Individual provider Active NPI

Samantha Bradshaw, LMHC

  • Mental Health Counselor
  • East Bridgewater, MA
National Provider Identifier
1336779594
Registry record updated Jan 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LMHC10001866 Issued in MA
Practice address
36 N Bedford St
East Bridgewater, MA 02333-1186
Phone
(508) 819-7940
NPI assigned
Jan 16, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 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 LMHC10001866 MA Primary

Addresses

Primary practice location

36 N Bedford St
East Bridgewater, MA 02333-1186

Mailing address

36 N Bedford St
East Bridgewater, MA 02333-1186
Phone (508) 819-7940

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20240424000456 MA Practitioner - Mental Health Counselor 6406295484 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brockton Area Multi-Services, Inc.Group PAC ID 9133161953, 18 clinicians

Practice addresses (Care Compare)

288 Bedford St
Whitman, MA 02382-1820
Phone (781) 447-6425

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LMHC10001866MAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Brockton Area Multi-Services, Inc. Mental Health CurrentSince Apr 2, 2024 Accepting new patients
Whitman Counseling PastSince Apr 2, 2024 Accepting new patients

Locations

10 Christy Dr
Brockton, MA 02301
Phone (508) 580-8700

288 Bedford St
Whitman, MA 02382
Phone (781) 447-6425

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1579132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769472000000",
    "number": "1336779594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 N BEDFORD ST",
            "city": "EAST BRIDGEWATER",
            "state": "MA",
            "postal_code": "023331186",
            "telephone_number": "508-819-7940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 N BEDFORD ST",
            "city": "EAST BRIDGEWATER",
            "state": "MA",
            "postal_code": "023331186",
            "telephone_number": "508-819-7940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADSHAW",
        "first_name": "SAMANTHA",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-16",
        "last_updated": "2026-01-27",
        "certification_date": "2026-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "LMHC10001866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Bridgewater, MA

Sources for this page

Verify at the official NPI Registry.