Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Raphael Fredric Samson

Individual provider Mental Health Counselor · NPI 1215400973

Raphael Fredric Samson is a Mental Health Counselor in Eatontown, New Jersey. Qualified in 2016, 10 years ago. Practices with Cpc Behavioral Healthcare Inc, a 58-clinician group and accepts Medicare assignment.

Years since qualifying
10
In the registry since
2019
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Practice location Address checks out

10 Industrial Way E
Eatontown, NJ 07724-3332
Phone: (732) 935-2220
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1215400973
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 5, 2019
Last updated in NPPESJanuary 10, 2023
Certification dateJanuary 10, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Cpc Behavioral Healthcare Inc — 58 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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