Active NPI
Sophisticated One Counseling
- Substance Use Disorder Rehabilitation Clinic/Center
- Cleveland, OH
National Provider Identifier
1821581786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center
- Legal business name
- SOPHISTICATED ONE COUNSELING
- Practice address
- 2085 W 87TH St
Cleveland, OH 44102-3813 - Phone
- (216) 346-8608
- Fax
- (216) 273-7974
- NPI assigned
- Jun 14, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Angela Viola Sampson
- Title
- Owner
- Phone
- (216) 346-8606
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | Primary |
Addresses
Primary practice location
2085 W 87TH St
Cleveland, OH 44102-3813
Mailing address
2085 W 87TH St
Cleveland, OH 44102-3813
Phone (216) 346-8608
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0272982 | Medicaid | OH |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Addiction (Substance Use Disorder) Counselor
- Cleveland, OH
- NPI 1295110104
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528934400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757289600000",
"number": "1821581786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2085 W 87TH ST",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441023813",
"telephone_number": "216-346-8608",
"fax_number": "216-273-7974"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2085 W 87TH ST",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441023813",
"telephone_number": "216-346-8608",
"fax_number": "216-273-7974"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOPHISTICATED ONE COUNSELING",
"organizational_subpart": "NO",
"enumeration_date": "2018-06-14",
"last_updated": "2025-09-08",
"certification_date": "2025-09-08",
"status": "A",
"authorized_official_last_name": "SAMPSON",
"authorized_official_first_name": "ANGELA",
"authorized_official_middle_name": "VIOLA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "216-346-8606"
},
"taxonomies": [
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0272982",
"state": "OH"
}
],
"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 Sep 8, 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.