Individual provider Active NPI

Gaelle Laure Essenam Gounteni, PMHNP-BC

  • Psychiatry Physician
  • Smyrna, GA
National Provider Identifier
1114677705
Registry record updated Oct 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
RN270365 Issued in GA
Practice address
4125 Atlanta Rd SE Ste 120
Smyrna, GA 30080-6521
Phone
(770) 858-5377
NPI assigned
Mar 25, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X RN270365 GA Primary

Addresses

Primary practice location

4125 Atlanta Rd SE Ste 120
Smyrna, GA 30080-6521

Mailing address

PO Box 726
Acworth, GA 30101-0726

Other identifiers 1

IdentifierTypeStateIssuer
RN270365OtherGALICENSE NUMBER

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL EclinicalEMR Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RN270365GAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bridgepoint Clinic Single Specialty CurrentSince Aug 28, 2022 Accepting new patients

Locations

4125 Atlanta Rd SE
Ste 120
Smyrna, GA 30080
Phone (770) 858-5377

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JFJICD/Endpoint/JFJICD

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1648166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761782400000",
    "number": "1114677705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 726",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301010726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4125 ATLANTA RD SE STE 120",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300806521",
            "telephone_number": "770-858-5377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOUNTENI",
        "first_name": "GAELLE LAURE",
        "middle_name": "ESSENAM",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-25",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "RN270365",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "RN270365",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "EclinicalEMR",
            "affiliation": "N",
            "endpointDescription": "EMR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4125 Atlanta Rd SE Ste 120",
            "city": "Smyrna",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300806521",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Smyrna, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.