Organization Active NPI

Bold Mind Therapy a Licensed Professional Clinical Counselor Co

  • Mental Health Counselor
  • Mountain View, CA
National Provider Identifier
1376497073
Registry record updated Feb 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
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

Updated by the provider on Feb 21, 2026

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

Authorized official

Name
Lisa Romero, LPCC, LPCNPI 1316284219
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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary
Health Service PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TH0100X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.