SOPHISTICATED ONE COUNSELING (NPI# 1821581786) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821581786 |
| Entity Type | Organization |
| Organization Name | SOPHISTICATED ONE COUNSELING |
| Practice Address |
3301 Archmere Ave Cleveland OH 44109-5400 |
| Practice Telephone | 2163468608 |
| Practice Fax Number | 2162737974 |
| Mailing Telephone | 2163468608 |
| Mailing Fax Number | 2162737974 |
| Enumeration Date | 2018-06-14 |
| Last Update Date | 2018-06-14 |
| Authorized Official Name | ANGELA VIOLA SAMPSON (OWNER) |
| Authorized Official Telephone | 2163468608 |
| Authorized Official Credential | MA.LICDC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0272982 | 05 |
| Street Address |
3301 ARCHMERE AVE |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44109-5400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295110104 | Angela Viola Sampson | Counselor | 3301 Archmere Ave, Cleveland, OH 44109-5400 | 2015-07-22 |
| 1639662513 | Kevin Michelle Jarrett | Counselor | 3301 Archmere Ave, Cleveland, OH 44109-5400 | 2018-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831706811 | Shafeeque Kunhiabdullah | Pediatrics | Metrhealth Drive, Metrohealth Medical, Fellow Neonatology, Cleveland, OH 44109 | 2020-09-24 |
| 1174146823 | Andrew John Wrobel | Nurse Practitioner | 3188 W 14th St, Unit 1, Cleveland, OH 44109 | 2020-05-28 |
| 1740817998 | Ashleigh Katlyn Hamar | Community Health Worker | 3518 W. 25th Sreet, Cleveland, OH 44109 | 2020-03-26 |
| 1548895097 | Meghan Elise Mcdonald Whyard | Social Worker | 3818 W 25th, Cleveland, OH 44109 | 2020-03-05 |
| 1285286526 | Jonathan Richard Haag | Anesthesiologist Assistant | 2550 Metrohealth Dr, Cleveland, OH 44109 | 2019-07-16 |
| 1952871501 | Susan Tamilio | Case Manager/Care Coordinator | 4269 Pearl Raod, Cleveland, OH 44109 | 2018-11-27 |
| 1982199154 | Luisa Milagros Velez | Counselor | 2202 Prame, Cleveland, OH 44109 | 2018-06-28 |
| 1154706687 | Christine Gangale | Counselor | 3518 West 25th Street, Cleveland, OH 44109 | 2015-07-27 |
| 1073993598 | Daniel Vicente Escovar | Student in an Organized Health Care Education/Training Program | 2500 Metrohealth Drive, Room A-107, Cleveland, OH 44109 | 2015-06-01 |
| 1235523168 | Alexander Nathan Pontikos | Student in an Organized Health Care Education/Training Program | 2500 Metrohealth Dr Ofc A107, Cleveland, OH 44109 | 2015-03-28 |
| Find all providers in zip 44109 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700357829 | Lovel Henderson Jr | Clinic/Center | 6600 Lexington Ave, Cleveland, OH 44103 | 2018-12-16 |
| 1356868871 | Washington Health Care Management, LLC | Clinic/Center | 11510 Buckeye Rd, Cleveland, OH 44104-3828 | 2017-08-25 |
| 1528434149 | The Jericho House | Clinic/Center | 6757 Duncan Bridge Rd, Cleveland, GA 30528-5170 | 2015-08-18 |
| 1609151372 | Council for Economic Opportunities In Greater Cleveland | Clinic/Center | 1801 Superior Ave E Ste 400, Cleveland, OH 44114 | 2011-10-13 |
| 1467598391 | Stella Maris, Inc | Clinic/Center | 1302 Winslow Avenue, Cleveland, OH 44113-2333 | 2007-01-29 |
| 1659328771 | Catholic Charities Corporation | Clinic/Center | 3135 Euclid Ave, Suite 202, Cleveland, OH 44115-2531 | 2006-05-27 |
| 1174572168 | Stella Maris, Inc. | Clinic/Center | 1292 Winslow Ave, Cleveland, OH 44113-2334 | 2006-05-08 |
| 1619934676 | Bureau of Drug Abuse,cleveland Treatment Center,inc. | Clinic/Center | 1127 Carnegie Ave, Cleveland, OH 44115-2805 | 2006-04-26 |
| 1235631201 | Circle Health Services | Clinic/Center | 3929 Rocky River Dr, Cleveland, OH 44111-4153 | 2018-03-06 |
| 1689176653 | Circle Health Services | Clinic/Center | 5955 Ridge Rd, Cleveland, OH 44129-3936 | 2018-03-06 |
| Find all providers in CLEVELAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.