Jason Carl Sopkovich, LPC LICDC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

C.2506972 Issued in OH

Practice address

7055 Engle Rd # 6-601
Middleburg Heights, OH 44130-8491

Phone

(216) 232-9538

NPI assigned

Feb 20, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ohio Substance Abuse Professionals LLC

  • Addiction (Substance Use Disorder) Counselor
  • Cleveland, OH
  • NPI 1811850498
  NPD Authorized official
• Bureau of Drug Abuse,Cleveland Treatment Center,Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Cleveland, OH
  • NPI 1619934676
  NPD (past)
• Ohio Bureau of Drug Abuse

  • Community/Behavioral Health Agency
  • Cleveland, OH
  • NPI 1073058137
  NPD (past)

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

{
    "created_epoch": "1519084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767571200000",
    "number": "1881194405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7801 DAY DR UNIT 29054",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441295656",
            "telephone_number": "216-323-9538",
            "fax_number": "216-270-7347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7055 ENGLE RD # 6-601",
            "city": "MIDDLEBURG HEIGHTS",
            "state": "OH",
            "postal_code": "441308491",
            "telephone_number": "216-232-9538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOPKOVICH",
        "first_name": "JASON",
        "middle_name": "CARL",
        "credential": "LPC LICDC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-02-20",
        "last_updated": "2026-01-05",
        "certification_date": "2026-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "LICDC.162769",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "C.2506972",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C.2506972",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "C.2506972",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0154182",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Natalie Soltysiak, PHARMD
• Sandra Judith Soresso
• South West General Health Center
• Southern Hills Health and Rehabilitation Center LLC
• Southern Hills Nursing and Rehabilitation Center, Inc.
• Southwest Anesthesiology Group, Inc

• Professional Counselor in Middleburg Heights, OH
• Providers in Middleburg Heights, OH by specialty
• Professional Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2026; 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.