Your Service Animal LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

YOUR SERVICE ANIMAL LLC

Practice address

1095 Sugarview Dr Ste 100
Sheridan, WY 82801-5386

Phone

(307) 429-4563

NPI assigned

Feb 5, 2025

Organization subpart

No

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

Authorized official

Name

Mr. Nicholas Harper Jordan

Title

Founder

Phone

(206) 414-8461

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1738713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738713600000",
    "number": "1750195178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1095 SUGARVIEW DR STE 100",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828015386",
            "telephone_number": "307-429-4563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1095 SUGARVIEW DR STE 100",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828015386",
            "telephone_number": "307-429-4563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR SERVICE ANIMAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-05",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "HARPER",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "206-414-8461",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James William Wyssmann, PHD
• Victor P Yapuncich, M.D.
• Chelsey Yellowtail, FNP-C
• Elizabeth Dell Young
• Fern Renee Young
• Sherri Zdziarski, RN
• Jeremy Paul Zebroski, M.D.
• Zeigler Investment Group, LLC
• Gabriel Timothy Zeigler, DC
• Zachary Zemore, M.D.

• Mental Health Clinic/Center (Including Community Mental Health Center) in Sheridan, WY
• Providers in Sheridan, WY by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2025; 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.