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MS. JENNA MORTENSEN
NPI 1861865297
Counselor - Mental Health in San Luis Obispo, CA

Active since November 06, 2015PECOS EnrolledAccepts Medicare Assignment
1011 PACIFIC ST STE 200, SAN LUIS OBISPO, CA 93401(805) 329-8051 Get Directions Write a Review

NPPES record last updated: June 27, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 27, 2025, Jun 5, 2025, Dec 11, 2024 and 2 more (5 updates tracked since 2022).

About Ms. Jenna Mortensen NPPES

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

MS. JENNA MORTENSEN (NPI 1861865297) is an individual mental health provider in San Luis Obispo, California, licensed in California (19190) and active in the NPI registry since November 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1861865297
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. JENNA MORTENSEN
Location Address1011 PACIFIC ST STE 200San Luis Obispo, CA 93401-3600
Mailing Address320 15th Ave W Apt 309Eveleth, MN 55734-1144 · (805) 329-8051
Phone(805) 329-8051
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateNovember 6, 2015
Last NPPES UpdateJune 27, 20255 updates tracked since enumeration
NPPES CertifiedJune 27, 2025
✔ NPI 1861865297 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in CA · 19190
Also ListedCounselorTaxonomy 101Y00000X · License 10654 (CA)
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 10654 (CA), 19190 (CA)
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
1011 PACIFIC ST STE 200, San Luis Obispo, CA 93401
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Jenna Mortensen is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7113418211
PECOS Enrollment IDI20251117003308
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

DANIELLE MARTIN-JENSEN SUDRC
Counselor (Addiction (Substance Use Disorder))
1011 PACIFIC ST STE 200
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (408) 641-0387
DR. JUSTIN ROBERT CHERNOW PH.D.
Psychologist (Clinical)
1011 PACIFIC ST STE 200
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 835-7441

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 Jenna Mortensen's NPI number?

The NPI number for Jenna Mortensen is 1861865297. It was assigned to this individual provider in the NPPES registry on November 6, 2015.

Where is Jenna Mortensen located?

Jenna Mortensen practices at 1011 Pacific St Ste 200, San Luis Obispo, CA 93401. The listed phone number is (805) 329-8051.

What is Jenna Mortensen's specialty?

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

Is Jenna Mortensen enrolled in Medicare?

Yes. Jenna Mortensen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jenna Mortensen was last updated on June 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.