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AUDRA VAN TASSELL
NPI 1285204602
Counselor - Professional in East Haven, CT

Active since June 28, 2021PECOS EnrolledAccepts Medicare Assignment
64 THOMPSON ST # A-103104, EAST HAVEN, CT 06513(203) 691-1685 Get Directions Write a Review

NPPES record last updated: June 28, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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

NPI1285204602
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameAUDRA VAN TASSELL
Location Address64 THOMPSON ST # A-103104East Haven, CT 06513-5707
Mailing Address64 Thompson St # A-103104East Haven, CT 06513-5707 · (203) 691-1685
Phone(203) 691-1685
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateJune 28, 2021
NPPES CertifiedJune 28, 2021
✔ NPI 1285204602 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in CT · 4935
64 THOMPSON ST # A-103104, East Haven, CT 06513
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID42787715
PECOS Enrollment IDI20260430000923
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

SAMANTHA M CRONIN LCSW
Social Worker (Clinical)
64 THOMPSON ST # A-103104
EAST HAVEN, CT 06513
South Central Connecticut Planning Region (203) 691-1685
SARAH SHEA
Counselor (Professional)
64 THOMPSON ST # A-103104
EAST HAVEN, CT 06513
South Central Connecticut Planning Region (203) 691-1685

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.

What insurance does Audra Van Tassell accept?

Health plans from Providence Health Plan 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 with the weekly NPPES data releases published by CMS.