Jason Lagrand Mouritsen, PSYD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY0794 Issued in NV

Practice address

PO Box 436
Alamo, NV 89001-0436

Phone

(725) 222-0461

NPI assigned

Oct 16, 2013

Last updated

Sep 3, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lincoln County Hospital DistrictGroup PAC ID 2163408246, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lincoln County Hospital District

  dba Grover C Dils Medical Center

  • Critical Access Hospital
  • Caliente, NV
  • NPI 1659423341
  Medicare reassignment Care Compare group
• Battle Ready, PLLC

  • Psychologist
  • Alamo, NV
  • NPI 1740119254
  NPD Authorized official
• Lincoln County Hospital District

  dba Grover C. Dils Medical Center Outpatient Rehabilitation Clinic- Alamo

  • Rehabilitation Clinic/Center
  • Alamo, NV
  • NPI 1225673791
  NPD
• Lincoln County Hospital District

  dba Grover C Dils Medical Center

  • Medicare Defined Swing Bed Hospital Unit
  • Caliente, NV
  • NPI 1659595460
  NPD

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

{
    "created_epoch": "1381881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756857600000",
    "number": "1033547724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 436",
            "city": "ALAMO",
            "state": "NV",
            "postal_code": "890010436",
            "telephone_number": "725-222-0461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 436",
            "city": "ALAMO",
            "state": "NV",
            "postal_code": "890010436",
            "telephone_number": "725-222-0461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOURITSEN",
        "first_name": "JASON",
        "middle_name": "LAGRAND",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-10-16",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "NV",
            "license": "PY0794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jolly's Drug Store LLC (Jolly's Drug Store - Alamo)
• Legacy Counseling and Workforce Connections (Legacy Counselingand Workforce Connections - Alamo NV)
• Lincoln County Hospital District (Lincoln County Medical Associates-Alamo)
• Lincoln County Hospital District (Grover C. Dils Medical Center Outpatient Rehabilitation Clinic- Alamo)
• Lincoln County Hospital District (Lincoln County Medical Associates Alamo)
• Pahranagat Valley Volunteer Fire Department Ambulance Rescue Servic (Pahranagat Valley Volunteer Fire District)
• April Sky Pete
• Silver State Drug (Silver State Drug-Alamo)
• Richard Arlan Whiterock

• Psychologist in Alamo, NV
• Providers in Alamo, NV by specialty
• Psychologist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.