Healthcare Provider Details

I. General information

NPI: 1609721125
Provider Name (Legal Business Name): COGITO THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/02/2026
Last Update Date: 03/02/2026
Certification Date: 03/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

411 W LAKE LANSING RD
EAST LANSING MI
48823-8445
US

IV. Provider business mailing address

1092 SAINT JOHNS CHASE
GRAND LEDGE MI
48837-9781
US

V. Phone/Fax

Practice location:
  • Phone: 517-526-0036
  • Fax:
Mailing address:
  • Phone: 517-526-0036
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: MR. JODY J NELSON
Title or Position: OWNER
Credential: LMSW
Phone: 517-526-0036