ELEVATEEQ HEALTH PLLC
NPI 1649078395
Counselor - Mental Health in Jacksonville, FL
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
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Elevateeq Health Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Elevateeq Health PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (4)
Jacksonville, FL 32258
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Is Elevateeq Health PLLC enrolled in Medicare?
Yes. Elevateeq Health PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Elevateeq Health PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Mental Health Counselor, reassign their Medicare billing to Elevateeq Health PLLC. A 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 the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Elevateeq Health PLLC accept?
Health plans from Wellpoint list Elevateeq Health PLLC 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 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 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.
# Elevateeq Health Pllc · NPI 1649078395
Mental Health organization in Jacksonville, Florida. Organization record, active in the CMS NPPES registry since March 6, 2025.
## Identity
- **NPI:** 1649078395 (Entity type: Organization)
- **Enumerated:** March 6, 2025
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Also known as:** ElevateEQ Health (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Jenner Omodt, OWNER
## Practice location
- **Address:** 12724 GRAN BAY PKWY W STE 410, Jacksonville, FL 32258-9486
- **Phone:** (612) 408-1431
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians (Mental Health Counselor) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 20, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1649078395) · Data from the CMS NPPES public registry.