MRS. GOUNI LAKOSO BOURAIMA PMHNP-BC
NPI 1427623990
Psychiatry & Neurology - Psychiatry in Benson, AZ

Q: What is Gouni Bouraima's NPI number?

The NPI number for Gouni Bouraima is 1427623990. It was assigned to this individual provider in the NPPES registry on May 26, 2021.

Q: What is Gouni Bouraima's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Gouni Bouraima was last updated on January 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 May 26, 2021PECOS EnrolledAccepts Medicare Assignment

335 S OCOTILLO AVE, BENSON, AZ 85602(520) 586-4040 Get Directions Write a Review

NPPES record last updated: January 25, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 31, 2023, May 26, 2021 (2 updates tracked since 2021).

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About Mrs. Gouni Lakoso Bouraima Pmhnp-bc NPPES

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

MRS. GOUNI LAKOSO BOURAIMA PMHNP-BC (NPI 1427623990) is an individual psychiatry provider in Benson, Arizona, licensed in Arizona (258158) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1427623990

Entity TypeIndividualFemale

Primary Taxonomy2084P0800X

Provider Legal NameMRS. GOUNI LAKOSO BOURAIMACredential: PMHNP-BC

Location Address335 S OCOTILLO AVEBenson, AZ 85602-6406

Mailing Address335 S Ocotillo AveBenson, AZ 85602-6406 · (520) 586-4040

Phone(520) 586-4040

Sole ProprietorYes

Medical School CMSOtherGraduated 2020

Enumeration DateMay 26, 2021

Last NPPES UpdateJanuary 25, 20242 updates tracked since enumeration

NPPES CertifiedJanuary 25, 2024

✔ NPI 1427623990 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in AZ · 258158

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

335 S OCOTILLO AVE, Benson, AZ 85602

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Secondary Practice Locations 2

Location 114150 N Compass Rose WayMarana, AZ 85658-5051 · Phone (520) 891-6620

Location 24567 W Tetakusim RdTucson, AZ 85746-9713 · Phone (520) 879-6060

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

Mrs. Gouni Lakoso Bouraima Pmhnp-bc 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 ID1153798210

PECOS Enrollment IDI20221101003494

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.

Medicare Billing Reassignment

Medicare enrollment records show Gouni Bouraima reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pascua Yaqui Tribe

45 mi

Community/Behavioral Health

1775 W SAINT MARYS RD STE 115
Tucson, AZ 85745

Reassigned Medicare billing, Texas enrollment
35 clinicians in this Medicare group

NPI 1194230672 (520) 879-5450

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 85602 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

$168.60 typical visit price

range $55.44 – $168.60

Typical copayment $42.15 (range $13.86 – $42.15)

Most-billed visit code 99205

Established Patient

$69.24 typical visit price

range $17.72 – $137.41

Typical copayment $17.31 (range $4.43 – $34.35)

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 9

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

CHIRICAHUA COMMUNITY HEALTH CENTERS, INC.

Internal Medicine (Endocrinology, Diabetes & Metabolism)