Bold Recovery, Inc. is a Addiction (Substance Use Disorder) Counselor (organization) practicing in Los Angeles, California. The National Provider Identifier (NPI) is #1912785163, which was assigned on September 19, 2023, and the registration record was last updated on September 19, 2023. The practitioner's main practice location is at 3407 W 6th St Ste 700, Los Angeles, CA 90020-2512; the contact telephone number is 2132639549. The primary taxonomy of Bold Recovery, Inc. is Addiction (Substance Use Disorder) Counselor (101YA0400X), with specialization in Addiction (Substance Use Disorder). The authorized official for Bold Recovery, Inc. is Alan Johnson (Program Director).
| NPI | 1912785163 |
| Entity Type | Organization |
| Organization Name | BOLD RECOVERY, INC. |
| Provider Name | BOLD RECOVERY, INC. |
| Practice Address |
3407 W 6th St Ste 700 Los Angeles CA 90020-2512 |
| Practice Telephone | 2132639549 |
| Mailing Address |
3407 W 6th St Ste 700 Los Angeles CA 90020-2512 |
| Mailing Telephone | 2132639549 |
| Certification Date | 2023-09-14 |
| Enumeration Date | 2023-09-19 |
| Last Update Date | 2023-09-19 |
| Is Organization Subpart | N |
| Official Name | ALAN JOHNSON |
| Official Title | PROGRAM DIRECTOR |
| Credential | LMFT |
| Telephone | 2133274209 |
| Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
|---|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | 193200000X MULTI-SPECIALTY GROUP | |||
| Y | 101YA0400X | Counselor | Addiction (Substance Use Disorder) | 193200000X MULTI-SPECIALTY GROUP | ||
| N | 101YM0800X | Counselor | Mental Health | 193200000X MULTI-SPECIALTY GROUP | ||
| N | 101YP2500X | Counselor | Professional | 193200000X MULTI-SPECIALTY GROUP | ||
| N | 104100000X | Social Worker | 193200000X MULTI-SPECIALTY GROUP | |||
| N | 1041C0700X | Social Worker | Clinical | 193200000X MULTI-SPECIALTY GROUP | ||
| N | 106H00000X | Marriage & Family Therapist | 193200000X MULTI-SPECIALTY GROUP | |||
| N | 171M00000X | Case Manager/Care Coordinator | 193200000X MULTI-SPECIALTY GROUP |
| Code | 101YA0400X |
| Taxonomy | Addiction (Substance Use Disorder) Counselor |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Grouping | Behavioral Health & Social Service Providers |
| Definition: Definition to come... |
| Code | 101Y00000X |
| Taxonomy | Counselor |
| Classification | Counselor |
| Grouping | Behavioral Health & Social Service Providers |
| Definition: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| Classification | Counselor |
| Specialization | Mental Health |
| Grouping | Behavioral Health & Social Service Providers |
| Definition: Definition to come... |
| Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| Classification | Counselor |
| Specialization | Professional |
| Grouping | Behavioral Health & Social Service Providers |
| Definition: Definition to come... |
| Code | 104100000X |
| Taxonomy | Social Worker |
| Classification | Social Worker |
| Grouping | Behavioral Health & Social Service Providers |
| Definition: A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| Classification | Social Worker |
| Specialization | Clinical |
| Grouping | Behavioral Health & Social Service Providers |
| Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| Code | 106H00000X |
| Taxonomy | Marriage & Family Therapist |
| Classification | Marriage & Family Therapist |
| Grouping | Behavioral Health & Social Service Providers |
| Definition: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| Code | 171M00000X |
| Taxonomy | Case Manager/Care Coordinator |
| Classification | Case Manager/Care Coordinator |
| Grouping | Other Service Providers |
| Definition: A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Safe & Sound Therapy LLC | 3 Hilltop Circle, Mechanicsburg, PA 17055 | Addiction (Substance Use Disorder) Counselor | 2025-03-08 |
| Ronald Albert Harris | 4281 Katella Ave Ste 211, Los Alamitos, CA 90720-6500 | Addiction (Substance Use Disorder) Counselor | 2025-03-07 |
| Theresa Perez | 9300 Santa Fe Springs Rd, Santa Fe Springs, CA 90670-2621 | Addiction (Substance Use Disorder) Counselor | 2025-03-07 |
| Berenice Banessa Zavala Tapia | 1320 W Pearl St, Anaheim, CA 92801-5941 | Addiction (Substance Use Disorder) Counselor | 2025-03-07 |
| Miguel Angel Rivera-Morales | 620 Ne 2nd St, Gresham, OR 97030-7514 | Addiction (Substance Use Disorder) Counselor | 2025-03-07 |
| Ricki S Soria | 525 N Gilbert St Spc 113, Anaheim, CA 92801-5029 | Addiction (Substance Use Disorder) Counselor | 2025-03-08 |
| Demetria Lalita Sheard | 319 S 17th St Ste 233, Omaha, NE 68102-2040 | Addiction (Substance Use Disorder) Counselor | 2025-03-07 |
| Beyond Expectation, LLC | 1820 E Warm Springs Rd Ste 140, Las Vegas, NV 89119-4593 | Addiction (Substance Use Disorder) Counselor | 2025-03-07 |
| Trailside Therapy & Wellness LLC | 661 Turnberry Ct, Grand Junction, CO 81504-6018 | Addiction (Substance Use Disorder) Counselor | 2025-03-08 |
| Max Wellness LLC | 2590 Welton St Apt 515, Denver, CO 80205-3773 | Addiction (Substance Use Disorder) Counselor | 2025-03-08 |
| Find all providers with the same taxonomy | |||
| Street Address |
3407 W 6TH ST STE 700 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90020-2512 |
| Country | US |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Edwina Antoinette Hunter | 550 S. Vermont Ave, 6th Floor, Los Angeles, CA 90020 | Community Health Worker | 2017-08-22 |
| Byung Wook Kim Dental Corporation | 431 S Western Ave, Los Angeles, CA 90020 | Dental Clinic/Center | 2024-01-22 |
| Jennifer Brizuela | 510 S. Vermont, Ave., 18th Floor, Los Angeles, CA 90020 | Clinical Social Worker | 2019-09-25 |
| Maria Evangelina Rivera | 550 S Vermont Ave 10th Floor, Los Angeles, CA 90020 | Clinical Social Worker | 2014-06-27 |
| Phillip C Ahn M.D, A Medical Corporation | 520 S Virgil Ave Ste 205, Los Angeles, CA 90020 | Neurology Physician | 2013-02-22 |
| Veronica Lopez | 3727 W 6th Street, Suite 402, Los Angeles, CA 90020 | Student in an Organized Health Care Education/Training Program | 2023-11-24 |
| Hee Seung Lee | 3727 W. 6th Street, Suite 507, Los Angeles, CA 90020 | Marriage & Family Therapist | 2016-03-01 |
| Willis Soo Kang · Soo Cha Kang | 431 South Western Avenue, Los Angeles, CA 90020 | Dentist | 2012-09-20 |
| Steven Sabbah | 550 S Vermont Ave Fl 10, Los Angeles, CA 90020 | Clinical Social Worker | 2014-05-21 |
| Yeongju Park | 520 S Virgil Ave, Suite 503, Los Angeles, CA 90020 | Acupuncturist | 2020-09-30 |
| Find all providers in the same zip code | |||
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Bold Primary LLC | 1401 Johnson Ferry Rd Ste 390b, Marietta, GA 30062-6495 | Family Medicine Physician | 2023-12-08 |
| Bold Steps Aba of Nc LLC | 160 Mine Lake Ct Ste 200, Raleigh, NC 27615-6417 | Behavioral Analyst | 2022-07-08 |
| Naomi Bold | 8785 Sw 165th Ave Ste 103, Miami, FL 33193-5827 | Behavior Technician | 2018-03-14 |
| Nomin Bold | 5323 Harry Hines Blvd, Dallas, TX 75390-7201 | Student in an Organized Health Care Education/Training Program | 2023-02-15 |
| Gary M Bold | 1080 Sw 1st Ave, Canby, OR 97013-3828 | Pharmacist | 2008-11-13 |
| Bold Steps Aba of Tx LLC | 1999 Bryan St Ste 900, Dallas, TX 75201-3140 | Behavioral Analyst | 2022-07-08 |
| Bold Counsel | 27 Visconti Ave, Waterbury, CT 06704-3833 | Clinical Social Worker | 2017-11-14 |
| Bold Steps Aba of Ga LLC | 289 S Culver St, Lawrenceville, GA 30046-4805 | Behavioral Analyst | 2022-06-14 |
| Bold Serenity Inc | 14834 Clayton Rd, Chesterfield, MO 63017-7882 | Physical Therapist | 2024-06-15 |
| Sherry Bold Dew | 30365 Summerside St, Murrieta, CA 92563-6807 | Clinical Social Worker | 2025-03-08 |
Do you have more infomration about Bold Recovery, Inc.? Please fill in the following form.
This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.
| Subject | Transparency and Disclosure |
| Jurisdiction | Federal |
| Data Provider | National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS) |
| Source | download.cms.gov |
The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid). Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008. This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information. |