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COLLEEN M DEMERS LCPC-CC
NPI 1063765568
Counselor - Professional in South Portland, ME

Active since October 22, 2012PECOS Enrolled
324 GANNETT DR STE 300, SOUTH PORTLAND, ME 04106(207) 771-5700(207) 771-5710 Get Directions Write a Review

NPPES record last updated: October 22, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Colleen M Demers Lcpc-cc NPPES

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

COLLEEN M DEMERS LCPC-CC (NPI 1063765568) is an individual professional provider in South Portland, Maine, licensed in Maine (XL3995) and active in the NPI registry since October 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1063765568
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameCOLLEEN M DEMERSCredential: LCPC-CC
Location Address324 GANNETT DR STE 300South Portland, ME 04106-3269
Mailing Address324 Gannett Dr Ste 300South Portland, ME 04106-3269 · (207) 771-5700 · Fax (207) 771-5710
Phone(207) 771-5700
Fax(207) 771-5710
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateOctober 22, 2012
✔ NPI 1063765568 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in ME · XL3995
324 GANNETT DR STE 300, South Portland, ME 04106
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Colleen M Demers Lcpc-cc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9739689159
PECOS Enrollment IDI20250821000153
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 4

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

JOHN L BEAMAN LCSW
Counselor (Mental Health)
324 GANNETT DR STE 300
SOUTH PORTLAND, ME 04106
Cumberland County (207) 771-5713
CHRISTINA FRANCIS
Social Worker (Clinical)
324 GANNETT DR STE 300
SOUTH PORTLAND, ME 04106
Cumberland County (207) 771-5700
KRISTEN DUNPHE LCSW
Social Worker (Clinical)
324 GANNETT DR STE 300
SOUTH PORTLAND, ME 04106
Cumberland County (207) 771-5700
KENNETH OLSON LCPC
Counselor (Professional)
324 GANNETT DR STE 300
SOUTH PORTLAND, ME 04106
Cumberland County (207) 771-5712

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 Colleen Demers's NPI number?

The NPI number for Colleen Demers is 1063765568. It was assigned to this individual provider in the NPPES registry on October 22, 2012.

Where is Colleen Demers located?

Colleen Demers practices at 324 Gannett Dr Ste 300, South Portland, ME 04106. The listed phone number is (207) 771-5700.

What is Colleen Demers's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Colleen Demers enrolled in Medicare?

Yes. Colleen Demers is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Colleen Demers was last updated on October 22, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.