Individual provider Active NPI

Yulan Melissa Menzie-Hackney, LPC

  • Professional Counselor
  • Bridgeport, CT
National Provider Identifier
1174217350
Registry record updated Mar 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
8342 Issued in CT
Practice address
42 Dean PL Apt 106a
Bridgeport, CT 06610-1655
Phone
(203) 572-6057
NPI assigned
Jun 8, 2023
Last updated
Mar 2, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X CT
Professional Counselor 101YP2500X 8342 CT Primary

Addresses

Primary practice location

42 Dean PL Apt 106a
Bridgeport, CT 06610-1655

Mailing address

42 Dean PL Apt 106a
Bridgeport, CT 06610-1655
Phone (203) 572-6057

Other practice location 1

115 Technology Dr Unit A301
Trumbull, CT 06611-6347
Phone (203) 612-4300

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
I20250709000217 CT Practitioner - Mental Health Counselor 2466961149 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mellahealth LLCGroup PAC ID 9032528658, 23 clinicians

Practice addresses (Care Compare)

125 Lasalle Rd
Suite 300
West Hartford, CT 06107-2311
Phone (860) 810-0587

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Mental Health CurrentSince Jan 27, 2026 Accepting new patients
Mellahealth LLC Professional CurrentSince Mar 30, 2025 Accepting new patients
Everroot Counseling LLC Professional CurrentSince Jun 11, 2023 Accepting new patients
Sunrise Therapy Services LLC Past Accepting new patients
Ruby Psychiatric Services, PLLC PastSince Mar 30, 2025 Accepting new patients

Locations

125 Lasalle Rd
Ste 300
West Hartford, CT 06107
Phone (860) 342-8192

Organizations & group practices 6

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": "1686182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772409600000",
    "number": "1174217350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 DEAN PL APT 106A",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066101655",
            "telephone_number": "203-572-6057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 DEAN PL APT 106A",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066101655",
            "telephone_number": "203-572-6057"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "115 Technology Dr Unit A301",
            "address_purpose": "LOCATION",
            "city": "Trumbull",
            "state": "CT",
            "postal_code": "066116347",
            "country_code": "US",
            "telephone_number": "203-612-4300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MENZIE-HACKNEY",
        "first_name": "YULAN",
        "middle_name": "MELISSA",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-08",
        "last_updated": "2026-03-02",
        "certification_date": "2026-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CT",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "8342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeport, CT

Sources for this page

Verify at the official NPI Registry.