Individual provider Active NPI

Autumn Chase, LPC

  • Mental Health Counselor
  • Milford, CT
National Provider Identifier
1326792912
Registry record updated Jun 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6255 Issued in CT
Practice address
34 Park Cir
Milford, CT 06460-4832
Phone
(860) 906-2147
NPI assigned
Feb 11, 2022
Last updated
Jun 3, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 6255 CT Primary

Addresses

Primary practice location

34 Park Cir
Milford, CT 06460-4832

Mailing address

34 Park Cir
Milford, CT 06460-4832
Phone (860) 906-2147

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250822004111 CT Practitioner - Mental Health Counselor 6103326210 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Holistic Health and Healing Center LLCGroup PAC ID 1557774486, 6 clinicians

Practice addresses (Care Compare)

64 Thompson St
Suite A103 104
East Haven, CT 06513-5707
Phone (203) 691-1685

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6255CTMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Holistic Health & Healing Center LLC CurrentSince Jun 5, 2025 Accepting new patients
Root & Ridge Counseling LLC CurrentSince Feb 13, 2022 Accepting new patients

Locations

64 Thompson St
Ste A103104
East Haven, CT 06513
Phone (203) 691-1685

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": "1644537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780444800000",
    "number": "1326792912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 PARK CIR",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064604832",
            "telephone_number": "860-906-2147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 PARK CIR",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064604832",
            "telephone_number": "860-906-2147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHASE",
        "first_name": "AUTUMN",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-11",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CT",
            "license": "6255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, CT

Sources for this page

Verify at the official NPI Registry.