Provider Demographics
NPI:1346287307
Name:COMPTON, MARCIA ANN (LMHC)
Entity Type:Individual
Prefix:DR
First Name:MARCIA
Middle Name:ANN
Last Name:COMPTON
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6276 CASCADE CIR
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46234-9836
Mailing Address - Country:US
Mailing Address - Phone:317-796-8838
Mailing Address - Fax:
Practice Address - Street 1:2840 N HIGH SCHOOL RD
Practice Address - Street 2:STE A
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46224-4724
Practice Address - Country:US
Practice Address - Phone:317-796-8838
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-31
Last Update Date:2017-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN39001446A101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health