TRAVIS ANTONIO SHOULARS MS, MPA, LPCA, NCC
NPI 1528555398
Counselor - Mental Health in Roanoke Rapids, NC

Active since April 17, 2018PECOS EnrolledAccepts Medicare Assignment
608 JACKSON ST STE 215, ROANOKE RAPIDS, NC 27870(252) 676-2656(252) 541-3111 Get Directions Write a Review

NPPES record last updated: March 5, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 5, 2026, Apr 17, 2018 (2 updates tracked since 2018).

About Travis Antonio Shoulars Ms, Mpa, Lpca, Ncc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TRAVIS ANTONIO SHOULARS MS, MPA, LPCA, NCC (NPI 1528555398) is an individual mental health provider in Roanoke Rapids, North Carolina, licensed in North Carolina (13915) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1528555398
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameTRAVIS ANTONIO SHOULARSCredential: MS, MPA, LPCA, NCC
Location Address608 JACKSON ST STE 215Roanoke Rapids, NC 27870-2600
Mailing Address46 Camden CtRoanoke Rapids, NC 27870-9077 · (252) 676-2656 · Fax (252) 541-3111
Fax(252) 541-3111
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateApril 17, 2018
Last NPPES UpdateMarch 5, 20262 updates tracked since enumeration
NPPES CertifiedMarch 5, 2026
NPI 1528555398 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in NC · 13915
608 JACKSON ST STE 215, Roanoke Rapids, NC 27870

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Travis Antonio Shoulars Ms, Mpa, Lpca, Ncc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6103262746
PECOS Enrollment IDI20240306001625
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
608 JACKSON ST STE 215
ROANOKE RAPIDS, NC 27870

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Travis Shoulars's NPI number?

The NPI number for Travis Shoulars is 1528555398. It was assigned to this individual provider in the NPPES registry on April 17, 2018.

Where is Travis Shoulars located?

Travis Shoulars practices at 608 Jackson St Ste 215, Roanoke Rapids, NC 27870. The listed phone number is (252) 676-2656.

What is Travis Shoulars's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Travis Shoulars enrolled in Medicare?

Yes. Travis Shoulars is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Travis Shoulars accept?

Health plans from Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc and UnitedHealthcare list Travis Shoulars as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Travis Shoulars was last updated on March 5, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.