Michele Lynn Bullock, NCC, LPC, BC-TMH

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

001538 Issued in CT

Practice address

55 Tennyson Ave
North Haven, CT 06473-2732

Phone

(203) 868-5436

NPI assigned

Feb 6, 2007

Last updated

May 7, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• New England Balance and Wellness, LLC

  • Mental Health Counselor
  • Hamden, CT
  • NPI 1871952721
  Authorized official Same address or phone

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778112000000",
    "number": "1376682161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 TENNYSON AVE",
            "city": "NORTH HAVEN",
            "state": "CT",
            "postal_code": "064732732",
            "telephone_number": "203-868-5436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 TENNYSON AVE",
            "city": "NORTH HAVEN",
            "state": "CT",
            "postal_code": "064732732",
            "telephone_number": "203-868-5436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULLOCK",
        "first_name": "MICHELE",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "NCC, LPC, BC-TMH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-06",
        "last_updated": "2026-05-07",
        "certification_date": "2026-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "TPMC5336",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CT",
            "license": "001538",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "001538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nichole Brown, DNP
• Sabrina L. Browning, M.D.
• Jennifer Marie Brubacher, LCSW
• Alyson Buck, PA-C
• Jane Buckley, APRN
• Kristin Amanda Burke
• Nina Frances Burkhardt, PA
• Lynn Burnette
• Daniece Owsley Burns, RPH
• Caroline Butt

• Professional Counselor in North Haven, CT
• Providers in North Haven, CT by specialty
• Professional Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.