Organization Active NPI

Cocreate Healing Center, LLC

  • Professional Counselor
  • Branchburg, NJ
National Provider Identifier
1689578718
Registry record updated Oct 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
COCREATE HEALING CENTER, LLC
Practice address
971 US Highway 202 N Ste N
Branchburg, NJ 08876-3757
Phone
(732) 838-9927
Fax
(732) 605-5964
NPI assigned
Oct 3, 2026
Last updated
Oct 3, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2026

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

Authorized official

Name
Samantha Grimaldi, LPC
Title
Owner/LPC
Phone
(732) 838-9927

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X NU Primary

Addresses

Primary practice location

971 US Highway 202 N Ste N
Branchburg, NJ 08876-3757

Mailing address

971 US Highway 202 N Ste N
Branchburg, NJ 08876-3757
Phone (732) 838-9927

NPI Registry JSON

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

{
    "created_epoch": "1790985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790985600000",
    "number": "1689578718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "971 US HIGHWAY 202 N STE N",
            "city": "BRANCHBURG",
            "state": "NJ",
            "postal_code": "088763757",
            "telephone_number": "732-838-9927",
            "fax_number": "732-605-5964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "971 US HIGHWAY 202 N STE N",
            "city": "BRANCHBURG",
            "state": "NJ",
            "postal_code": "088763757",
            "telephone_number": "732-838-9927",
            "fax_number": "732-605-5964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COCREATE HEALING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-03",
        "last_updated": "2026-10-03",
        "certification_date": "2026-10-03",
        "status": "A",
        "authorized_official_last_name": "GRIMALDI",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "OWNER/LPC",
        "authorized_official_telephone_number": "732-838-9927",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Branchburg, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.