Organization Active NPI

Stafford & Associates Counseling, PLLC

  • Clinical Social Worker
  • Mooresville, NC
National Provider Identifier
1609460567
Registry record updated Oct 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
STAFFORD & ASSOCIATES COUNSELING, PLLC
Practice address
108 Gateway Blvd Ste 207
Mooresville, NC 28117-5597
Phone
(704) 534-5997
Fax
(704) 565-4254
NPI assigned
Feb 22, 2021
Last updated
Oct 21, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Nanci Stafford, MSW, LCSW, EDDNPI 1720451628
Title
Clinical Therapist, Owner
Phone
(704) 534-5997

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

108 Gateway Blvd Ste 207
Mooresville, NC 28117-5597

Mailing address

108 Gateway Blvd Ste 207
Mooresville, NC 28117-5597
Phone (704) 534-5997

Other identifiers 1

IdentifierTypeStateIssuer
1720451628OtherNCNPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230621002892 NC Part B Supplier - Clinic/Group Practice 1254799315 Receives reassigned benefits from 1 practitioner
Practice locations: Mooresville, NC

National Provider Directory

National Provider Directory

Locations

108 Gateway Blvd
Ste 207
Mooresville, NC 28117
Phone (704) 664-1175

121 Rolling Hill Rd
Mooresville, NC 28117
Phone (704) 534-5997

121 Rolling Hill Rd
Ste 225
Mooresville, NC 28117
Phone (704) 534-5997

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1613952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792540800000",
    "number": "1609460567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 GATEWAY BLVD STE 207",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281175597",
            "telephone_number": "704-534-5997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 GATEWAY BLVD STE 207",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281175597",
            "telephone_number": "704-534-5997",
            "fax_number": "704-565-4254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAFFORD & ASSOCIATES COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-22",
        "last_updated": "2026-10-21",
        "certification_date": "2026-10-21",
        "status": "A",
        "authorized_official_last_name": "STAFFORD",
        "authorized_official_first_name": "NANCI",
        "authorized_official_title_or_position": "CLINICAL THERAPIST, OWNER",
        "authorized_official_telephone_number": "704-534-5997",
        "authorized_official_credential": "MSW, LCSW, EDD"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1720451628",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mooresville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.