Individual provider Active NPI

Jessica Shiflett, MS, NCE, LPC, LAC

  • Mental Health Counselor
  • Canon City, CO
National Provider Identifier
1619442068
Registry record updated Feb 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC.0017473 Issued in CO
Practice address
1335 Phay Ave
Canon City, CO 81212-2334
Phone
(719) 618-8797
NPI assigned
Oct 11, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X ADC.0002318 CO
Mental Health Counselor 101YM0800X LPC.0017473 CO Primary

Addresses

Primary practice location

1335 Phay Ave
Canon City, CO 81212-2334

Mailing address

1013 Madison St
Canon City, CO 81212-4154
Phone (719) 618-8797

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
Master of Science

State licenses

LicenseStateTypeSpecialty
ADC.0002318COMDAddiction (Substance Use Disorder) Counselor
LPC.0017473COMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling Hearts Mental Health Current Accepting new patients
Counseling Hearts, PLLC Mental Health Current Accepting new patients

Locations

1335 Phay Ave
Canon City, CO 81212
Phone (719) 269-1727

1335 Phay Ave
#1
Canon City, CO 81212

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": "1539216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771200000000",
    "number": "1619442068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1013 MADISON ST",
            "city": "CANON CITY",
            "state": "CO",
            "postal_code": "812124154",
            "telephone_number": "719-618-8797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1335 PHAY AVE",
            "city": "CANON CITY",
            "state": "CO",
            "postal_code": "812122334",
            "telephone_number": "719-618-8797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIFLETT",
        "first_name": "JESSICA",
        "credential": "MS, NCE, LPC, LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-11",
        "last_updated": "2026-02-16",
        "certification_date": "2026-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "ADC.0002318",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "LPC.0017473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canon City, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2026; 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.