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MR. SAMUEL RANDOLPH II LMFT
NPI 1578160255
Marriage & Family Therapist in Long Beach, CA

Active since October 05, 2020PECOS Enrolled
1945 PALO VERDE AVE STE 203, LONG BEACH, CA 90815(562) 888-2649 Get Directions Write a Review

NPPES record last updated: June 10, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mr. Samuel Randolph Ii Lmft NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. SAMUEL RANDOLPH II LMFT (NPI 1578160255) is an individual marriage & family therapist in Long Beach, California, licensed in California (245897) and active in the NPI registry since October 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1578160255
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameMR. SAMUEL RANDOLPH IICredential: LMFT
Location Address1945 PALO VERDE AVE STE 203Long Beach, CA 90815-3445
Mailing Address375 Redondo Ave # 258Long Beach, CA 90814-8130 · (562) 888-2649
Phone(562) 888-2649
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateOctober 5, 2020
Last NPPES UpdateJune 10, 2026
NPPES CertifiedJune 10, 2026
✔ NPI 1578160255 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · 245897
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
1945 PALO VERDE AVE STE 203, Long Beach, CA 90815
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Samuel Randolph Ii Lmft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8022582949
PECOS Enrollment IDI20260701003398
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Samuel Randolph reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Meru Health Medical, P.A.
2,394 mi
Psychiatry
196 W ASHLAND ST
Doylestown, PA 18901
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Meru Health Medical PA
  • 28 clinicians in this Medicare group
NPI 1326716432 (833) 940-1385

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 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. KATHLEEN LARAINE DEPPE MFT-LICENSED
Marriage & Family Therapist
1945 PALO VERDE AVE STE 203
LONG BEACH, CA 90815
Los Angeles County (562) 343-8879
DR. TINA WEBB LICENSED CLINICAL SOCIAL WORKER INC.
Social Worker (Clinical)
1945 PALO VERDE AVE STE 203
LONG BEACH, CA 90815
Los Angeles County (323) 470-6973

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 Samuel Randolph's NPI number?

The NPI number for Samuel Randolph is 1578160255. It was assigned to this individual provider in the NPPES registry on October 5, 2020.

Where is Samuel Randolph located?

Samuel Randolph practices at 1945 Palo Verde Ave Ste 203, Long Beach, CA 90815. The listed phone number is (562) 888-2649.

What is Samuel Randolph's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Samuel Randolph enrolled in Medicare?

Yes. Samuel Randolph is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Samuel Randolph's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Randolph reassigns Medicare benefits to Meru Health Medical, P.A. (Doylestown, PA). 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 Samuel Randolph'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 Samuel Randolph was last updated on June 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.