Active NPI
Natalie R Jackson
- Social Worker
- Muncie, IN
National Provider Identifier
1477076404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- S.2512855
- Practice address
- 2401 W University Ave FL 3
Muncie, IN 47303-3428 - Phone
- (765) 747-4409
- NPI assigned
- Jul 21, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | S.2512855 | OH | Primary |
Addresses
Primary practice location
2401 W University Ave FL 3
Muncie, IN 47303-3428
Mailing address
240 N Tillotson Ave
Muncie, IN 47304-3988
Phone (765) 288-1928
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S.2512855 | OH | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Digital Care Team of Oh LLC | Counselor | Past | Accepting new patients |
| Meridian Health Services Corp. | Past | Accepting new patients | |
| Meridian Health Services Corp | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychiatric Hospital
- Muncie, IN
- NPI 1932340882
-
- Federally Qualified Health Center (FQHC)
- Montpelier, IN
- NPI 1417838574
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Cleveland, OH
- NPI 1649981887
Counselor
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765324800000",
"number": "1477076404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "240 N TILLOTSON AVE",
"city": "MUNCIE",
"state": "IN",
"postal_code": "473043988",
"telephone_number": "765-288-1928",
"fax_number": "765-741-0335"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2401 W UNIVERSITY AVE FL 3",
"city": "MUNCIE",
"state": "IN",
"postal_code": "473033428",
"telephone_number": "765-747-4409"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKSON",
"first_name": "NATALIE",
"middle_name": "R",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-21",
"last_updated": "2025-12-10",
"certification_date": "2025-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "S.2512855",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Muncie, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.