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ELEVATEEQ HEALTH PLLC
NPI 1649078395
Counselor - Mental Health in Jacksonville, FL

Active since March 06, 2025
12724 GRAN BAY PKWY W STE 410, JACKSONVILLE, FL 32258(612) 408-1431 Get Directions Write a Review

NPPES record last updated: November 20, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 20, 2025, Mar 6, 2025 (2 updates tracked since 2025).

About Elevateeq Health Pllc NPPES

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

ELEVATEEQ HEALTH PLLC (NPI 1649078395), doing business as Elevateeq Health, is a healthcare organization registered as a mental health in Jacksonville, Florida and active in the NPI registry since March 2025. The organization maintains a secondary practice location in Saint Paul and lists Jenner Omodt, Owner, as its authorized official.

NPPES Registry Identity

NPI1649078395
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameELEVATEEQ HEALTH PLLC
Location Address12724 GRAN BAY PKWY W STE 410Jacksonville, FL 32258-9486
Mailing Address12724 Gran Bay Pkwy W Ste 410Jacksonville, FL 32258-9486 · (612) 408-1431
Phone(612) 408-1431
Organization SubpartNo
Authorized OfficialJenner OmodtOwner · (612) 408-1431
Enumeration DateMarch 6, 2025
Last NPPES UpdateNovember 20, 20252 updates tracked since enumeration
NPPES CertifiedNovember 20, 2025
✔ NPI 1649078395 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
12724 GRAN BAY PKWY W STE 410, Jacksonville, FL 32258
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Other Names 1

Doing Business AsElevateeq Health

Secondary Practice Location 1

Location 1445 Minnesota St Ste 150Saint Paul, MN 55101-2190 · Phone (612) 408-1431

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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.

CARL STEVENS
Behavior Technician
12724 GRAN BAY PKWY W STE 410
JACKSONVILLE, FL 32258
Duval County (855) 832-6727
TIFFANY WISHAM
Behavior Technician
12724 GRAN BAY PKWY W STE 410
JACKSONVILLE, FL 32258
Duval County (855) 832-6727
EMEM WILLIAMS
Social Worker (Clinical)
12724 GRAN BAY PKWY W STE 410
JACKSONVILLE, FL 32258
Duval County (608) 371-9624
MRS. EVELYN JEAN TELEMACQUE
Behavior Technician
12724 GRAN BAY PKWY W STE 410
JACKSONVILLE, FL 32258
Duval County (855) 832-6727
ASSURED PSYCHIATRY PLLC
Nurse Practitioner (Psychiatric/Mental Health)
12724 GRAN BAY PKWY W STE 410
JACKSONVILLE, FL 32258
Duval County (800) 573-5010
DESIREE CARROLL
Behavior Technician
12724 GRAN BAY PKWY W STE 410
JACKSONVILLE, FL 32258
Duval County (512) 641-4020
ETHAN WICK
Behavior Technician
12724 GRAN BAY PKWY W STE 410
JACKSONVILLE, FL 32258
Duval County (855) 832-6727
STEPHANIE RENEE MCLUCKIE BEHAV
Behavior Technician
12724 GRAN BAY PKWY W STE 410
JACKSONVILLE, FL 32258
Duval County (855) 832-6727

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 Elevateeq Health PLLC's NPI number?

The NPI number for Elevateeq Health PLLC is 1649078395. It was assigned to this organization in the NPPES registry on March 6, 2025. The provider is doing business as ElevateEQ Health.

Where is Elevateeq Health PLLC located?

Elevateeq Health PLLC is located at 12724 Gran Bay Pkwy W Ste 410, Jacksonville, FL 32258. The listed phone number is (612) 408-1431.

What is Elevateeq Health PLLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Elevateeq Health PLLC 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 8 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.