1. Home
  2. Directory
  3. Nevada
  4. Reno
  5. Counselor
  6. NPI Profile

BOONYARIT GORSAKUL
NPI 1871009621
Counselor - Mental Health in Reno, NV

Active since December 15, 2017PECOS Enrolled
3732 LAKESIDE DR STE 202, RENO, NV 89509(702) 277-1491 Get Directions Write a Review

NPPES record last updated: December 3, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 3, 2024, Dec 15, 2017 (2 updates tracked since 2017).

About Boonyarit Gorsakul NPPES

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

BOONYARIT GORSAKUL (NPI 1871009621) is an individual mental health provider in Reno, Nevada, licensed in Nevada (CI5296) and active in the NPI registry since December 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1871009621
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameBOONYARIT GORSAKUL
Location Address3732 LAKESIDE DR STE 202Reno, NV 89509-4519
Mailing Address3732 Lakeside Dr Ste 202Reno, NV 89509-4519
Phone(702) 277-1491
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateDecember 15, 2017
Last NPPES UpdateDecember 3, 20242 updates tracked since enumeration
NPPES CertifiedDecember 3, 2024
✔ NPI 1871009621 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NV · CI5296
3732 LAKESIDE DR STE 202, Reno, NV 89509
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Boonyarit Gorsakul is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3072070929
PECOS Enrollment IDI20260811001186
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 Boonyarit Gorsakul reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Elements Counseling & Wellness LLC
2.1 mi
Marriage & Family Therapist
1325 AIRMOTIVE WAY STE 200
Reno, NV 89502
  • Reassigned Medicare billing, Nevada enrollment
  • 4 clinicians in this Medicare group
NPI 1699371427 (775) 526-0068

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 18

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

BATTLE BORN WELLNESS LLC
Community/Behavioral Health
3732 LAKESIDE DR STE 202
RENO, NV 89509
Washoe County (775) 399-9327
SKYLAR PITTS
Counselor (Mental Health)
3732 LAKESIDE DR STE 202
RENO, NV 89509
Washoe County (320) 905-4345
GRAESON HOWLAND
Social Worker (Clinical)
3732 LAKESIDE DR STE 202
RENO, NV 89509
Washoe County (775) 378-9979
JULIA OTTENSTEIN MA, CPC-I
Counselor (Professional)
3732 LAKESIDE DR STE 202
RENO, NV 89509
Washoe County (775) 352-5159
GRETTEL ESMERALDA BELTRAN MFT-I, MA
Counselor (Mental Health)
3732 LAKESIDE DR STE 202
RENO, NV 89509
Washoe County (775) 352-5159
CINDY MICHELLE HANS
Marriage & Family Therapist
3732 LAKESIDE DR STE 202
RENO, NV 89509
Washoe County (320) 905-4345
VIVIAN MCCOWN
Counselor (Mental Health)
3732 LAKESIDE DR STE 202
RENO, NV 89509
Washoe County (320) 905-4345
BRIANNA N BEDIENT
Social Worker (Clinical)
3732 LAKESIDE DR STE 202
RENO, NV 89509
Washoe County (320) 905-4345

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 Boonyarit Gorsakul's NPI number?

The NPI number for Boonyarit Gorsakul is 1871009621. It was assigned to this individual provider in the NPPES registry on December 15, 2017.

Where is Boonyarit Gorsakul located?

Boonyarit Gorsakul practices at 3732 Lakeside Dr Ste 202, Reno, NV 89509. The listed phone number is (702) 277-1491.

What is Boonyarit Gorsakul's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Boonyarit Gorsakul enrolled in Medicare?

Yes. Boonyarit Gorsakul is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Boonyarit Gorsakul's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Boonyarit Gorsakul reassigns Medicare benefits to Elements Counseling & Wellness LLC (Reno, NV). 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 Boonyarit Gorsakul'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 Boonyarit Gorsakul was last updated on December 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.