MDM Creative Counseling Services LLC

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

Legal business name

MDM CREATIVE COUNSELING SERVICES LLC

Practice address

140 Auburn St
Bridgewater, MA 02324-3404

Phone

(857) 244-4889

NPI assigned

Sep 3, 2025

Organization subpart

No

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

Authorized official

Name

Mrs. Miaisha Murrell, LMHC

Title

Ceo

Phone

(587) 244-8449

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1756857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756857600000",
    "number": "1740160662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 HARRISON AVE SUIT 605",
            "address_2": "#104061",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02111",
            "telephone_number": "857-244-4889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 AUBURN ST",
            "city": "BRIDGEWATER",
            "state": "MA",
            "postal_code": "023243404",
            "telephone_number": "857-244-4889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MDM CREATIVE COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-03",
        "last_updated": "2025-09-03",
        "certification_date": "2025-08-20",
        "status": "A",
        "authorized_official_last_name": "MURRELL",
        "authorized_official_first_name": "MIAISHA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "587-244-8449",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca McGrath, LICSW
• Maria L. McHargue, LICSW
• Carol Y McLellan
• Nora McLellan, RN
• Erin McNamara
• Imari Rochell Medeiros
• Jaime Meighan
• Peter David Mello, PT
• Memorable Moments Mass
• Melody Messer, P.T.A.

• Adolescent and Children Mental Health Clinic/Center in Bridgewater, MA
• Providers in Bridgewater, MA by specialty
• Adolescent and Children Mental Health Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2025; 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.