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
Mailing address2000 Spring Garden St, 1f, Philadelphia, PA 19130-3994

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