Organization Active NPI

Repore Consulting

  • Mental Health Counselor
  • Shallotte, NC
National Provider Identifier
1295641942
Registry record updated Aug 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2026

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)CodeLicenseStatePrimary
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 Directory

Locations

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

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.

Verify at the official NPI Registry.