IndividualActive
Serenity Jackson
NPI 1043179476 · Behavior Technician · Granger, IN
Serenity Jackson is a Behavior Technician provider in Granger, IN (NPI 1043179476).
Provider details
- NPI number
- 1043179476
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- RBT-26-507423 (IN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
12425 Adams Rd
Granger, IN 46530-7525
Phone: (574) 387-4313
Street-level locationGet directions
Mailing address
1827 E Ireland Rd
South Bend, IN 46614-2845
Registry dates
- Enumerated
- 2026-01-21
- Last updated
- 2026-01-21
- Certified
- 2026-01-21
Frequently asked questions
- What is Serenity Jackson's NPI number?
- Serenity Jackson's National Provider Identifier (NPI) is 1043179476, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Serenity Jackson's specialty?
- Serenity Jackson is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Serenity Jackson located?
- Serenity Jackson's practice location on file with NPPES is 12425 Adams Rd, Granger, IN 46530-7525.
- What is Serenity Jackson's phone number?
- The practice phone number listed in the NPPES registry for Serenity Jackson is (574) 387-4313.
- Is Serenity Jackson's NPI active?
- Yes — Serenity Jackson's NPI (1043179476) is active in the NPPES registry as of the last update on 2026-01-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.