Individual provider Active NPI

Rikki Clos, LCSW

  • Social Worker
  • Lafayette, CO
National Provider Identifier
1033762091
Registry record updated Sep 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
2770 Arapahoe Rd Ste 132
Lafayette, CO 80026-8016
Phone
(720) 580-0393
NPI assigned
Jul 18, 2019
Reactivated
Jul 11, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X CSW.09927791 CO
Social Worker 104100000X Primary

Addresses

Primary practice location

2770 Arapahoe Rd Ste 132
Lafayette, CO 80026-8016

Mailing address

2770 Arapahoe Road
Ste 132 - Mailbox 700
Lafayette, CO 80026-8016
Phone (720) 580-0393

Other identifiers 1

IdentifierTypeStateIssuer
1629718762MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CSW.09927791COMDAdult Mental Health Clinic/Center

Practice roles

OrganizationSpecialtyStatusNew patients
Rikki Oli Clos Adult Mental Health Current Accepting new patients
Coalition for Queer Joy, LLC Adult Mental Health Current Accepting new patients

Locations

2919 Valmont Rd
Ste 104
Boulder, CO 80301
Phone (303) 442-2126

2770 Arapahoe Rd
Ste 132
Lafayette, CO 80026
Phone (720) 580-0393

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1563408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664064000000",
    "number": "1033762091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2770 ARAPAHOE ROAD",
            "address_2": "STE 132 - MAILBOX 700",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800268016",
            "telephone_number": "720-580-0393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2770 ARAPAHOE RD STE 132",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800268016",
            "telephone_number": "720-580-0393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLOS",
        "first_name": "RIKKI",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-18",
        "last_updated": "2022-09-25",
        "certification_date": "2022-09-25",
        "deactivation_date": "2022-03-29",
        "reactivation_date": "2022-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "CO",
            "license": "CSW.09927791",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1629718762",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2022; 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.