Individual provider Active NPI

Samuel Randolph II, LMFT

  • Marriage & Family Therapist
  • Long Beach, CA
National Provider Identifier
1578160255
Registry record updated Jun 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
245897 Issued in CA
Practice address
1945 Palo Verde Ave Ste 203
Long Beach, CA 90815-3445
Phone
(562) 888-2649
NPI assigned
Oct 5, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 245897 CA Primary

Addresses

Primary practice location

1945 Palo Verde Ave Ste 203
Long Beach, CA 90815-3445

Mailing address

375 Redondo Ave # 258
Long Beach, CA 90814-8130
Phone (562) 888-2649

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

375 Redondo Ave
Suite 258
Long Beach, CA 90814-2656

403 W 7TH St Unit
Suite 308
Long Beach, CA 90813-4193

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
245897CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1601856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781049600000",
    "number": "1578160255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 REDONDO AVE # 258",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908148130",
            "telephone_number": "562-888-2649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1945 PALO VERDE AVE STE 203",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908153445",
            "telephone_number": "562-888-2649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANDOLPH",
        "first_name": "SAMUEL",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-10-05",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "245897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.