Jacob Mortensen

Primary specialty

School PsychologistTaxonomy code 103TS0200X

License

LSP.01225 Issued in OH

Practice address

5721 Seaman Rd
Oregon, OH 43616-2631

Phone

(419) 693-0661

NPI assigned

Sep 8, 2026

Last updated

Sep 8, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1788825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788825600000",
    "number": "1366352056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5721 SEAMAN RD",
            "city": "OREGON",
            "state": "OH",
            "postal_code": "436162631",
            "telephone_number": "419-693-0661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5721 SEAMAN RD",
            "city": "OREGON",
            "state": "OH",
            "postal_code": "436162631",
            "telephone_number": "419-693-0661"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "535 S Yondota Rd",
            "address_purpose": "LOCATION",
            "city": "Curtice",
            "state": "OH",
            "postal_code": "434129487",
            "country_code": "US",
            "telephone_number": "419-836-6111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5224 Bay Shore Rd",
            "address_purpose": "LOCATION",
            "city": "Oregon",
            "state": "OH",
            "postal_code": "436164404",
            "country_code": "US",
            "telephone_number": "419-698-8003",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "331 S North Curtice Rd",
            "address_purpose": "LOCATION",
            "city": "Oregon",
            "state": "OH",
            "postal_code": "436165897",
            "country_code": "US",
            "telephone_number": "419-836-8498",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORTENSEN",
        "first_name": "JACOB",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-09-08",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "OH",
            "license": "LSP.01225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clarice Michele Moroni
• Joshua Charles Morris, DPM
• Areanna J Morrison
• Bradley J. Morse, M.D.
• Lawrence Duane Mortemore
• Roberta Marie Mosher, LCSW
• Ruqiyya Tufail Muhammad, M.D.
• Robert Mumford II
• Michal Dale Murphy
• Karen Rose Murray, RPH

• School Psychologist in Oregon, OH
• Providers in Oregon, OH by specialty
• School Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.