Active NPIIndividual provider

Jacob L Cottage

Nurse Practitioner, Psych/Mental Health in Harrisburg, Pennsylvania

NPI Number1215801832
Practice location
600 N 2ND St Ste 401, Harrisburg, PA 17101-1071
Fax
—
Last updated
October 1, 2026

Jacob Lee Cottage is a Nurse Practitioner, Psych/Mental Health based in Harrisburg, PA. Jacob Lee Cottage practices in Harrisburg, PA. The NPI Number for Jacob Lee Cottage is 1215801832 and holds a License No. SP033726 (PA). The current practice location address for Jacob Lee Cottage is 600 N 2ND St Ste 401, Harrisburg, PA 17101-1071 and can be reached out via phone at 860-788-6404.

Provider Profile Details

NPI Number
1215801832
Provider Name
Jacob Lee Cottage
Provider Entity Type
Individual
Gender
Male
Address
600 N 2ND St Ste 401, Harrisburg, PA 17101-1071
Phone Number
860-788-6404
Primary Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X
Sole Proprietor
No
Provider Enumeration Date
October 6, 2025
Last Update Date
October 1, 2026
Certification Date
October 1, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
600 N 2ND St Ste 401
Harrisburg, PA 17101-1071
Zip
17101-1071
Phone Number
860-788-6404
Harrisburg, PA 17101Get directions →

Provider Business Mailing Address Details

Address
Po Box 1595
Middletown, CT 06457-8095
City
Middletown
State
CT
Zip
06457-8095

License Information

License Number
SP033726
License State
PA
Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jacob L Cottage?

The NPI number of Jacob L Cottage is 1215801832. It was assigned on October 6, 2025 and is currently active in the NPPES registry.

What is the specialty of Jacob L Cottage?

Jacob L Cottage is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in PA under license number SP033726.

Where does Jacob L Cottage practice?

The practice location is 600 N 2ND St Ste 401, Harrisburg, PA 17101-1071. The office can be reached at 860-788-6404 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1215801832 directly on the NPPES registry website.

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