1. Home
  2. Directory
  3. Wyoming
  4. Sheridan
  5. Counselor
  6. NPI Profile

PROUD MENTAL HEALTH LLC
NPI 1093661241
Counselor - Mental Health in Sheridan, WY

Active since March 09, 2026
1309 COFFEEN AVE # 19118, SHERIDAN, WY 82801(657) 229-5479 Get Directions Write a Review

NPPES record last updated: March 9, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Proud Mental Health Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROUD MENTAL HEALTH LLC (NPI 1093661241) is a healthcare organization registered as a mental health in Sheridan, Wyoming and active in the NPI registry since March 2026. The organization lists Jonathan Wayne Shaw, Owner/ceo, as its authorized official.

NPPES Registry Identity

NPI1093661241
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NamePROUD MENTAL HEALTH LLC
Location Address1309 COFFEEN AVE # 19118Sheridan, WY 82801-5777
Mailing Address1309 Coffeen Ave # 19118Sheridan, WY 82801-5777
Phone(657) 229-5479
Organization SubpartNo
Authorized OfficialJonathan Wayne ShawOwner/ceo · (657) 229-5479
Enumeration DateMarch 9, 2026
NPPES CertifiedMarch 9, 2026
✔ NPI 1093661241 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedPsychologistTaxonomy 103T00000X
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X
1309 COFFEEN AVE # 19118, Sheridan, WY 82801
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Proud Mental Health LLC's NPI number?

The NPI number for Proud Mental Health LLC is 1093661241. It was assigned to this organization in the NPPES registry on March 9, 2026.

Where is Proud Mental Health LLC located?

Proud Mental Health LLC is located at 1309 Coffeen Ave # 19118, Sheridan, WY 82801. The listed phone number is (657) 229-5479.

What is Proud Mental Health LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Proud Mental Health LLC was last updated on March 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.