Individual provider Active NPI

Gilda Olivia Rios, PH.D.

  • Counseling Psychologist
  • Longmont, CO
National Provider Identifier
1639528102
Registry record updated Jul 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
0004948 Issued in CO
Practice address
1716 Main St Unit a-300
Longmont, CO 80501-7411
Phone
(720) 780-9253
NPI assigned
Jun 6, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 19, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Counseling Psychologist 103TC1900X 0004948 CO Primary

Addresses

Primary practice location

1716 Main St Unit a-300
Longmont, CO 80501-7411

Mailing address

1716 Main St Unit a-300
Longmont, CO 80501-7411
Phone (720) 780-9253

Other identifiers 1

IdentifierTypeStateIssuer
1639528102OtherCOUNIVERSITY COUNSELING CENTER

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL olivia@rcw.sprucecare.com

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
0004948COMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1465171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626652800000",
    "number": "1639528102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1716 MAIN ST UNIT A-300",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805017411",
            "telephone_number": "720-780-9253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1716 MAIN ST UNIT A-300",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805017411",
            "telephone_number": "720-780-9253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIOS",
        "first_name": "GILDA",
        "middle_name": "OLIVIA",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-06",
        "last_updated": "2021-07-19",
        "certification_date": "2021-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "CO",
            "license": "0004948",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERSITY COUNSELING CENTER",
            "identifier": "1639528102",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "olivia@rcw.sprucecare.com",
            "affiliation": "N",
            "endpointDescription": "HIPAA compliant email",
            "address_1": "1716 Main St Unit A-300",
            "city": "Longmont",
            "state": "CO",
            "country_code": "US",
            "postal_code": "805017411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Longmont, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2021; 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.