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MRS. JAYNE STAFFORD CLARK
NPI 1164866620
Counselor in Greenwood, SC

Active since April 26, 2013PECOS Enrolled
1547 PARKWAY, GREENWOOD, SC 29646(864) 229-7120 Get Directions Write a Review

NPPES record last updated: April 26, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Jayne Stafford Clark NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. JAYNE STAFFORD CLARK (NPI 1164866620) is an individual counselor in Greenwood, South Carolina and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1164866620
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameMRS. JAYNE STAFFORD CLARK
Location Address1547 PARKWAYGreenwood, SC 29646-4081
Mailing Address49 Smith StWare Shoals, SC 29692-1526 · (706) 830-0499
Phone(864) 229-7120
Sole ProprietorYes
Medical School CMSOtherGraduated 2008
Enumeration DateApril 26, 2013
✔ NPI 1164866620 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

1547 PARKWAY, Greenwood, SC 29646
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Other Identifiers 2

Medicare PIN3335SC
Medicaid421504SC

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Jayne Stafford Clark is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8628549375
PECOS Enrollment IDI20260604000135
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FAITH WALKER
Counselor (Mental Health)
1547 PARKWAY, SUITE 100
GREENWOOD, SC 29646
Greenwood County (864) 229-7120
MONIKA MCGLOHON
Counselor
1547 PARKWAY
GREENWOOD, SC 29646
Greenwood County (864) 229-7120
DEIDRE SUE DICKERSON MSW
Social Worker (Clinical)
1547 PARKWAY, SUITE 200
GREENWOOD, SC 29646
Greenwood County (864) 223-8331
CHERYL DENISE WHITE
Counselor (Mental Health)
1547 PARKWAY, SUITE 300
GREENWOOD, SC 29646
Greenwood County (864) 943-9592
DR. DEBRA S. HARDIN M.D.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
1547 PARKWAY, SUITE 200
GREENWOOD, SC 29646
Greenwood County (864) 223-8331
MRS. CAROL C. BOOKER MS
Counselor (Mental Health)
1547 PARKWAY, SUITE 100
GREENWOOD, SC 29646
Greenwood County (864) 229-7120
HALLIE SNYDER
Counselor (Professional)
1547 PARKWAY
GREENWOOD, SC 29646
Greenwood County (864) 229-7120
MR. GREGORY ROBERT BULLARD LMSW
Counselor (Professional)
1547 PARKWAY, SUITE 100
GREENWOOD, SC 29646
Greenwood County (864) 229-7120

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jayne Clark's NPI number?

The NPI number for Jayne Clark is 1164866620. It was assigned to this individual provider in the NPPES registry on April 26, 2013.

Where is Jayne Clark located?

Jayne Clark practices at 1547 Parkway, Greenwood, SC 29646. The listed phone number is (864) 229-7120.

What is Jayne Clark's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Jayne Clark enrolled in Medicare?

Yes. Jayne Clark is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jayne Clark was last updated on April 26, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.