Individual provider Active NPI

Latoya Chevelle Waddell, LCMHCS, LCAS, CCS

  • Professional Counselor
  • Greensboro, NC
National Provider Identifier
1679817597
Registry record updated Oct 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
9186 Issued in NC
Practice address
4377 Baylor St
Greensboro, NC 27455-2557
Phone
(336) 264-5141
NPI assigned
Nov 15, 2012
Last updated
Oct 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 20, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 572820 NC
Addiction (Substance Use Disorder) Counselor 101YA0400X 3429 NC
Mental Health Counselor 101YM0800X 9186 NC
Professional Counselor 101YP2500X 9186 NC Primary

Addresses

Primary practice location

4377 Baylor St
Greensboro, NC 27455-2557

Mailing address

4377 Baylor St
Greensboro, NC 27455-2557
Phone (336) 264-5141

Other practice location 1

301 S Elm St Ste 426
Greensboro, NC 27401-2675
Phone (336) 383-6498

Other names 1

  • Ms. Latoya Chevelle Smith Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address getinform@inspired2bupllc.com Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
572820NCMDCounselor
9186NCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Inspired 2 B U PLLC Addiction (Substance Use Disorder) CurrentSince Nov 24, 2025 Accepting new patients
Good Family Services Inc PastSince Mar 20, 2025 Accepting new patients
Presbyterian Counseling Center of Greensboro, Inc Mental Health Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760918400000",
    "number": "1679817597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4377 BAYLOR ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274552557",
            "telephone_number": "336-264-5141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4377 BAYLOR ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274552557",
            "telephone_number": "336-264-5141"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 S Elm St Ste 426",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274012675",
            "country_code": "US",
            "telephone_number": "336-383-6498",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WADDELL",
        "first_name": "LATOYA",
        "middle_name": "CHEVELLE",
        "name_prefix": "Dr.",
        "credential": "LCMHCS, LCAS, CCS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-15",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NC",
            "license": "572820",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "3429",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "9186",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "9186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "getinform@inspired2bupllc.com",
            "affiliation": "N",
            "endpointDescription": "HIPAA-compliant Google Workspace business email used for secure communication and exchange of patient information with authorized healthcare providers.",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "General Purpose",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "secure email exchange",
            "address_1": "4377 Baylor St",
            "city": "Greensboro",
            "state": "NC",
            "country_code": "US",
            "postal_code": "274552557",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "LATOYA",
            "last_name": "SMITH",
            "middle_name": "CHEVELLE",
            "prefix": "MS.",
            "credential": "MS, LPC, LCAS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2025; 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.