AUDRA VAN TASSELL
NPI 1285204602
Counselor - Professional in East Haven, CT
About Audra Van Tassell NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AUDRA VAN TASSELL (NPI 1285204602) is an individual professional provider in East Haven, Connecticut, licensed in Connecticut (4935) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Audra Van Tassell is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Audra Van Tassell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
East Haven, CT 06513
- Reassigned Medicare billing, Connecticut enrollment
- 12 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Audra Van Tassell's NPI number?
The NPI number for Audra Van Tassell is 1285204602. It was assigned to this individual provider in the NPPES registry on June 28, 2021.
Where is Audra Van Tassell located?
Audra Van Tassell practices at 64 Thompson St # A-103104, East Haven, CT 06513. The listed phone number is (203) 691-1685.
What is Audra Van Tassell's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Audra Van Tassell enrolled in Medicare?
Yes. Audra Van Tassell is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Audra Van Tassell's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Audra Van Tassell reassigns Medicare benefits to Holistic Health & Healing Center LLC (East Haven, CT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Audra Van Tassell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Audra Van Tassell accept?
Health plans from Anthem Blue Cross and Blue Shield list Audra Van Tassell as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Audra Van Tassell was last updated on June 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Audra Van Tassell · NPI 1285204602
Professional provider in East Haven, Connecticut. Individual provider, active in the CMS NPPES registry since June 28, 2021.
## Identity
- **NPI:** 1285204602 (Entity type: Individual)
- **Enumerated:** June 28, 2021
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 4935 (Connecticut)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 64 THOMPSON ST # A-103104, East Haven, CT 06513-5707
- **Phone:** (203) 691-1685
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Holistic Health & Healing Center LLC (NPI 1659728012, East Haven, CT), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** June 28, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1285204602) · Data from the CMS NPPES public registry.