Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

JACOB MORTENSEN
NPI 1366352056
Psychologist - School in Oregon, OH

Active since September 08, 2026
5721 SEAMAN RD, OREGON, OH 43616(419) 693-0661 Get Directions Write a Review

NPPES record added: September 8, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Jacob Mortensen NPPES

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

JACOB MORTENSEN (NPI 1366352056) is an individual school provider in Oregon, Ohio, licensed in Ohio (LSP.01225) and active in the NPI registry since September 2026. He maintains 3 additional practice locations.

NPPES Registry Identity

NPI1366352056
Entity TypeIndividualMale
Primary Taxonomy103TS0200X
Provider Legal NameJACOB MORTENSEN
Location Address5721 SEAMAN RDOregon, OH 43616-2631
Mailing Address5721 Seaman RdOregon, OH 43616-2631 · (419) 693-0661
Sole ProprietorNo
Enumeration DateSeptember 8, 2026
NPPES CertifiedSeptember 8, 2026
NPI 1366352056 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · SchoolBehavioral Health & Social Service Providers
Taxonomy Code103TS0200X
License Licensed in OH · LSP.01225
Definition
A psychologist whose specialty is concerned with the science and practice of psychology with children, youth, families; learners of all ages; and the schooling process. The basic education and training of school psychologists prepares them to provide a range of psychological diagnosis, assessment, intervention, prevention, health promotion, and program development and evaluation services with a special focus on the developmental processes of children and youth within the context of schools, families and other systems. School psychologists are prepared to intervene at the individual and system level, and develop, implement, and evaluate preventive programs. In these efforts, they conduct ecologically valid assessments and intervene to promote positive learning environments within which children and youth from diverse backgrounds to ensure that all have equal access to effective educational and psychological services that promote healthy development
5721 SEAMAN RD, Oregon, OH 43616

Secondary Practice Locations 3

Location 1535 S Yondota RdCurtice, OH 43412-9487 · Phone (419) 836-6111
Location 25224 Bay Shore RdOregon, OH 43616-4404 · Phone (419) 698-8003
Location 3331 S North Curtice RdOregon, OH 43616-5897 · Phone (419) 836-8498

Other Providers at the Same Location NPPES 2

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

Local Education Agency (LEA)
5721 SEAMAN RD
OREGON, OH 43616
Psychologist (School)
5721 SEAMAN RD
OREGON, OH 43616

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 Jacob Mortensen's NPI number?

The NPI number for Jacob Mortensen is 1366352056. It was assigned to this individual provider in the NPPES registry on September 8, 2026.

Where is Jacob Mortensen located?

Jacob Mortensen practices at 5721 Seaman Rd, Oregon, OH 43616. The listed phone number is (419) 693-0661.

What is Jacob Mortensen's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in School, with taxonomy code 103TS0200X.

When was this NPI record last updated?

The NPPES record for Jacob Mortensen was last updated on September 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.