MEDICARE: DR. MARCIA ANN COMPTON LMHC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	39001446A	IN

General Provider Information

NPI Number	:	1346287307
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARCIA ANN COMPTON LMHC

Provider Business Mailing Address
First Line	:	6276 CASCADE CIR
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46234-9836
Country	:	US
Telephone Number	:	317-796-8838
Fax Number	:

Provider Business Practice Location Address
First Line	:	2840 N HIGH SCHOOL RD
Second Line	:	STE A
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46224-4724
Country	:	US
Telephone Number	:	317-796-8838
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/31/2006
Last Update Date	:	05/11/2017

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