Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Colleen M Demers, LCPC-CC

Individual provider Professional Counselor · NPI 1063765568

Colleen M Demers, LCPC-CC is a Mental Health Counselor in South Portland, Maine. Qualified in 2011, 15 years ago. Licensed in Maine.

Years since qualifying
15
Licensed in
ME
In the registry since
2012
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Practice location Address checks out

324 Gannett Dr Ste 300
South Portland, ME 04106-3269
Phone: (207) 771-5700
Fax: (207) 771-5710
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence XL3995 (ME)

Record details

NPI number1063765568
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCPC-CC
Sole proprietorNo
NPI enumeratedOctober 22, 2012
Last updated in NPPESOctober 22, 2012

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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