Active NPI
Pamela Kristin Stafford, M.A.
- Professional Counselor
- Irmo, SC
National Provider Identifier
1083924591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 7379
- Practice address
- 108 Oak Park Dr Ste C
Irmo, SC 29063-6109 - Phone
- (803) 764-0961
- NPI assigned
- Oct 18, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 7379 | SC | Primary |
Addresses
Primary practice location
108 Oak Park Dr Ste C
Irmo, SC 29063-6109
Mailing address
108 Oak Park Dr Ste C
Irmo, SC 29063-6109
Phone (803) 764-0961
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PC1305 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T-0134811 | NM | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Counseling for Hope & Healing | Professional | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Professional Counselor
- Columbia, SC
- NPI 1336518448
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783555200000",
"number": "1083924591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 OAK PARK DR STE C",
"city": "IRMO",
"state": "SC",
"postal_code": "290636109",
"telephone_number": "803-764-0961"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108 OAK PARK DR STE C",
"city": "IRMO",
"state": "SC",
"postal_code": "290636109",
"telephone_number": "803-764-0961"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STAFFORD",
"first_name": "PAMELA",
"middle_name": "KRISTIN",
"credential": "M.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-10-18",
"last_updated": "2026-07-09",
"certification_date": "2026-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "SC",
"license": "7379",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PC1305",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Irmo, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.