Organization Active NPI

Living Well Counseling and Consulting LLC

  • Mental Health Counselor
  • Cape Coral, FL
National Provider Identifier
1891537668
Registry record updated Jun 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
LIVING WELL COUNSELING AND CONSULTING LLC
Practice address
618 SW 3Rd St Ste 110
Cape Coral, FL 33991-1995
Phone
(239) 940-7025
NPI assigned
Jun 11, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2026

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

Authorized official

Name
Vicki Lynne Bonham, LMHCNPI 1881316776
Title
Director
Phone
(239) 940-7025

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 CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

618 SW 3Rd St Ste 110
Cape Coral, FL 33991-1995

Mailing address

618 SW 3Rd St Ste 110
Cape Coral, FL 33991-1995
Phone (239) 940-7025

Other names 1

  • Living Well Counseling and Consulting Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240829002800 FL Part B Supplier - Clinic/Group Practice 0547709966 Receives reassigned benefits from 3 practitioners
Practice locations: Fort Myers, FL

National Provider Directory

National Provider Directory

Locations

618 SW 3rd St
Ste 110
Cape Coral, FL 33991
Phone (239) 940-7025

Practitioners & affiliated clinicians

Practitioners 4

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": "1718064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781568000000",
    "number": "1891537668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "618 SW 3RD ST STE 110",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339911995",
            "telephone_number": "239-940-7025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 SW 3RD ST STE 110",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339911995",
            "telephone_number": "239-940-7025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING WELL COUNSELING AND CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-11",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A",
        "authorized_official_last_name": "BONHAM",
        "authorized_official_first_name": "VICKI",
        "authorized_official_middle_name": "LYNNE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "239-940-7025",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Living Well Counseling and Consulting",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Living Well Counseling and Consulting",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Jun 16, 2026; 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.