Active NPI
Lisbette R Lundgren, MA., LMFT
- Marriage & Family Therapist
- Boone, NC
National Provider Identifier
1346576014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 1283
- Practice address
- 643 Greenway Rd Ste J4
Boone, NC 28607-5304 - Phone
- (828) 264-8759
- Fax
- (828) 262-5860
- NPI assigned
- Oct 30, 2009
- 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 | 1283 | NC | Primary |
Addresses
Primary practice location
643 Greenway Rd Ste J4
Boone, NC 28607-5304
Mailing address
643 Greenway Rd Ste J4
Boone, NC 28607-5304
Phone (828) 264-8759
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 |
|---|---|---|---|
| 1283 | NC | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1256860800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783468800000",
"number": "1346576014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "643 GREENWAY RD STE J4",
"city": "BOONE",
"state": "NC",
"postal_code": "286075304",
"telephone_number": "828-264-8759",
"fax_number": "828-262-5860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "643 GREENWAY RD STE J4",
"city": "BOONE",
"state": "NC",
"postal_code": "286075304",
"telephone_number": "828-264-8759",
"fax_number": "828-262-5860"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUNDGREN",
"first_name": "LISBETTE",
"middle_name": "R",
"credential": "MA., LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-10-30",
"last_updated": "2026-07-08",
"certification_date": "2026-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NC",
"license": "1283",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boone, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.