Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Audra Van Tassell

Individual provider Professional Counselor · NPI 1285204602

Audra Van Tassell is a Mental Health Counselor in East Haven, Connecticut. Qualified in 2016, 10 years ago. Practices with Holistic Health and Healing Center LLC, a 6-clinician group and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
10
Licensed in
CT
In the registry since
2021

Practice location Address checks out

64 Thompson St # A-103104
East Haven, CT 06513-5707
Phone: (203) 691-1685
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 4935 (CT)

Record details

NPI number1285204602
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 28, 2021
Last updated in NPPESJune 28, 2021
Certification dateJune 28, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Holistic Health And Healing Center Llc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in East Haven