Active NPI
Dana Stewart Lundbeck, M.A.
- Marriage & Family Therapist
- Renton, WA
National Provider Identifier
1013040146
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LF00000864
- Practice address
- 20725 SE 162ND Way
Renton, WA 98059-9073 - Phone
- (425) 761-2355
- NPI assigned
- Mar 14, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | LF00000864 | WA | Primary |
Addresses
Primary practice location
20725 SE 162ND Way
Renton, WA 98059-9073
Mailing address
20725 SE 162ND Way
Renton, WA 98059-9073
Phone (425) 761-2355
Other practice location 1
1200 SW 27th St
Renton, WA 98057-2603
Phone (206) 630-1894
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LF00000864 | WA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687478400000",
"number": "1013040146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20725 SE 162ND WAY",
"city": "RENTON",
"state": "WA",
"postal_code": "980599073",
"telephone_number": "425-761-2355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20725 SE 162ND WAY",
"city": "RENTON",
"state": "WA",
"postal_code": "980599073",
"telephone_number": "425-761-2355"
}
],
"practiceLocations": [
{
"address_1": "1200 SW 27th St",
"address_purpose": "LOCATION",
"city": "Renton",
"state": "WA",
"postal_code": "980572603",
"country_code": "US",
"telephone_number": "206-630-1894",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LUNDBECK",
"first_name": "DANA",
"middle_name": "STEWART",
"credential": "M.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-14",
"last_updated": "2023-06-23",
"certification_date": "2023-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "WA",
"license": "LF00000864",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Renton, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.