Active NPI
Bold Mind Therapy a Licensed Professional Clinical Counselor Co
- Mental Health Counselor
- Mountain View, CA
National Provider Identifier
1376497073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- BOLD MIND THERAPY A LICENSED PROFESSIONAL CLINICAL COUNSELOR CO
- Practice address
- 809 Cuesta Dr # B3320
Mountain View, CA 94040-3667 - Phone
- (650) 316-0328
- NPI assigned
- Feb 21, 2026
- 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
- Lisa Romero, LPCC, LPC
- Title
- Psychotherapist, Owner
- Phone
- (650) 316-0328
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary | ||
| Health Service Psychologist | 103TH0100X | |||
| Clinical Social Worker | 1041C0700X |
Addresses
Primary practice location
809 Cuesta Dr # B3320
Mountain View, CA 94040-3667
Mailing address
809 Cuesta Dr # B3320
Mountain View, CA 94040-3667
Phone (650) 316-0328
National Provider Directory
National Provider DirectoryLocations
809 Cuesta Dr
#B3320
Mountain View, CA 94040
Phone (650) 316-0328
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": "1771632000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1771632000000",
"number": "1376497073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "809 CUESTA DR # B3320",
"city": "MOUNTAIN VIEW",
"state": "CA",
"postal_code": "940403667",
"telephone_number": "650-316-0328"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "809 CUESTA DR # B3320",
"city": "MOUNTAIN VIEW",
"state": "CA",
"postal_code": "940403667",
"telephone_number": "650-316-0328"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BOLD MIND THERAPY A LICENSED PROFESSIONAL CLINICAL COUNSELOR CO",
"organizational_subpart": "NO",
"enumeration_date": "2026-02-21",
"last_updated": "2026-02-21",
"certification_date": "2026-02-21",
"status": "A",
"authorized_official_last_name": "ROMERO",
"authorized_official_first_name": "LISA",
"authorized_official_title_or_position": "PSYCHOTHERAPIST, OWNER",
"authorized_official_telephone_number": "650-316-0328",
"authorized_official_credential": "LPCC, LPC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "103TH0100X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Health Service",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mountain View, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.