Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Thomas Edward Stafford IV, LPC

Individual provider Mental Health Counselor · NPI 1093512667

Mr. Thomas Edward Stafford IV, LPC is a Mental Health Counselor in Keizer, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2025
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

983 Plymouth Dr NE
Keizer, OR 97303-4941
Phone: (208) 284-6320
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence R12104 (OR)

Record details

NPI number1093512667
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC
Sole proprietorYes
NPI enumeratedFebruary 28, 2025
Last updated in NPPESOctober 10, 2025
Certification dateOctober 10, 2025

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