BOLD HEALTH MEDICAL GROUP, A PROFESSIONAL CORPORATION
NPI 1245749688
Clinic/Center - Mental Health (Including Community Mental Health Center) in Encinitas, CA
About Bold Health Medical Group, A Professional Corporation NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BOLD HEALTH MEDICAL GROUP, A PROFESSIONAL CORPORATION (NPI 1245749688), doing business as Bold Health, is a healthcare organization registered as a mental health (including community mental health center) in Encinitas, California and active in the NPI registry since September 2017. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Encinitas, and lists Kathryn Papier Hirst, Chief Medical Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Names 2
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Bold Health Medical Group, A Professional Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
6Medicare enrollment records show 6 clinicians reassign Medicare billing to Bold Health Medical Group, A Professional Corporation, which bills Medicare for the services they deliver. Of these, 4 practice at this address. They are listed nearest first.
Clinicians, nearest first (6)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA 2
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 05D2137485
Bold Health Medical Group A Professional Corporation · Encinitas, CACertificate of Waiver 05D2320456
Bold Health Medical Group, East Office · Encinitas, CAFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Bold Health Medical Group, A Professional Corporation's NPI number?
The NPI number for Bold Health Medical Group, A Professional Corporation is 1245749688. It was assigned to this organization in the NPPES registry on September 28, 2017. The provider is doing business as Bold Health and Bold Health Medical Group.
Where is Bold Health Medical Group, A Professional Corporation located?
Bold Health Medical Group, A Professional Corporation is located at 561 Saxony Pl Ste 101, Encinitas, CA 92024. The listed phone number is (760) 503-5703.
What is Bold Health Medical Group, A Professional Corporation's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.
Is Bold Health Medical Group, A Professional Corporation enrolled in Medicare?
Yes. Bold Health Medical Group, A Professional Corporation is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Bold Health Medical Group, A Professional Corporation?
According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 3 Medicare specialties reassign their Medicare billing to Bold Health Medical Group, A Professional Corporation. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Psychiatry (3), Nurse Practitioner (2) and Marriage and Family Therapist (1). Of these, 4 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Bold Health Medical Group, A Professional Corporation hold CLIA laboratory certificates?
Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
When was this NPI record last updated?
The NPPES record for Bold Health Medical Group, A Professional Corporation was last updated on March 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Bold Health Medical Group, A Professional Corporation · NPI 1245749688
Mental Health (Including Community Mental Health Center) organization in Encinitas, California. Organization record, active in the CMS NPPES registry since September 28, 2017.
## Identity
- **NPI:** 1245749688 (Entity type: Organization)
- **Enumerated:** September 28, 2017
- **Primary specialty:** Clinic/Center - Mental Health (Including Community Mental Health Center) · taxonomy 261QM0801X
- **Also known as:** Bold Health (Doing Business As); Bold Health Medical Group (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Kathryn Hirst, CHIEF MEDICAL OFFICER
## Practice location
- **Address:** 561 SAXONY PL STE 101, Encinitas, CA 92024-7700
- **Phone:** (760) 503-5703
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 6 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Psychiatry (3), Nurse Practitioner (2), Marriage and Family Therapist (1); 4 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 19, 2025
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1245749688) · Data from the CMS NPPES public registry.