MS. LIBERTY JO DIVINE LMHC
NPI 1942611306
Counselor - Mental Health in Muncie, IN

Q: What is Liberty Divine's NPI number?

The NPI number for Liberty Divine is 1942611306. It was assigned to this individual provider in the NPPES registry on May 19, 2014.

Q: What is Liberty Divine's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Liberty Divine was last updated on January 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since May 19, 2014PECOS Enrolled

240 N TILLOTSON AVE, MUNCIE, IN 47304(765) 288-1928 Get Directions Write a Review

NPPES record last updated: January 23, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 23, 2026, Jun 10, 2019 (2 updates tracked since 2019).

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About Ms. Liberty Jo Divine Lmhc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. LIBERTY JO DIVINE LMHC (NPI 1942611306) is an individual mental health provider in Muncie, Indiana, licensed in Indiana (39002073A) and active in the NPI registry since May 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1942611306

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameMS. LIBERTY JO DIVINECredential: LMHC

Location Address240 N TILLOTSON AVEMuncie, IN 47304-3988

Mailing Address240 N Tillotson AveMuncie, IN 47304-3988 · (765) 288-1928

Phone(765) 288-1928

Sole ProprietorNo

Enumeration DateMay 19, 2014

Last NPPES UpdateJanuary 23, 20262 updates tracked since enumeration

NPPES CertifiedJanuary 23, 2026

✔ NPI 1942611306 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in IN · 39002073A

240 N TILLOTSON AVE, Muncie, IN 47304

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Liberty Jo Divine Lmhc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Liberty Divine reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Meridian Services

Same address

Community/Behavioral Health

240 N. TILLOTSON AVE.
Muncie, IN 47304

Reassigned Medicare billing, Indiana enrollment
Medicare enrollment name: Meridian Health Services Corp
322 clinicians in this Medicare group

NPI 1336238237 (765) 288-1928

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SASHA N SANTIAGO

Counselor (Mental Health)