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

Individual provider Professional Counselor · NPI 1669003687

Kandice J Witherspoon, LPC is a Mental Health Counselor in Philadelphia, Pennsylvania. Qualified in 2004, 22 years ago. Practices with University of Penn-Medical Group, a 3,401-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Pennsylvania.

Years since qualifying
22
Licensed in
PA
In the registry since
2020
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

3535 Market Street Mezzanine Level
Philadelphia, PA 19104-3317
Phone: (215) 764-4100
Fax: (215) 746-4116
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Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence PC009305 (PA)

Record details

NPI number1669003687
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorYes
NPI enumeratedJanuary 29, 2020
Last updated in NPPESFebruary 23, 2022
Certification dateFebruary 14, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice University Of Penn-Medical Group — 3401 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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