Individual provider Active NPI

Audre Juste Holstein, LMHCA, LPC

  • Professional Counselor
  • Bristol, CT
National Provider Identifier
1174235386
Registry record updated Oct 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
10226 Issued in CT
Practice address
123 Middle St
Bristol, CT 06010-7404
Phone
(860) 281-2280
NPI assigned
Dec 19, 2022
Last updated
Oct 12, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 12, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 7531 CT
Mental Health Counselor 101YM0800X MC61406242 WA
Professional Counselor 101YP2500X 10226 CT Primary

Addresses

Primary practice location

123 Middle St
Bristol, CT 06010-7404

Mailing address

123 Middle St
Bristol, CT 06010-7404
Phone (860) 540-4353

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MC61406242WAMDMental Health Counselor
7531CTMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Peaceful Mind Behavioral Health & Wellness, LLC Mental Health CurrentSince Dec 8, 2024 Accepting new patients
Peaceful Mind Behavioral Health & Wellness, LLC Mental Health CurrentSince Apr 27, 2025 Accepting new patients

Locations

123 Middle St
Bristol, CT 06010
Phone (860) 281-2280

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1671408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791763200000",
    "number": "1174235386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 MIDDLE ST",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060107404",
            "telephone_number": "860-540-4353",
            "fax_number": "860-499-3514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 MIDDLE ST",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060107404",
            "telephone_number": "860-281-2280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLSTEIN",
        "first_name": "AUDRE",
        "middle_name": "JUSTE",
        "credential": "LMHCA, LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-12-19",
        "last_updated": "2026-10-12",
        "certification_date": "2026-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CT",
            "license": "7531",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC61406242",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "10226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bristol, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2026; 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.