Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jessica Demerise Small, LCPC

Individual provider Mental Health Counselor · NPI 1033540687

Jessica Demerise Small, LCPC is a Mental Health Counselor in Bangor, Maine. Qualified in 2013, 13 years ago. Practices with Health Affiliates Maine, LLC, a 174-clinician group and accepts Medicare assignment. Licensed in Maine.

Years since qualifying
13
Licensed in
ME
In the registry since
2013
What do these letters mean?
LCPC — Licensed Clinical Professional Counselor
A licensed clinical counsellor.

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Practice location Address checks out

202 Exchange St
Bangor, ME 04401-6508
Phone: (207) 941-6434
Fax: (207) 941-9366
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence XL4254 (ME)

Record details

NPI number1033540687
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCPC
Sole proprietorNo
NPI enumeratedDecember 9, 2013
Last updated in NPPESJune 18, 2024
Certification dateJune 18, 2024

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Health Affiliates Maine, Llc — 174 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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