BRITTANIE OMODT MA, LPCC
NPI 1356930960
Counselor - Professional in Jacksonville, FL

Active since January 18, 2021PECOS EnrolledAccepts Medicare Assignment
12724 GRAN BAY PKWY W STE 410, JACKSONVILLE, FL 32258(904) 584-7874 Get Directions Write a Review

NPPES record last updated: November 20, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 20, 2025, Mar 8, 2024, Jan 18, 2021 (3 updates tracked since 2021).

About Brittanie Omodt Ma, Lpcc NPPES

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

BRITTANIE OMODT MA, LPCC (NPI 1356930960) is an individual professional provider in Jacksonville, Florida, licensed in Minnesota (4253) and active in the NPI registry since January 2021. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1356930960
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameBRITTANIE OMODTCredential: MA, LPCC
Location Address12724 GRAN BAY PKWY W STE 410Jacksonville, FL 32258-9486
Mailing Address992 Inwood Ave NOakdale, MN 55128-6625
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJanuary 18, 2021
Last NPPES UpdateNovember 20, 20253 updates tracked since enumeration
NPPES CertifiedNovember 20, 2025
✔ NPI 1356930960 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MN · 4253
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License MH25039 (FL)
12724 GRAN BAY PKWY W STE 410, Jacksonville, FL 32258

Secondary Practice Locations 2

Location 1992 Inwood Ave NOakdale, MN 55128-6625 · Phone (612) 842-9814
Location 2445 Minnesota St Ste 1500Saint Paul, MN 55101-2269 · Phone (904) 584-7874

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Brittanie Omodt Ma, Lpcc 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 ID345689139
PECOS Enrollment IDI20240412001054
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.

Medicare Billing Reassignment

Medicare enrollment records show Brittanie Omodt reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health
12724 GRAN BAY PKWY W STE 410
Jacksonville, FL 32258
  • Reassigned Medicare billing, Florida and Minnesota enrollments
  • 3 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Behavior Technician
12724 GRAN BAY PKWY W STE 410
JACKSONVILLE, FL 32258
Behavior Technician
12724 GRAN BAY PKWY W STE 410
JACKSONVILLE, FL 32258
Social Worker (Clinical)
12724 GRAN BAY PKWY W STE 410
JACKSONVILLE, FL 32258
Nurse Practitioner (Psychiatric/Mental Health)
12724 GRAN BAY PKWY W STE 410
JACKSONVILLE, FL 32258
Behavior Technician
12724 GRAN BAY PKWY W STE 410
JACKSONVILLE, FL 32258
Behavior Technician
12724 GRAN BAY PKWY W STE 410
JACKSONVILLE, FL 32258
Behavior Technician
12724 GRAN BAY PKWY W STE 410
JACKSONVILLE, FL 32258
Behavior Analyst
12724 GRAN BAY PKWY W STE 410
JACKSONVILLE, FL 32258

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 Brittanie Omodt's NPI number?

The NPI number for Brittanie Omodt is 1356930960. It was assigned to this individual provider in the NPPES registry on January 18, 2021.

Where is Brittanie Omodt located?

Brittanie Omodt practices at 12724 Gran Bay Pkwy W Ste 410, Jacksonville, FL 32258. The listed phone number is (904) 584-7874.

What is Brittanie Omodt's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Brittanie Omodt enrolled in Medicare?

Yes. Brittanie Omodt 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.

Which organization bills Medicare for Brittanie Omodt's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brittanie Omodt reassigns Medicare benefits to Elevateeq Health PLLC (Jacksonville, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Brittanie Omodt's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Brittanie Omodt accept?

Health plans from Oscar Health Maintenance Organization of Florida, UnitedHealthcare and Wellpoint list Brittanie Omodt as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Brittanie Omodt was last updated on November 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.