Ida Mae Boatman-goussios

LPC | Professional Counselor


  1413 Russell Ave, Jefferson City
     Tennessee, 37760-2562
  865-471-5525    Maps & Directions
Ida Mae Boatman-goussios is a Jefferson City, Tennessee based counselor who is specialized as Professional Counselor. Active license number of Ida Mae Boatman-goussios is 2267 for Professional Counselor in Tennessee. Her current practice location is 1413 Russell Ave, Jefferson City. Patients can book an appointment with her at 865-471-5525.
Ida Mae Boatman-goussios is a licensed mental health practitioner trained to help individuals, couples, and groups address emotional, psychological, and behavioral challenges. She uses talk therapy and evidence-based counseling methods to support clients in managing mental health conditions, improving relationships, and developing coping strategies for life’s difficulties.
Complete Profile:
Ida Mae Boatman-goussios speciality, credentials, practice address, contact phone number and fax are as below. Patients can directly walk in or can call on the below given phone number for appointment.
Name: Ida Mae Boatman-goussios
Specialization: Professional Counselor
Gender:Female
Credentials: LPC
Accepts Medicare Assignment:No
Practice Address:1413 Russell Ave, Jefferson City,
Tennessee, 37760-2562
Phone:865-471-5525
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
NPI Number: 1346405958
NPI Enumeration Date: 23 Jul, 2008
NPI Last Update On: 02 Jan, 2025

Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ida Mae Boatman-goussios are as mentioned below.
License NumberSpecializationStateStatus
2267Professional Counselor TennesseePrimary
LPC013160Professional Counselor GeorgiaSecondary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Po Box 577,
Newport, Tennessee
Zip: 37822-0577
Phone Number: 423-613-3300
Fax Number: 423-623-4088
Patients can reach Ida Mae Boatman-goussios at 1413 Russell Ave, Jefferson City, Tennessee or can call to book an appointment on 865-471-5525.
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 July, 2025.

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