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: July 19, 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, maintains a secondary practice location in Walnut, 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
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 · ProfessionalTaxonomy 101YP2500X · License 10654 (CA), 19190 (CA)
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
1011 PACIFIC ST STE 200, San Luis Obispo, CA 93401

Secondary Practice Location 1

Location 1340 S Lemon Ave Ste 9892Walnut, CA 91789-2706 · Phone (805) 329-8051

Medicare Participation & PECOS Enrollment Status

Jenna Mortensen is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Jenna Mortensen is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 7113418211

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20251117003308

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: No

Reviews for MS. JENNA MORTENSEN

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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Psychologist (Clinical)
1011 PACIFIC ST STE 200
SAN LUIS OBISPO, CA 93401
Counselor (Addiction (Substance Use Disorder))
1011 PACIFIC ST STE 200
SAN LUIS OBISPO, CA 93401

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1861865297, enumerated as an "individual" on November 06, 2015.

The provider is located at 1011 PACIFIC ST STE 200 SAN LUIS OBISPO, CA 93401 and the phone number is (805) 329-8051.

Counselor with taxonomy code 101YM0800X and a focus in Mental Health.