Organization Active NPI

M&T Counseling Services PLLC

  • Mental Health Counselor
  • Roanoke Rapids, NC
National Provider Identifier
1811693153
Registry record updated Mar 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
M&T COUNSELING SERVICES PLLC
Practice address
608 Jackson St Ste 215
Roanoke Rapids, NC 27870-2600
Phone
(252) 676-2656
Fax
(252) 541-3111
NPI assigned
Feb 7, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2026

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

Authorized official

Name
Mr. Travis Antonio Shoulars, MS, MPA, LCMHC, NCCNPI 1528555398
Title
Owner/Ceo
Phone
(252) 676-2656

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
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

608 Jackson St Ste 215
Roanoke Rapids, NC 27870-2600

Mailing address

46 Camden Court
Roanoke Rapids, NC 27870
Phone (252) 676-2656

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240306001289 NC Part B Supplier - Clinic/Group Practice 5294171831 Receives reassigned benefits from 1 practitioner
Practice locations: Roanoke Rapids, NC

National Provider Directory

National Provider Directory

Locations

608 Jackson St
Ste 215
Roanoke Rapids, NC 27870
Phone (252) 676-2656

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1675728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772668800000",
    "number": "1811693153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 CAMDEN COURT",
            "city": "ROANOKE RAPIDS",
            "state": "NC",
            "postal_code": "27870",
            "telephone_number": "252-676-2656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 JACKSON ST STE 215",
            "city": "ROANOKE RAPIDS",
            "state": "NC",
            "postal_code": "278702600",
            "telephone_number": "252-676-2656",
            "fax_number": "252-541-3111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M&T COUNSELING SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-07",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A",
        "authorized_official_last_name": "SHOULARS",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_middle_name": "ANTONIO",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "252-676-2656",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS, MPA, LCMHC, NCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke Rapids, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.