Healthcare Provider Details

I. General information

NPI: 1265397327
Provider Name (Legal Business Name): JOEL SPLETZER RICKLEFS LPCC.020506
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/22/2025
Last Update Date: 12/22/2025
Certification Date: 12/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1650 38TH ST STE 100E
BOULDER CO
80301-2624
US

IV. Provider business mailing address

1650 38TH ST STE 100E
BOULDER CO
80301-2624
US

V. Phone/Fax

Practice location:
  • Phone: 720-468-7997
  • Fax:
Mailing address:
  • Phone: 720-663-7210
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLPCC.0020506
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: