Rikki Oli Clos

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

RIKKI OLI CLOS

Doing business as

Gender Expansive Teletherapy, LLC

Practice address

2770 Arapahoe Rd Ste 132
Lafayette, CO 80026-8016

Phone

(720) 580-0393

NPI assigned

Mar 29, 2022

Organization subpart

No

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

Authorized official

Name

Rikki Oli Clos, LCSWNPI 1033762091

Title

Owner

Phone

(720) 580-0393

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 2

• Gender Expansive Teletherapy, LLC Doing business as
• Mattie Clos Former legal business name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rikki Clos, LCSW

  • Social Worker
  • Lafayette, CO
  • NPI 1033762091

  Adult Mental Health

  NPD Authorized official

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

{
    "created_epoch": "1648512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663891200000",
    "number": "1629718762",
    "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": {
        "organization_name": "RIKKI OLI CLOS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-29",
        "last_updated": "2022-09-23",
        "certification_date": "2022-09-20",
        "status": "A",
        "authorized_official_last_name": "CLOS",
        "authorized_official_first_name": "RIKKI",
        "authorized_official_middle_name": "OLI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-580-0393",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000204562",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gender Expansive Teletherapy, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mattie Clos",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Mattie Clos",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Margaret Riedel, OTR/L
• Joan Elizabeth Rieger, MA, LPC
• Hannah Rifkin, MA, LPC
• Robert Henry Riggert, OD
• Jessica M Riggs, RDN
• Margo Rindfleisch
• Jennifer Nan Rindler, LCSW
• Amanda Leone Ripley, MS BCBA
• Emilia Ripoll, M.D.
• Anthony Nathan Riske, MFTC

• Adult Mental Health Clinic/Center in Lafayette, CO
• Providers in Lafayette, CO by specialty
• Adult Mental Health Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.