Active NPI
Repore Consulting
- Mental Health Counselor
- Shallotte, NC
National Provider Identifier
1295641942
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- REPORE CONSULTING
- Practice address
- 117 Holden Beach Rd SW # 106
Shallotte, NC 28470-1787 - Phone
- (919) 588-4035
- NPI assigned
- Aug 21, 2026
- Last updated
- Aug 21, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Antonio Delane Roper, LCMHCS, LCAS, CCS
- Title
- Owner
- Phone
- (919) 588-4035
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
117 Holden Beach Rd SW # 106
Shallotte, NC 28470-1787
Mailing address
117 Holden Beach Rd SW # 106
Shallotte, NC 28470-1787
Phone (919) 588-4035
National Provider Directory
National Provider DirectoryLocations
117 Holden Beach Rd SW
#106
Shallotte, NC 28470
Phone (919) 588-4035
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787270400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787270400000",
"number": "1295641942",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "117 HOLDEN BEACH RD SW # 106",
"city": "SHALLOTTE",
"state": "NC",
"postal_code": "284701787",
"telephone_number": "919-588-4035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "117 HOLDEN BEACH RD SW # 106",
"city": "SHALLOTTE",
"state": "NC",
"postal_code": "284701787",
"telephone_number": "919-588-4035"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REPORE CONSULTING",
"organizational_subpart": "NO",
"enumeration_date": "2026-08-21",
"last_updated": "2026-08-21",
"certification_date": "2026-08-21",
"status": "A",
"authorized_official_last_name": "ROPER",
"authorized_official_first_name": "ANTONIO",
"authorized_official_middle_name": "DELANE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "919-588-4035",
"authorized_official_credential": "LCMHCS, LCAS, CCS"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shallotte, NC
- Raleigh Durham Medical Group PA (Seaside Wellness of Shallotte)
- Raleigh Durham Medical Group, PA (Seaside Wellness of Shallotte)
- Babysarojah Ravindran, MD
- RDMG Associates PA (Seaside Wellness of Shallotte)
- Danielle Soriano Redman
- Austin Reyle, LCMHCA
- Rha Health Services NC, LLC
- Riccobene & Associates I, DDS, P.a. (Riccobene Associates Family Dentistry - Shallotte)
- Riccobene & Associates Xiii, DDS, P.a. (Brush and Floss Specialty - Shallotte)
- Heather Michelle Rider
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.