Organization Active NPI

Sophisticated One Counseling

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Cleveland, OH
National Provider Identifier
1821581786
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
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

Updated by the provider on Sep 8, 2025

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

Authorized official

Name
Angela Viola SampsonNPI 1295110104
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0272982MedicaidOH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.