Individual provider Active NPI

La'Shondra Monique Da Cruz, MS

  • Mental Health Counselor
  • New Haven, CT
National Provider Identifier
1124445663
Registry record updated Apr 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
93 Edwards St
New Haven, CT 06511-3933
Phone
(203) 777-8648
NPI assigned
Mar 22, 2014
Sex
Female
Sole proprietor
No

Organizations & group practices 4

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.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201116000186 CT Practitioner - Psychiatry 3476963869 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
3264CTMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Holistic Behavioral Health, LLC CurrentSince May 14, 2020 Accepting new patients
Holistic Behavioral Health Wellness Center Inc CurrentSince Feb 13, 2022 Accepting new patients
Familywell PLLC CurrentSince Mar 17, 2026 Accepting new patients

Locations

1700 Dixwell Ave
Unit D
Hamden, CT 06514
Phone (203) 243-0060

2 Corporate Dr
Ste 240
Shelton, CT 06484
Phone (508) 658-3489

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

NPPES NPI Registry

Primary practice location

93 Edwards St
New Haven, CT 06511-3933

Mailing address

81 Gilbert Ave
Hamden, CT 06514-3352
Phone (203) 243-0060

Other practice location 1

2 Corporate Dr Ste 240
Shelton, CT 06484-6274
Phone (864) 336-2731

Other names 1

NPPES NPI Registry
  • Ms. La'Shondra Monique Clark Former name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 16, 2026.

{
    "created_epoch": "1395446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776297600000",
    "number": "1124445663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 GILBERT AVE",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065143352",
            "telephone_number": "203-243-0060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "93 EDWARDS ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065113933",
            "telephone_number": "203-777-8648"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Corporate Dr Ste 240",
            "address_purpose": "LOCATION",
            "city": "Shelton",
            "state": "CT",
            "postal_code": "064846274",
            "country_code": "US",
            "telephone_number": "864-336-2731",
            "fax_number": "833-740-3387",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DA CRUZ",
        "first_name": "LA'SHONDRA",
        "middle_name": "MONIQUE",
        "name_prefix": "Mrs.",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-22",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LA'SHONDRA",
            "last_name": "CLARK",
            "middle_name": "MONIQUE",
            "prefix": "MS.",
            "credential": "MS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New Haven, CT

Sources for this page

Verify at the official NPI Registry.