NPIMap

Organization Active NPI

Emerald Clover, LLC

Doing business as Ellie Mental Health - St. Petersburg

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • St Petersburg, FL
National Provider Identifier
1972218055
Registry record updated Jan 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
EMERALD CLOVER, LLC
Doing business as
Ellie Mental Health - St. Petersburg
Practice address
9400 4TH St N Ste 200
St Petersburg, FL 33702-2501
Phone
(727) 513-2962
NPI assigned
Jan 23, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2026

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

Authorized official

Name
Mrs. Katherine Planchard, LCSWNPI 1992259279
Title
Clinic Director
Phone
(508) 212-6095

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

9400 4TH St N Ste 200
St Petersburg, FL 33702-2501

Mailing address

324 N Bay Hills Blvd
Safety Harbor, FL 34695-4905
Phone (717) 608-0329

Other practice location 1

7800 66th St N Ste 205
Pinellas Park, FL 33781-2101
Phone (717) 608-0329

Other practice location 2

109 N Oakwood Ave Ste 105
Brandon, FL 33510-4629
Phone (813) 819-8704

Other names 1

  • Ellie Mental Health - St. Petersburg Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240708003623 FL Part B Supplier - Clinic/Group Practice 5496290033 Receives reassigned benefits from 18 practitioners
Practice locations: Brandon, FL; St Petersburg, FL; Pinellas Park, FL

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

109 N Oakwood Ave
Ste 105
Brandon, FL 33510
Phone (813) 355-0878

7800 66th St N
Ste 205
Pinellas Park, FL 33781
Phone (717) 608-0329

Practitioners & affiliated clinicians

Practitioners 23

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1674432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767312000000",
    "number": "1972218055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 N BAY HILLS BLVD",
            "city": "SAFETY HARBOR",
            "state": "FL",
            "postal_code": "346954905",
            "telephone_number": "717-608-0329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9400 4TH ST N STE 200",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337022501",
            "telephone_number": "727-513-2962"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7800 66th St N Ste 205",
            "address_purpose": "LOCATION",
            "city": "Pinellas Park",
            "state": "FL",
            "postal_code": "337812101",
            "country_code": "US",
            "telephone_number": "717-608-0329",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "109 N Oakwood Ave Ste 105",
            "address_purpose": "LOCATION",
            "city": "Brandon",
            "state": "FL",
            "postal_code": "335104629",
            "country_code": "US",
            "telephone_number": "813-819-8704",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EMERALD CLOVER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-23",
        "last_updated": "2026-01-02",
        "certification_date": "2026-01-02",
        "status": "A",
        "authorized_official_last_name": "PLANCHARD",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "508-212-6095",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ellie Mental Health - St. Petersburg",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ellie Mental Health - St. Petersburg",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2026; 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.