Ida Boatman-Goussios, LPC
NPI 1346405958 · Professional Counselor · Jefferson City, TN
Enrolled with Medicare as Practitioner - Mental Health Counselor · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ida Boatman-Goussios, LPC is a Professional Counselor provider in Jefferson City, TN (NPI 1346405958).
Provider details
- NPI number
- 1346405958
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Credential
- LPC
- Sex
- Female
- Sole proprietor
- No
- License
- LPC013160 (GA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
6 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (5)
- 100 Stoneforest Dr Ste 230Woodstock, GA 30189-4903Phone: (770) 389-8100
- 3222 Chestnut Hill School RdDandridge, TN 37725-7238Phone: (865) 509-6611Fax: (865) 509-8811
- 103 Wilton Springs RdNewport, TN 37821-6405Phone: (423) 487-2222Fax: (423) 623-7787
- 229 Hedrick DrNewport, TN 37821-2902Phone: (423) 623-1057Fax: (423) 625-8620
- 111 Mockingbird AveParrottsville, TN 37843-2741Phone: (423) 625-1170Fax: (423) 625-3618
Registry dates
- Enumerated
- 2008-07-23
- Last updated
- 2025-01-02
- Certified
- 2025-01-02
Frequently asked questions
- What is Ida Boatman-Goussios's NPI number?
- Ida Boatman-Goussios's National Provider Identifier (NPI) is 1346405958, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ida Boatman-Goussios's specialty?
- Ida Boatman-Goussios is listed in the NPPES registry with a primary specialty of Professional Counselor (Behavioral Health & Social Service Providers).
- Where is Ida Boatman-Goussios located?
- Ida Boatman-Goussios's practice location on file with NPPES is 1413 Russell Ave, Jefferson City, TN 37760-2562.
- What is Ida Boatman-Goussios's phone number?
- The practice phone number listed in the NPPES registry for Ida Boatman-Goussios is (865) 471-5525.
- Does Ida Boatman-Goussios accept Medicare?
- Ida Boatman-Goussios is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Ida Boatman-Goussios's NPI active?
- Yes — Ida Boatman-Goussios's NPI (1346405958) is active in the NPPES registry as of the last update on 2025-01-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.