Elevateeq Health PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

ELEVATEEQ HEALTH PLLC

Practice address

12724 Gran Bay Pkwy W Ste 410
Jacksonville, FL 32258-9486

Phone

(612) 408-1431

NPI assigned

Mar 6, 2025

Organization subpart

No

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

Authorized official

Name

Jenner Omodt

Title

Owner

Phone

(612) 408-1431

Specialties & licenses 1

Addresses

Other names 1

• ElevateEQ Health Doing business as

Medicare fee-for-service enrollment

Enrolled in FL, MN2 enrollments

Enrollment records 2

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Donna Lynn Musselwhite

  • Mental Health Counselor
  • Fleming Island, FL
  • NPI 1598339475

  MN

  Medicare reassignment Care Compare group NPD
• Brittanie Omodt, MA, LPCC

  • Professional Counselor
  • Jacksonville, FL
  • NPI 1356930960

  Mental Health, MN

  Medicare reassignment Care Compare group NPD
• Daniela Suarez Rivera, LMHC

  • Mental Health Counselor
  • Jacksonville, FL
  • NPI 1912693672

  MN

  Medicare reassignment
• Hannah Blaha, MS, LPCC

  • Mental Health Counselor
  • Stillwater, MN
  • NPI 1295404325
  Medicare reassignment

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

{
    "created_epoch": "1741219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763596800000",
    "number": "1649078395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12724 GRAN BAY PKWY W STE 410",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322589486",
            "telephone_number": "612-408-1431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12724 GRAN BAY PKWY W STE 410",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322589486",
            "telephone_number": "612-408-1431"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "445 Minnesota St Ste 150",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "551012190",
            "country_code": "US",
            "telephone_number": "612-408-1431",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ELEVATEEQ HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-06",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A",
        "authorized_official_last_name": "OMODT",
        "authorized_official_first_name": "JENNER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-408-1431"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ElevateEQ Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Katrina Pam Eleftheropoulos, PA-C
• Adekunle Elegbede, M.D., PH.D
• Erica M Elek, APRN
• Shaquanda M Elem, M.A. LMHC
• Elephant Clinic LTD.
• Elevation Homecare LLC
• Elevation Rehab, LLC
• Eleven Hearts TLC Homecare
• Kerri L Elfvin, PA
• Mohamed Fouad Elgamal, OTR

• Mental Health Counselor in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.