Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jack Cottom, LPC

Individual provider Professional Counselor · NPI 1457755696

Jack Cottom, LPC is a Professional Counselor in Philadelphia, Pennsylvania. Practices as a sole proprietor. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2014
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

2000 Spring Garden St 1F
Philadelphia, PA 19130-3994
Phone: (404) 918-6042
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence PC009399 (PA)

Record details

NPI number1457755696
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC
Sole proprietorYes
NPI enumeratedOctober 17, 2014
Last updated in NPPESJanuary 19, 2017

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