Boonyarit Gorsakul

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

CI5296 Issued in NV

Practice address

3732 Lakeside Dr Ste 202
Reno, NV 89509-4519

Phone

(702) 277-1491

NPI assigned

Dec 15, 2017

Last updated

Dec 3, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Specialty

Mental Health Counselor

Education

Other, 2023

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• As the Sun

  dba Sojourn Counseling Group

  • Professional Counselor
  • Reno, NV
  • NPI 1821518929
  NPD
• Inclusive Counseling LLC

  • Marriage & Family Therapist
  • Reno, NV
  • NPI 1215613435
  NPD (past)
• Tandem Therapy Services

  • Community/Behavioral Health Agency
  • Las Vegas, NV
  • NPI 1215056478
  NPD (past)
• Tandem Therapy Services

  • Speech-Language Pathologist
  • Las Vegas, NV
  • NPI 1356724652
  NPD (past)

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

{
    "created_epoch": "1513296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733184000000",
    "number": "1871009621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3732 LAKESIDE DR STE 202",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895094519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3732 LAKESIDE DR STE 202",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895094519",
            "telephone_number": "702-277-1491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORSAKUL",
        "first_name": "BOONYARIT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-12-15",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NV",
            "license": "CI5296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• M Thomas Gordy III, CSI, LMT
• Brandi Gore, PHARMD
• Andrea Gorin
• Catherine Goring, M.D.
• Taylor Gorman, CNM
• Jennifer Gorton
• James Gregory Gosar, PHARMD
• Tausha Nicole Goss-Squier
• Rosalie Goss
• Bailey Gosse, PT

• Mental Health Counselor in Reno, NV
• Providers in Reno, NV by specialty
• Mental Health Counselor in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.