1. Home
  2. Directory
  3. Maine
  4. Bangor
  5. Counselor
  6. NPI Profile

JESSICA DEMERISE SMALL LCPC
NPI 1033540687
Counselor - Mental Health in Bangor, ME

Active since December 09, 2013PECOS EnrolledAccepts Medicare Assignment
202 EXCHANGE ST, BANGOR, ME 04401(207) 941-6434(207) 941-9366 Get Directions Write a Review

NPPES record last updated: June 18, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jessica Demerise Small Lcpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSICA DEMERISE SMALL LCPC (NPI 1033540687) is an individual mental health provider in Bangor, Maine, licensed in Maine (XL4254) and active in the NPI registry since December 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1033540687
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJESSICA DEMERISE SMALLCredential: LCPC
Location Address202 EXCHANGE STBangor, ME 04401-6508
Mailing Address202 Exchange StBangor, ME 04401-6508 · (207) 941-6434 · Fax (207) 941-9366
Phone(207) 941-6434
Fax(207) 941-9366
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateDecember 9, 2013
Last NPPES UpdateJune 18, 2024
NPPES CertifiedJune 18, 2024
✔ NPI 1033540687 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in ME · XL4254
202 EXCHANGE ST, Bangor, ME 04401
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jessica Demerise Small Lcpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2163867409
PECOS Enrollment IDI20240227001853
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. SUZANNE VICTORIA FOUGERE LCPC-C
Counselor (Mental Health)
202 EXCHANGE ST
BANGOR, ME 04401
Penobscot County (207) 941-6434
DR. ALSTON WAYNE OLIVER PH.D., LCPC
Counselor (Professional)
202 EXCHANGE ST
BANGOR, ME 04401
Penobscot County (207) 941-6434
DR. BYRON P LYONS
Counselor (Mental Health)
202 EXCHANGE ST
BANGOR, ME 04401
Penobscot County (207) 941-6434
ANDREW MCNALLY LCPC-CC
Counselor (Mental Health)
202 EXCHANGE ST
BANGOR, ME 04401
Penobscot County (207) 941-6434
MS. DEBRA MARIE FRANCIS LMSWCC
Social Worker (Clinical)
202 EXCHANGE ST
BANGOR, ME 04401
Penobscot County (207) 941-6434
MS. JENNIFER W WEAVER LCSW
Social Worker (Clinical)
202 EXCHANGE ST
BANGOR, ME 04401
Penobscot County (207) 941-6434
BRIAN KEITH GALIPEAU LMSW-CC
Social Worker
202 EXCHANGE ST
BANGOR, ME 04401
Penobscot County (207) 941-6434
NEW LIFE MISSION
Community/Behavioral Health
202 EXCHANGE ST
BANGOR, ME 04401
Penobscot County (207) 941-6434

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jessica Small's NPI number?

The NPI number for Jessica Small is 1033540687. It was assigned to this individual provider in the NPPES registry on December 9, 2013.

Where is Jessica Small located?

Jessica Small practices at 202 Exchange St, Bangor, ME 04401. The listed phone number is (207) 941-6434.

What is Jessica Small's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Jessica Small enrolled in Medicare?

Yes. Jessica Small is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jessica Small accept?

Health plans from Anthem Blue Cross and Blue Shield list Jessica Small as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jessica Small was last updated on June 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.