Organization Active NPI

The Traveling Therapist LLC

  • Mental Health Counselor
  • Cape Coral, FL
National Provider Identifier
1699244640
Registry record updated Feb 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
THE TRAVELING THERAPIST LLC
Practice address
303 NE 3Rd Ave Ste 7&8
Cape Coral, FL 33909-2538
Phone
(321) 246-7075
Fax
(800) 948-3094
NPI assigned
Nov 20, 2018
Last updated
Feb 13, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2025

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

Authorized official

Name
Yalily Smith, LCSWNPI 1124543962
Title
Owner
Phone
(239) 354-7227

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 Counselor 101YM0800X Primary

Addresses

Primary practice location

303 NE 3Rd Ave Ste 7&8
Cape Coral, FL 33909-2538

Mailing address

303 NE 3Rd Ave Ste 7&8
Cape Coral, FL 33909-2538
Phone (239) 354-7227

Other practice location 1

27499 Riverview Center Blvd Ste 260
Bonita Springs, FL 34134-4359
Phone (239) 354-7227

Other practice location 2

12670 New Brittany Blvd Ste 101
Fort Myers, FL 33907-3650
Phone (239) 354-7227

Other practice location 3

12670 New Brittany Blvd Ste 201
Fort Myers, FL 33907-3650
Phone (239) 354-7227

Other practice location 4

1777 Tamiami Trl Ste 411
Port Charlotte, FL 33948-1083
Phone (239) 354-7227

Other identifiers 1

IdentifierTypeStateIssuer
1124543962OtherFLINDIVIDUAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190408001121 FL Part B Supplier - Clinic/Group Practice 2769723402 Receives reassigned benefits from 15 practitioners
Practice locations: Bonita Springs, FL; Port Charlotte, FL; Cape Coral, FL; Fort Myers, FL

National Provider Directory

National Provider Directory

Locations

303 NE 3rd Ave
Ste 78
Cape Coral, FL 33909
Phone (239) 354-7187

12670 New Brittany Blvd
Ste 201
Fort Myers, FL 33907
Phone (239) 310-5396

15050 Elderberry Ln
Ste 610
Fort Myers, FL 33907
Phone (239) 354-7227

3441 Colonial Blvd
Ste 2
Fort Myers, FL 33966
Phone (239) 310-5396

3820 Colonial Blvd
Ste 102
Fort Myers, FL 33966
Phone (239) 208-9449

1777 Tamiami Trl
Ste 411
Port Charlotte, FL 33948
Phone (239) 354-7227

Practitioners & affiliated clinicians

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1542672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739404800000",
    "number": "1699244640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 NE 3RD AVE STE 7&8",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339092538",
            "telephone_number": "239-354-7227",
            "fax_number": "239-354-7234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 NE 3RD AVE STE 7&8",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339092538",
            "telephone_number": "321-246-7075",
            "fax_number": "800-948-3094"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27499 Riverview Center Blvd Ste 260",
            "address_purpose": "LOCATION",
            "city": "Bonita Springs",
            "state": "FL",
            "postal_code": "341344359",
            "country_code": "US",
            "telephone_number": "239-354-7227",
            "fax_number": "239-354-7234",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12670 New Brittany Blvd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339073650",
            "country_code": "US",
            "telephone_number": "239-354-7227",
            "fax_number": "239-354-7234",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12670 New Brittany Blvd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339073650",
            "country_code": "US",
            "telephone_number": "239-354-7227",
            "fax_number": "239-354-7234",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1777 Tamiami Trl Ste 411",
            "address_purpose": "LOCATION",
            "city": "Port Charlotte",
            "state": "FL",
            "postal_code": "339481083",
            "country_code": "US",
            "telephone_number": "239-354-7227",
            "fax_number": "239-354-7234",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THE TRAVELING THERAPIST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-20",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "YALILY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-354-7227",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL",
            "identifier": "1124543962",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.