Active NPI
Traveling Light Counseling Inc
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Port Saint Lucie, FL
National Provider Identifier
1396100657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- License
- SW12224
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Yvette McDonald, LCSW
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 013286400 | Medicaid | FL |
Other names 1
- Nourivida Wellness
National Provider Directory
National Provider DirectoryLocations
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.
-
- Clinical Social Worker
- Port Saint Lucie, FL
- NPI 1194083634
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.