEN BANIWASCredential: LMFT

Location Address780 SHADOWRIDGE DRVista, CA 92083-7986

Mailing Address780 Shadowridge DrVista, CA 92083-7986 · (760) 599-2471

Phone(760) 599-2471

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateJuly 4, 2016

Last NPPES UpdateNovember 19, 20214 updates tracked since enumeration

NPPES CertifiedNovember 19, 2021

✔ NPI 1710339650 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in CA · 107813

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Also ListedMarriage & Family TherapistTaxonomy 106H00000X · License IMF89556 (CA)

780 SHADOWRIDGE DR, Vista, CA 92083

Open in Google Maps ↗

Other Identifiers 1

Other95-2633765CA · Medi-cal

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

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.

PECOS PAC ID6507306495

PECOS Enrollment IDI20240905004525

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.

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.

New Patient

$0.00 typical visit price

range $62.10 – $184.71

Typical copayment $0.00 (range $15.52 – $46.17)

Most-billed visit code NA

Established Patient

$76.87 typical visit price

range $20.62 – $151.42

Typical copayment $19.21 (range $5.15 – $37.85)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

DONNA CHRISTINE GRAY LCSW

Social Worker (Clinical)