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DR. CRYSTAL STACK LIM PH.D.
NPI 1356625081
Psychologist - Clinical Child & Adolescent in Columbia, MO

Active since September 29, 2011PECOS Enrolled
100/100
CMS Quality Rating
ONE HOSPITAL DR, COLUMBIA, MO 65212(573) 882-1561(573) 884-1889 Get Directions Write a Review

NPPES record last updated: April 10, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 10, 2024, Oct 18, 2022 (2 updates tracked since 2022).

About Dr. Crystal Stack Lim Ph.d. NPPES

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

DR. CRYSTAL STACK LIM PH.D. (NPI 1356625081) is an individual clinical child & adolescent provider in Columbia, Missouri, licensed in Missouri (2022015232) and active in the NPI registry since September 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356625081
Entity TypeIndividualFemale
Primary Taxonomy103TC2200X
Provider Legal NameDR. CRYSTAL STACK LIMCredential: PH.D.
Location AddressONE HOSPITAL DRColumbia, MO 65212-0001
Mailing AddressPo Box 843966Kansas City, MO 64184-3966 · (573) 884-3300 · Fax (573) 884-0943
Phone(573) 882-1561
Fax(573) 884-1889
Sole ProprietorNo
Enumeration DateSeptember 29, 2011
Last NPPES UpdateApril 10, 20242 updates tracked since enumeration
NPPES CertifiedApril 10, 2024
✔ NPI 1356625081 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers
Taxonomy Code103TC2200X
License✔ Licensed in MO · 2022015232
Definition
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 2022015232 (MO)
ONE HOSPITAL DR, Columbia, MO 65212
Open in Google Maps ↗

Other Identifiers 2

Medicaid05908053MS
Medicaid490113666MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Medica.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Crystal Stack Lim Ph.d. 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 Crystal Lim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Curators Of The University Of Missouri
0.1 mi
Multi-Specialty
1 HOSPITAL DR
Columbia, MO 65212
  • Reassigned Medicare billing, Missouri enrollment
  • 1,395 clinicians in this Medicare group
NPI 1235126921 (573) 882-4141

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

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

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.

KARI A MYLENBUSCH CRNA
Nurse Anesthetist, Certified Registered
ONE HOSPITAL DR
COLUMBIA, MO 65212
Boone County (573) 882-2568
SARAH MARIE VON THAER MD
Anesthesiology
ONE HOSPITAL DR
COLUMBIA, MO 65212
Boone County (573) 882-2568
JENNIFER MICHELLE KANDLIK F.N.P.
Nurse Practitioner (Family)
ONE HOSPITAL DR
COLUMBIA, MO 65212
Boone County (573) 882-8788
SHEILA MARIE STRUCKMEYER FNP
Nurse Practitioner (Family)
ONE HOSPITAL DR
COLUMBIA, MO 65212
Boone County (573) 884-4400
JACK DWAYNE BRAGG DO
Internal Medicine (Gastroenterology)
ONE HOSPITAL DR
COLUMBIA, MO 65212
Boone County (573) 884-8445
MRS. MEGAN ELAINE HILDERBRAND CRNA
Nurse Anesthetist, Certified Registered
ONE HOSPITAL DR
COLUMBIA, MO 65212
Boone County (573) 882-2568
CURATORS OF THE UNIVERSITY OF MISSOURI
Specialist (Research Study)
ONE HOSPITAL DR
COLUMBIA, MO 65212
Boone County (573) 884-3019
DR. LAURA E. HENDERSON KELLEY M.D, MPH
Hospitalist
ONE HOSPITAL DR
COLUMBIA, MO 65212
Boone County (573) 884-9066

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Crystal Lim's NPI number?

The NPI number for Crystal Lim is 1356625081. It was assigned to this individual provider in the NPPES registry on September 29, 2011.

Where is Crystal Lim located?

Crystal Lim practices at One Hospital Dr, Columbia, MO 65212. The listed phone number is (573) 882-1561.

What is Crystal Lim's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Is Crystal Lim enrolled in Medicare?

Yes. Crystal Lim is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Crystal Lim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Crystal Lim reassigns Medicare benefits to The Curators Of The University Of Missouri (Columbia, MO). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Crystal Lim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Crystal Lim accept?

Health plans from Anthem Blue Cross and Blue Shield and Medica list Crystal Lim as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Crystal Lim was last updated on April 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.