Intrasage Therapy LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

INTRASAGE THERAPY LLC

Practice address

10437 W Innovation Dr Ste 522
Wauwatosa, WI 53226-4879

Phone

(414) 348-8432

Fax

(414) 363-3229

NPI assigned

Mar 26, 2026

Organization subpart

No

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

Authorized official

Name

Luisa Julia Vanden Bush, LPC, CSACNPI 1639622780

Title

Owner

Phone

(262) 308-1079

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Luisa Julia Vanden Bush, LPC, CSAC

  • Counselor
  • Waukesha, WI
  • NPI 1639622780
  NPD Authorized official

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

{
    "created_epoch": "1774483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784678400000",
    "number": "1346189388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9740 W COLD SPRING RD",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "532282720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10437 W INNOVATION DR STE 522",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532264879",
            "telephone_number": "414-348-8432",
            "fax_number": "414-363-3229"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9740 W Cold Spring Rd",
            "address_purpose": "LOCATION",
            "city": "Greenfield",
            "state": "WI",
            "postal_code": "532282720",
            "country_code": "US",
            "telephone_number": "262-308-1079",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INTRASAGE THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-26",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A",
        "authorized_official_last_name": "VANDEN BUSH",
        "authorized_official_first_name": "LUISA",
        "authorized_official_middle_name": "JULIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "262-308-1079",
        "authorized_official_credential": "LPC, CSAC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Wauwatosa, WI
• Providers in Wauwatosa, WI by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.