Nicole Diane Shifflett, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

5169 Issued in HI

Practice address

10684 Calista Way
Fountain, CO 80817-7266

Phone

(405) 812-9159

Fax

(808) 481-4850

NPI assigned

Jan 13, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Nicole Diane Farquhar Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Olakino Counseling LLC

  • Mental Health Counselor
  • Fountain, CO
  • NPI 1417737388
  NPD Authorized official

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

{
    "created_epoch": "1642032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776211200000",
    "number": "1710638416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10684 CALISTA WAY",
            "city": "FOUNTAIN",
            "state": "CO",
            "postal_code": "808177266",
            "telephone_number": "405-812-9159",
            "fax_number": "808-481-4850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10684 CALISTA WAY",
            "city": "FOUNTAIN",
            "state": "CO",
            "postal_code": "808177266",
            "telephone_number": "405-812-9159",
            "fax_number": "808-481-4850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIFFLETT",
        "first_name": "NICOLE",
        "middle_name": "DIANE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-13",
        "last_updated": "2026-04-15",
        "certification_date": "2026-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "HI",
            "license": "5169",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09930877",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "HI",
            "license": "2994",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "FARQUHAR",
            "middle_name": "DIANE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Select Physical Therapy Holdings Inc
• Vanessa Shannon-Farmer, RN
• Brandon Kyle Sheehan, DPT
• Mykah Jomarie Sheppard
• Carolina Shifflett
• Kimberly Raeanne Shinn, FNP-BC
• Shiva Enterprises LLC
• Joel Don Siebersma, MA, LPC.
• Fabian Sigala Orozco, LSW, ACSW, SWC
• Hailey Marie Silva

• Clinical Social Worker in Fountain, CO
• Providers in Fountain, CO by specialty
• Clinical Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.