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MITCHEL JAMES MORTENSON AAC
NPI 1962170910
Peer Specialist in Long Beach, WA

Active since September 03, 2021
2204 PACIFIC AVE N, LONG BEACH, WA 98631(360) 642-3787 Get Directions Write a Review

NPPES record last updated: November 21, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Mitchel James Mortenson Aac NPPES

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

MITCHEL JAMES MORTENSON AAC (NPI 1962170910) is an individual peer specialist in Long Beach, Washington and active in the NPI registry since September 2021.

NPPES Registry Identity

NPI1962170910
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameMITCHEL JAMES MORTENSONCredential: AAC
Location Address2204 PACIFIC AVE NLong Beach, WA 98631-3300
Mailing Address2204 Pacific Ave NLong Beach, WA 98631-3300 · (360) 642-3787
Phone(360) 642-3787
Sole ProprietorNo
Enumeration DateSeptember 3, 2021
Last NPPES UpdateNovember 21, 2022
NPPES CertifiedNovember 21, 2022
✔ NPI 1962170910 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
2204 PACIFIC AVE N, Long Beach, WA 98631
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Other Identifiers 1

Medicaid1760008783WA

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.

ANDREW WALKER
Counselor (Mental Health)
2204 PACIFIC AVE N
LONG BEACH, WA 98631
Pacific County (603) 642-3787
MICHAEL YONKO
Case Manager/Care Coordinator
2204 PACIFIC AVE N
LONG BEACH, WA 98631
Pacific County (360) 642-3787
TAYLOR WARD
Case Manager/Care Coordinator
2204 PACIFIC AVE N
LONG BEACH, WA 98631
Pacific County (360) 642-3787
NICOLE PEARSON
Case Manager/Care Coordinator
2204 PACIFIC AVE N
LONG BEACH, WA 98631
Pacific County (360) 642-3787
MARCIA LYNN MENDIOLA
Peer Specialist
2204 PACIFIC AVE N
LONG BEACH, WA 98631
Pacific County (360) 642-3787
MARILYN IDA RAYMER RN
Registered Nurse
2204 PACIFIC AVE N
LONG BEACH, WA 98631
Pacific County (360) 642-3787
DR. CARIN A HORNE PH. D., AAC, LMHCA
Counselor
2204 PACIFIC AVE N
LONG BEACH, WA 98631
Pacific County (319) 242-2481
ANNE MATTSON
Peer Specialist
2204 PACIFIC AVE N
LONG BEACH, WA 98631
Pacific County (360) 642-3787

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 Mitchel Mortenson's NPI number?

The NPI number for Mitchel Mortenson is 1962170910. It was assigned to this individual provider in the NPPES registry on September 3, 2021.

Where is Mitchel Mortenson located?

Mitchel Mortenson practices at 2204 Pacific Ave N, Long Beach, WA 98631. The listed phone number is (360) 642-3787.

What is Mitchel Mortenson's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Mitchel Mortenson was last updated on November 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.