Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kassandra Ariana Banuelos

Individual provider Marriage & Family Therapist · NPI 1154832780

Kassandra Ariana Banuelos is a Marriage and Family Therapist in Clovis, California. Qualified in 2017, 9 years ago. Practices with Central Valley Indian Health Inc, a 33-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
9
Licensed in
CA
In the registry since
2017
Specialties on file
3

Practice location Address checks out

255 W Bullard Ave Ste 101
Clovis, CA 93612-0861
Phone: (559) 248-8550
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 150145 (CA)
Marriage & Family Therapist Taxonomy 106H00000X
Marriage & Family Therapist Taxonomy 106H00000X · Licence 141597 (CA)

Record details

NPI number1154832780
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 23, 2017
Last updated in NPPESJanuary 6, 2025
Certification dateJanuary 6, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMARRIAGE AND FAMILY THERAPIST
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Central Valley Indian Health Inc — 33 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Clovis