LGBTQ TELEPSYCHIATRY
NPI 1336722859
Nurse Practitioner - Psychiatric/Mental Health in Sheridan, WY

Active since May 03, 2021
1309 COFFEEN AVE STE 1200, SHERIDAN, WY 82801(888) 985-4287 Get Directions Write a Review

NPPES record last updated: July 29, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 29, 2026, May 3, 2021 (2 updates tracked since 2021).

About Lgbtq Telepsychiatry NPPES

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

LGBTQ TELEPSYCHIATRY (NPI 1336722859) is a healthcare organization registered as a psychiatric/mental health in Sheridan, Wyoming and active in the NPI registry since May 2021. The organization lists Jonathan Shaw, Owner, as its authorized official.

NPPES Registry Identity

NPI1336722859
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameLGBTQ TELEPSYCHIATRY
Location Address1309 COFFEEN AVE STE 1200Sheridan, WY 82801-5777
Mailing Address1309 Coffeen Ave Ste 1200Sheridan, WY 82801-5777 · (888) 985-4287
Organization SubpartNo
Authorized OfficialJonathan ShawOwner · (888) 985-4287
Enumeration DateMay 3, 2021
Last NPPES UpdateJuly 29, 20262 updates tracked since enumeration
NPPES CertifiedJuly 29, 2026
✔ NPI 1336722859 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
1309 COFFEEN AVE STE 1200, Sheridan, WY 82801

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

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lgbtq Telepsychiatry is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

47

Medicare enrollment records show 47 clinicians reassign Medicare billing to Lgbtq Telepsychiatry, which bills Medicare for the services they deliver. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 4

Nurse Practitioner31
Clinical Social Worker7
Mental Health Counselor7
Clinical Psychologist2

Nearest to this location (20)

See all 47
Clinical Social Worker
NPI 1093024622
5092 THURSTON ST
Chubbock, ID 83202
(208) 339-4728
✔ PECOS✔ Accepts Medicare306 mi
Mental Health Counselor
NPI 1518352384
12055 W 2ND PL
Lakewood, CO 80228
(303) 425-0300
✔ PECOS362 mi
Nurse Practitioner
NPI 1275466401
2855 NEWPORT ST
Denver, CO 80207
(904) 673-2928
✔ PECOS362 mi
Mental Health Counselor
NPI 1346712577
150 E 700 S
Salt Lake City, UT 84111
(801) 574-1073
✔ PECOS379 mi
Nurse Practitioner
NPI 1700417631
707 N PEARL ST
Ellensburg, WA 98926
(509) 925-9861
✔ PECOS✔ Accepts Medicare673 mi
Nurse Practitioner
NPI 1235874462
1011 SW EMKAY DR STE 101
Bend, OR 97702
(541) 941-5644
✔ PECOS✔ Accepts Medicare713 mi
Nurse Practitioner
NPI 1366024119
2810 W CHARLESTON BLVD STE 77
Las Vegas, NV 89102
(702) 445-6233
✔ PECOS✔ Accepts Medicare736 mi
Nurse Practitioner
NPI 1285233627
5512 NE 109TH CT STE I
Vancouver, WA 98662
(360) 200-5273
✔ PECOS✔ Accepts Medicare763 mi
Nurse Practitioner
NPI 1235503277
3325 SE HAWTHORNE BLVD
Portland, OR 97214
(503) 684-8252
✔ PECOS✔ Accepts Medicare767 mi
Mental Health Counselor
NPI 1225429723
310 CHARLOTTE ST. NE
Albany, OR 97322
(541) 429-0542
✔ PECOS✔ Accepts Medicare791 mi
Clinical Psychologist
NPI 1720072044
1 SERENITY LN
Coburg, OR 97408
(541) 687-1110
✔ PECOS✔ Accepts Medicare797 mi
Clinical Social Worker
NPI 1306702840
1755 COBURG RD UNIT 301
Eugene, OR 97401
(888) 468-9669
✔ PECOS✔ Accepts Medicare798 mi
Clinical Social Worker
NPI 1366827859
1776 MILLRACE DR STE 202
Eugene, OR 97403
(541) 940-8804
✔ PECOS✔ Accepts Medicare798 mi
Mental Health Counselor
NPI 1508680943
1776 MILLRACE DR STE 202
Eugene, OR 97403
(541) 861-7956
✔ PECOS798 mi
Mental Health Counselor
NPI 1063506731
2411 MARTIN LUTHER KING JR BLVD
Eugene, OR 97401
(541) 682-3608
✔ PECOS✔ Accepts Medicare798 mi
Clinical Psychologist
NPI 1649381872
1661 HIGH ST
Eugene, OR 97401
(541) 343-3433
✔ PECOS799 mi
Mental Health Counselor
NPI 1780132316
4455 NE HIGHWAY 20
Corvallis, OR 97330
(541) 758-5900
✔ PECOS✔ Accepts Medicare800 mi
Clinical Social Worker
NPI 1083929566
328 APPLESTILLE RD
El Centro, CA 92243
(442) 265-2254
✔ PECOS951 mi
Clinical Social Worker
NPI 1023858768
6166 VESPER AVE
Van Nuys, CA 91411
(818) 448-9082
✔ PECOS954 mi
Clinical Social Worker
NPI 1366097214
2285 BENDEN DR
Wooster, OH 44691
(330) 264-9029
✔ PECOS✔ Accepts Medicare1,296 mi
See all 47 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Lgbtq Telepsychiatry's NPI number?

The NPI number for Lgbtq Telepsychiatry is 1336722859. It was assigned to this organization in the NPPES registry on May 3, 2021.

Where is Lgbtq Telepsychiatry located?

Lgbtq Telepsychiatry is located at 1309 Coffeen Ave Ste 1200, Sheridan, WY 82801. The listed phone number is (888) 985-4287.

What is Lgbtq Telepsychiatry's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Lgbtq Telepsychiatry enrolled in Medicare?

Yes. Lgbtq Telepsychiatry is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lgbtq Telepsychiatry?

According to the CMS Revalidation Reassignment List (October 2026 release), 47 clinicians in 4 Medicare specialties reassign their Medicare billing to Lgbtq Telepsychiatry. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (31), Clinical Social Worker (7) and Mental Health Counselor (7). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Lgbtq Telepsychiatry accept?

Health plans from Moda Health Plan, Inc. list Lgbtq Telepsychiatry as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lgbtq Telepsychiatry was last updated on July 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.