IndividualActive
Thomas Stafford, LPC
NPI 1093512667 · Mental Health Counselor · Keizer, OR
Provider details
- NPI number
- 1093512667
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- LPC
- Sex
- Male
- Sole proprietor
- Yes
- License
- R12104 (OR)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
983 Plymouth Dr Ne
Keizer, OR 97303-4941
Phone: (208) 284-6320
Street-level locationGet directions
Mailing address
983 Plymouth Dr Ne
Keizer, OR 97303-4941
Registry dates
- Enumerated
- 2025-02-28
- Last updated
- 2025-10-10
- Certified
- 2025-10-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.