Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
IDA MAE BOATMAN-GOUSSIOS, LPC
ActiveIDA MAE BOATMAN-GOUSSIOS, LPC is a Professional Counselor healthcare provider located in JEFFERSON CITY, Tennessee. NPI 1346405958 is currently active in the NPPES registry. Verify at CMS.
Professional Counselor · JEFFERSON CITY, TN
Registration Details
- NPI Number
- 1346405958
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 23, 2008 (18.01968407721 yrs)
- Last Updated
- Jan 2, 2025
- Licenses
-
LPC013160 (GA)2267 (TN)
Practice Information
- Address
-
1413 RUSSELL AVEJEFFERSON CITY, TN, 377602562Browse TN providers · Browse ZIP 37760
- Phone
- 8654715525
- Primary Specialty
-
Professional Counselor
101YP2500X
- Additional Specialty
- Professional Counselor
Other Professional Counselor Providers in JEFFERSON CITY, TN
| Name | Credential | NPI |
|---|---|---|
| DR. WILLIAM LAFAYETTE BLEVINS | PHD | 1265644439 |
| MRS. MORGAN FRAZIER BOWLIN | LPC-MHSP | 1669998548 |
| MORGAN ELLA DANIELS | — | 1245722180 |
| ERICA DENISE POWELL | — | 1437862794 |
| HANNAH MARIE FEKETE | MSC, NCC | 1730865064 |
| MEGHAN LEE GRIFFIN | — | 1174306138 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.