Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

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: August 02, 2026.

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, 2026
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

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Hearing and Speech)
1309 COFFEEN AVE STE 1200
SHERIDAN, WY 82801
Nurse Practitioner (Psychiatric/Mental Health)
1309 COFFEEN AVE STE 1200
SHERIDAN, WY 82801
Nurse Practitioner (Psychiatric/Mental Health)
1309 COFFEEN AVE STE 1200
SHERIDAN, WY 82801
Durable Medical Equipment & Medical Supplies (Customized Equipment)
1309 COFFEEN AVE STE 1200
SHERIDAN, WY 82801
Clinic/Center (Mental Health (Including Community Mental Health Center))
1309 COFFEEN AVE STE 1200
SHERIDAN, WY 82801
Nurse Practitioner (Psychiatric/Mental Health)
1309 COFFEEN AVE STE 1200
SHERIDAN, WY 82801
Durable Medical Equipment & Medical Supplies
1309 COFFEEN AVE STE 1200
SHERIDAN, WY 82801
Nurse Practitioner (Adult Health)
1309 COFFEEN AVE STE 1200
SHERIDAN, WY 82801

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.

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 12 days 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.