RAPHAEL FREDRIC SAMSON
NPI 1215400973
Counselor - Mental Health in Eatontown, NJ
About Raphael Fredric Samson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RAPHAEL FREDRIC SAMSON (NPI 1215400973) is an individual mental health provider in Eatontown, New Jersey and active in the NPI registry since January 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Raphael Fredric Samson is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Raphael Samson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Red Bank, NJ 07701
- Reassigned Medicare billing, New Jersey enrollment
- Medicare enrollment name: Cpc Behavioral Healthcare Inc
- 99 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 18
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
EATONTOWN, NJ 07724
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Raphael Samson's NPI number?
The NPI number for Raphael Samson is 1215400973. It was assigned to this individual provider in the NPPES registry on January 5, 2019.
Where is Raphael Samson located?
Raphael Samson practices at 10 Industrial Way E, Eatontown, NJ 07724. The listed phone number is (732) 935-2220.
What is Raphael Samson's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Raphael Samson enrolled in Medicare?
Yes. Raphael Samson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Raphael Samson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Raphael Samson reassigns Medicare benefits to Cpc Integrated Health, Inc. (Red Bank, NJ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Raphael Samson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Raphael Samson was last updated on January 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Raphael Fredric Samson · NPI 1215400973
Mental Health provider in Eatontown, New Jersey. Individual provider, active in the CMS NPPES registry since January 5, 2019.
## Identity
- **NPI:** 1215400973 (Entity type: Individual)
- **Enumerated:** January 5, 2019
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Sole proprietor:** No
## Practice location
- **Address:** 10 INDUSTRIAL WAY E, Eatontown, NJ 07724-3332
- **Phone:** (732) 935-2220
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Cpc Integrated Health, Inc. (NPI 1366497356, Red Bank, NJ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** January 10, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1215400973) · Data from the CMS NPPES public registry.