Organization Active NPI

Equilibrium Psychotherapy LLC

  • Marriage & Family Therapist
  • Madison, WI
National Provider Identifier
1184423782
Registry record updated Aug 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
EQUILIBRIUM PSYCHOTHERAPY LLC
Practice address
1806 Seminole Hwy
Madison, WI 53711-3812
Phone
(612) 741-4022
Fax
(608) 608-8418
NPI assigned
Mar 7, 2025
Last updated
Aug 6, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2026

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

Authorized official

Name
Siri M Peterson, LMFTNPI 1922881309
Title
Owner
Phone
(612) 741-4022

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X Primary

Addresses

Primary practice location

1806 Seminole Hwy
Madison, WI 53711-3812

Mailing address

1806 Seminole Hwy
Madison, WI 53711-3812
Phone (608) 492-1038

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250617000152 WI Part B Supplier - Clinic/Group Practice 3375054414 Receives reassigned benefits from 4 practitioners
Practice locations: Madison, WI

National Provider Directory

National Provider Directory

Locations

1806 Seminole Hwy
Madison, WI 53711
Phone (608) 492-1038

404 Glenway St
Ste 2
Madison, WI 53711
Phone (612) 741-4022

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1741305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785974400000",
    "number": "1184423782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1806 SEMINOLE HWY",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537113812",
            "telephone_number": "608-492-1038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1806 SEMINOLE HWY",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537113812",
            "telephone_number": "612-741-4022",
            "fax_number": "608-608-8418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EQUILIBRIUM PSYCHOTHERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-07",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "SIRI",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-741-4022",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.