Active NPI
Jenna Lane Cottingham, SLP
- Speech-Language Pathologist
- Hartsville, SC
National Provider Identifier
1386442853
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 8774
- Practice address
- 603 W Carolina Ave
Hartsville, SC 29550-4443 - Phone
- (803) 459-2073
- NPI assigned
- Mar 3, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Occupational Therapist
- Hartsville, SC
- NPI 1336198951
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8774 | SC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapeutic Designs and Services | Past | Accepting new patients |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 8774 | SC | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
603 W Carolina Ave
Hartsville, SC 29550-4443
Mailing address
603 W Carolina Ave
Hartsville, SC 29550-4443
Phone (843) 332-3600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 3, 2025.
{
"created_epoch": "1740960000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740960000000",
"number": "1386442853",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "603 W CAROLINA AVE",
"city": "HARTSVILLE",
"state": "SC",
"postal_code": "295504443",
"telephone_number": "843-332-3600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "603 W CAROLINA AVE",
"city": "HARTSVILLE",
"state": "SC",
"postal_code": "295504443",
"telephone_number": "803-459-2073"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COTTINGHAM",
"first_name": "JENNA",
"middle_name": "LANE",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-03-03",
"last_updated": "2025-03-03",
"certification_date": "2025-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "SC",
"license": "8774",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hartsville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.