Travis Antonio Shoulars, MS, MPA, LPCA, NCC in Roanoke Rapids, NC

Travis Antonio Shoulars, MS, MPA, LPCA, NCC is a medicare enrolled "Counselor - Mental Health" provider in Roanoke Rapids, North Carolina. His current practice location is 608 Jackson St Ste 215, Roanoke Rapids, North Carolina. You can reach out to his office (for appointments etc.) via phone at (252) 676-2656.

Travis Antonio Shoulars is licensed to practice in North Carolina (license number 13915) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1528555398.

Contact Information

	Travis Antonio Shoulars, MS, MPA, LPCA, NCC
	608 Jackson St Ste 215, Roanoke Rapids, NC 27870-2600
	(252) 676-2656
	(252) 541-3111

Map and Direction

Healthcare Provider's Profile

Full Name	Travis Antonio Shoulars
Gender	Male
Speciality	Counselor - Mental Health
Location	608 Jackson St Ste 215, Roanoke Rapids, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1528555398
Provider Enumeration Date: 04/17/2018
Last Update Date: 03/05/2026

Medicare PECOS Information:

PECOS PAC ID: 6103262746
Enrollment ID: I20240306001625

Medical Identifiers

Medical identifiers for Travis Antonio Shoulars such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1528555398	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	13915 (North Carolina)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Travis Antonio Shoulars allows following entities to bill medicare on his behalf.

Entity Name	Grow Healthcare Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20221208000188

Entity Name	M&t Counseling Services Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811693153 PECOS PAC ID: 5294171831 Enrollment ID: O20240306001289

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Travis Antonio Shoulars is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Travis Antonio Shoulars, MS, MPA, LPCA, NCC 46 Camden Ct, Roanoke Rapids, NC 27870-9077 Ph: (252) 676-2656	Travis Antonio Shoulars, MS, MPA, LPCA, NCC 608 Jackson St Ste 215, Roanoke Rapids, NC 27870-2600 Ph: (252) 676-2656

Reviews and Comments

Counselor in Roanoke Rapids, NC

Monica Cecilia Mills, MS, LCAS Counselor Medicare: Not Enrolled in Medicare Practice Location: 60 Nc Highway 125, Roanoke Rapids, NC 27870 Phone: 252-537-6619
Brenna Carpenter, LCMHCS Counselor Medicare: Not Enrolled in Medicare Practice Location: 600 Jackson St Ste B, Roanoke Rapids, NC 27870 Phone: 252-308-0744 Fax: 252-308-0092
Mr. Marcus Dayon Watkins, LPC, LCAS-A Counselor Medicare: Not Enrolled in Medicare Practice Location: 608 Jackson St Ste 209, Roanoke Rapids, NC 27870 Phone: 252-541-3517 Fax: 252-541-3088
Mr. Robert E Sykes Jr., LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 1704 Us Highway 158, Roanoke Rapids, NC 27870 Phone: 252-519-2273 Fax: 252-535-2399
Michelle Kelli Laster, Counselor Medicare: Not Enrolled in Medicare Practice Location: 608 Jackson St Ste 108, Roanoke Rapids, NC 27870 Phone: 252-541-4175 Fax: 252-541-4245
Nicholas Banks, QMHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 400 Quail Court Rd, Roanoke Rapids, NC 27870 Phone: 252-862-7109
Ms. Teresa C Mayle, MSRC, LPCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 608 Jackson St, Suite F, Roanoke Rapids, NC 27870 Phone: 252-308-0744 Fax: 252-308-0092

Travis Antonio Shoulars, MS, MPA, LPCA, NCC - Medicare Counselor in Roanoke Rapids, NC