Liminal Therapy Space Licensed Clinical Social Worker Inc

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

LIMINAL THERAPY SPACE LICENSED CLINICAL SOCIAL WORKER INC

Doing business as

Liminal Therapy Space

Practice address

1151 Dove St Ste 235
Newport Beach, CA 92660-2806

Phone

(714) 882-9112

NPI assigned

May 13, 2026

Last updated

May 13, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Madison Park, LCSWNPI 1093088932

Title

Psychotherapist/Owner

Phone

(714) 882-9112

Specialties & licenses 1

Addresses

Other names 1

• Liminal Therapy Space Doing business as

Practitioners 1

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.

• Madison Park

  • Clinical Social Worker
  • Anaheim, CA
  • NPI 1093088932
  NPD Authorized official

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

{
    "created_epoch": "1778630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778630400000",
    "number": "1144159518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19712 MACARTHUR BLVD STE 110",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926122407",
            "telephone_number": "714-882-9112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1151 DOVE ST STE 235",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602806",
            "telephone_number": "714-882-9112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIMINAL THERAPY SPACE LICENSED CLINICAL SOCIAL WORKER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-13",
        "last_updated": "2026-05-13",
        "certification_date": "2026-05-13",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "MADISON",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST/OWNER",
        "authorized_official_telephone_number": "714-882-9112",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Liminal Therapy Space",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nicole Sally Lightman, PHD
• Hye Jin Lim, NP
• Kyuyoung Lim, D.M.D., M.P.H.
• Roxanne Giselle G Lim, MD
• Yeun Lim
• Bettina Tayengco Limjoco, M.D.
• Cassandra Limson, M.S., CCC-SLP
• Wilson Lin-Saunders, M.D.
• Jonathan Lin, MS
• Joseph Lin

• Mental Health Counselor in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.