Individual provider Active NPI

Byangelia Wall, CADC-R

  • Counselor
  • Winston Salem, NC
National Provider Identifier
1881519593
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
5755 Shattalon Dr
Winston Salem, NC 27105-1332
Phone
(336) 784-9470
NPI assigned
Aug 11, 2026
Last updated
Aug 11, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NU Primary

Addresses

Primary practice location

5755 Shattalon Dr
Winston Salem, NC 27105-1332

Mailing address

223 Whitford Place CT # 223
Winston Salem, NC 27107-6966
Phone (336) 784-9470

Other practice location 1

437 Main St E
Yanceyville, NC 27379-9644
Phone (336) 459-1750

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

NPI Registry JSON

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

{
    "created_epoch": "1786406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786406400000",
    "number": "1881519593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 WHITFORD PLACE CT # 223",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271076966",
            "telephone_number": "336-784-9470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5755 SHATTALON DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271051332",
            "telephone_number": "336-784-9470"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "437 Main St E",
            "address_purpose": "LOCATION",
            "city": "Yanceyville",
            "state": "NC",
            "postal_code": "273799644",
            "country_code": "US",
            "telephone_number": "336-459-1750",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALL",
        "first_name": "BYANGELIA",
        "credential": "CADC-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-08-11",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2026; 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.