Individual provider Active NPI

Andrew D Peterson, LMFT

  • Marriage & Family Therapist
  • Madison, WI
National Provider Identifier
1114134087
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
834-124 Issued in WI
Practice address
2909 Landmark PL Ste 210
Madison, WI 53713-4200
Phone
(855) 458-4966
Fax
(855) 458-4966
NPI assigned
May 17, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 834-124 WI Primary
Marriage & Family Therapist 106H00000X 102-228 WI

Addresses

Primary practice location

2909 Landmark PL Ste 210
Madison, WI 53713-4200

Mailing address

7617 Mineral Point Rd
Ste 300
Madison, WI 53717-1623
Phone (608) 833-9290

Other identifiers 1

IdentifierTypeStateIssuer
1114134087MedicaidWI

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

State licenses

LicenseStateTypeSpecialty
102-228WIMDMarriage & Family Therapist
834-124WIMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Healthyminds, LLC Marriage & Family Therapist CurrentSince Sep 1, 2020 Accepting new patients
The Psychology Center S C PastSince Feb 1, 2003 Accepting new patients

Locations

2909 Landmark Pl
Ste 210
Madison, WI 53713
Phone (608) 295-1498

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1114134087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7617 MINERAL POINT RD",
            "address_2": "STE 300",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537171623",
            "telephone_number": "608-833-9290",
            "fax_number": "608-833-9691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2909 LANDMARK PL STE 210",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537134200",
            "telephone_number": "855-458-4966",
            "fax_number": "855-458-4966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "ANDREW",
        "middle_name": "D",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-17",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WI",
            "license": "834-124",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WI",
            "license": "102-228",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1114134087",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.

Verify at the official NPI Registry.