MEDICARE: MR. JIA CHENG LIM MA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor		MA

General Provider Information

NPI Number	:	1568398162
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JIA CHENG LIM MA

Provider Business Mailing Address
First Line	:	1660 SOLDIERS FIELD RD STE 7
Second Line	:
City	:	BRIGHTON
State	:	MA
Zip	:	02135-1108
Country	:	US
Telephone Number	:	856-818-3966
Fax Number	:

Provider Business Practice Location Address
First Line	:	1660 SOLDIERS FIELD RD STE 7
Second Line	:
City	:	BRIGHTON
State	:	MA
Zip	:	02135-1108
Country	:	US
Telephone Number	:	856-818-3966
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/22/2026
Last Update Date	:	06/22/2026

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