Luisa Julia Vanden Bush, LPC, CSAC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

6984-125 Issued in WI

Practice address

2607 N Grandview Blvd
Waukesha, WI 53188-1686

Phone

(262) 515-9079

NPI assigned

Jul 25, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Luisa Julia Morales Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Intrasage Therapy LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Wauwatosa, WI
  • NPI 1346189388
  NPD Authorized official
• Mosaic Counseling, LLC

  • Professional Counselor
  • Mequon, WI
  • NPI 1083187058
  NPD (past)

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

{
    "created_epoch": "1469404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687824000000",
    "number": "1639622780",
    "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",
            "telephone_number": "262-515-9079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2607 N GRANDVIEW BLVD",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531881686",
            "telephone_number": "262-515-9079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDEN BUSH",
        "first_name": "LUISA",
        "middle_name": "JULIA",
        "credential": "LPC, CSAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-25",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WI",
            "license": "6984-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LUISA",
            "last_name": "MORALES",
            "middle_name": "JULIA",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jennifer L Van Matre-Wattles, NP
• Linda Kay Van Scotter, BSN, RN
• Lily Van Vreede
• Elizabeth Van Why, DMD
• Jeffrey Thomas Vanbeek, M.D.
• Jennifer Vanderkamp
• Rachel Helen Vanderwerff, RN
• Michelle Arlene Vanderwyst, RDH
• Erin Elizabeth Vanevenhoven
• Blia Vang

• Counselor in Waukesha, WI
• Providers in Waukesha, WI by specialty
• Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.

Verify at the official NPI Registry.