Liminal Therapy Space Licensed Clinical Social Worker Inc
NPI 1144159518ActiveOrganization· Counselor, Mental Health· Newport Beach, CA
Counselor, Mental Health in Newport Beach, California, registered in NPPES in May 2026. The authorized official on file is Madison Park, LCSW, Psychotherapist/Owner.
Overview
| NPI | 1144159518 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 13, 2026 |
| Last updated in NPPES | May 13, 2026 |
| Certified by provider | May 13, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Mental Health Primary | 101YM0800X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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