Active NPI
M&T Counseling Services PLLC
- Mental Health Counselor
- Roanoke Rapids, NC
National Provider Identifier
1811693153
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- 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
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, NCC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Mental Health Counselor
- Roanoke Rapids, NC
- NPI 1528555398
Mental Health, NC
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.