Active NPI
Sophia Kish
- Counselor
- Cleveland, OH
National Provider Identifier
1093525743
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- C.2305400
- Practice address
- 3929 Rocky River Dr
Cleveland, OH 44111-4153 - Phone
- (440) 725-7434
- NPI assigned
- Jan 13, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | C.2305400 | OH | Primary |
| Professional Counselor | 101YP2500X | C.2305400 | OH |
Addresses
Primary practice location
3929 Rocky River Dr
Cleveland, OH 44111-4153
Mailing address
26513 Glencove TRL
Columbia Station, OH 44028-9835
Phone (440) 725-7434
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C.2305400 | OH | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1736726400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741219200000",
"number": "1093525743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26513 GLENCOVE TRL",
"city": "COLUMBIA STATION",
"state": "OH",
"postal_code": "440289835",
"telephone_number": "440-725-7434"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3929 ROCKY RIVER DR",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441114153",
"telephone_number": "440-725-7434"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KISH",
"first_name": "SOPHIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-01-13",
"last_updated": "2025-03-06",
"certification_date": "2025-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "OH",
"license": "C.2305400",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "C.2305400",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.