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

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1629943048

Gabrielle Koussa, PMHNP-BC is a Nurse Practitioner in North Kingstown, Rhode Island. Qualified in 2025, 1 year ago. Practices with Baxter Behavioral Health, LLC, a 5-clinician group and accepts Medicare assignment. Licensed in Rhode Island.

Years since qualifying
1
Licensed in
RI
In the registry since
2025
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

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Practice location Address checks out

1130 Ten Rod Rd Ste D101
North Kingstown, RI 02852-4161
Phone: (401) 267-4485
Fax: (401) 267-4534
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence CAPRN04815 (RI)

Record details

NPI number1629943048
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP-BC
Sole proprietorNo
NPI enumeratedOctober 7, 2025
Last updated in NPPESOctober 7, 2025
Certification dateOctober 7, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Baxter Behavioral Health, Llc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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