Organization Active NPI

Jessica Mellon, LLC

  • Professional Counselor
  • Brunswick, ME
National Provider Identifier
1275468522
Registry record updated Jul 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
JESSICA MELLON, LLC
Practice address
6 Cumberland St Ste B
Brunswick, ME 04011-2162
Phone
(207) 613-1939
NPI assigned
Jun 17, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jessica Mellon, LCPCNPI 1356090567
Title
Owner and Licensed Therapist
Phone
(207) 613-1939

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

6 Cumberland St Ste B
Brunswick, ME 04011-2162

Mailing address

6 Cumberland St Ste B
Brunswick, ME 04011-2162
Phone (207) 613-1939

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1781654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783382400000",
    "number": "1275468522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 CUMBERLAND ST STE B",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040112162",
            "telephone_number": "207-613-1939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 CUMBERLAND ST STE B",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040112162",
            "telephone_number": "207-613-1939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESSICA MELLON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-17",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A",
        "authorized_official_last_name": "MELLON",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OWNER AND LICENSED THERAPIST",
        "authorized_official_telephone_number": "207-613-1939",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brunswick, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.