MEDICARE: OLAKINO COUNSELING LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1417737388
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OLAKINO COUNSELING LLC

Provider Business Mailing Address
First Line	:	10684 CALISTA WAY
Second Line	:
City	:	FOUNTAIN
State	:	CO
Zip	:	80817-7266
Country	:	US
Telephone Number	:	405-812-9159
Fax Number	:	808-481-4850

Provider Business Practice Location Address
First Line	:	10684 CALISTA WAY
Second Line	:
City	:	FOUNTAIN
State	:	CO
Zip	:	80817-7266
Country	:	US
Telephone Number	:	808-646-3805
Fax Number	:	808-481-4850

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. NICOLE DIANE SHIFFLETT
Credential	:	LCSW
Telephone Number	:	405-812-9159

Provider Enumeration Date	:	09/29/2023
Last Update Date	:	05/16/2026

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Directions to “OLAKINO COUNSELING LLC ” Practice Location

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