SAMANTHA SOUFRINE LPC
NPI 1962020685
Counselor in North Haven, CT

Active since July 09, 2020PECOS Enrolled
605 WASHINGTON AVE, NORTH HAVEN, CT 06473(203) 214-1399 Get Directions Write a Review

NPPES record last updated: July 9, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Samantha Soufrine Lpc NPPES

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

SAMANTHA SOUFRINE LPC (NPI 1962020685) is an individual counselor in North Haven, Connecticut, licensed in Connecticut (4481) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1962020685
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameSAMANTHA SOUFRINECredential: LPC
Location Address605 WASHINGTON AVENorth Haven, CT 06473-1123
Mailing Address605 Washington AveNorth Haven, CT 06473-1123 · (203) 214-1399
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateJuly 9, 2020
NPPES CertifiedJuly 9, 2020
✔ NPI 1962020685 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in CT · 4481
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
605 WASHINGTON AVE, North Haven, CT 06473

Other Identifiers 1

Other4481CT · Lpc

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samantha Soufrine Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9133691611
PECOS Enrollment IDI20260616001854
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 Samantha Soufrine reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health
605 WASHINGTON AVE, 2ND FLOOR NORTH WING
North Haven, CT 06473
  • Reassigned Medicare billing, Connecticut enrollment
  • 3 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 20

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

Counselor (Professional)
605 WASHINGTON AVE
NORTH HAVEN, CT 06473
Community/Behavioral Health
605 WASHINGTON AVE
NORTH HAVEN, CT 06473
Counselor (Professional)
605 WASHINGTON AVE
NORTH HAVEN, CT 06473
Nurse Practitioner (Psychiatric/Mental Health)
605 WASHINGTON AVE
NORTH HAVEN, CT 06473
Counselor (Addiction (Substance Use Disorder))
605 WASHINGTON AVE
NORTH HAVEN, CT 06473
Counselor
605 WASHINGTON AVE
NORTH HAVEN, CT 06473
Social Worker (Clinical)
605 WASHINGTON AVE
NORTH HAVEN, CT 06473
Marriage & Family Therapist
605 WASHINGTON AVE
NORTH HAVEN, CT 06473

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 Samantha Soufrine's NPI number?

The NPI number for Samantha Soufrine is 1962020685. It was assigned to this individual provider in the NPPES registry on July 9, 2020.

Where is Samantha Soufrine located?

Samantha Soufrine practices at 605 Washington Ave, North Haven, CT 06473. The listed phone number is (203) 214-1399.

What is Samantha Soufrine's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Samantha Soufrine enrolled in Medicare?

Yes. Samantha Soufrine is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Samantha Soufrine's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Soufrine reassigns Medicare benefits to Lighthouse Counseling And Intervention LLC (North Haven, CT). 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 Samantha Soufrine's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Samantha Soufrine accept?

Health plans from Anthem Blue Cross and Blue Shield list Samantha Soufrine as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Samantha Soufrine was last updated on July 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.