Organization Active NPI

Traveling Light Counseling Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Port Saint Lucie, FL
National Provider Identifier
1396100657
Registry record updated Nov 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
SW12224 Issued in FL
Legal business name
TRAVELING LIGHT COUNSELING INC
Practice address
1222 SE Port St Lucie Blvd
Port Saint Lucie, FL 34952-5364
Phone
(772) 361-8448
Fax
(844) 269-6480
NPI assigned
Dec 30, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2025

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

Authorized official

Name
Mrs. Yvette McDonald, LCSWNPI 1194083634
Title
LCSW/President
Phone
(772) 361-8448

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)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X SW12224 FL Primary

Addresses

Primary practice location

1222 SE Port St Lucie Blvd
Port Saint Lucie, FL 34952-5364

Mailing address

1222 SE Port St Lucie Blvd
Port Saint Lucie, FL 34952-5364
Phone (772) 361-8448

Other identifiers 1

IdentifierTypeStateIssuer
013286400MedicaidFL

Other names 1

  • Nourivida Wellness Doing business as

National Provider Directory

National Provider Directory

Locations

1222 SE Port St Lucie Blvd
Port Saint Lucie, FL 34952
Phone (772) 361-8448

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1451433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763683200000",
    "number": "1396100657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1222 SE PORT ST LUCIE BLVD",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349525364",
            "telephone_number": "772-361-8448",
            "fax_number": "844-269-6480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1222 SE PORT ST LUCIE BLVD",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349525364",
            "telephone_number": "772-361-8448",
            "fax_number": "844-269-6480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRAVELING LIGHT COUNSELING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-30",
        "last_updated": "2025-11-21",
        "certification_date": "2025-11-21",
        "status": "A",
        "authorized_official_last_name": "MCDONALD",
        "authorized_official_first_name": "YVETTE",
        "authorized_official_title_or_position": "LCSW/PRESIDENT",
        "authorized_official_telephone_number": "772-361-8448",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "FL",
            "license": "SW12224",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "013286400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nourivida Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Port Saint Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.