Provider Demographics
NPI:1215472907
Name:COMPTON, DANNY M (LPCC-S)
Entity type:Individual
Prefix:
First Name:DANNY
Middle Name:M
Last Name:COMPTON
Suffix:
Gender:M
Credentials:LPCC-S
Other - Prefix:
Other - First Name:DANIEL
Other - Middle Name:M
Other - Last Name:COMPTON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LPCC
Mailing Address - Street 1:71 WEST AVE STE 6
Mailing Address - Street 2:
Mailing Address - City:TALLMADGE
Mailing Address - State:OH
Mailing Address - Zip Code:44278-2236
Mailing Address - Country:US
Mailing Address - Phone:234-208-6838
Mailing Address - Fax:234-525-2324
Practice Address - Street 1:71 WEST AVE STE 6
Practice Address - Street 2:
Practice Address - City:TALLMADGE
Practice Address - State:OH
Practice Address - Zip Code:44278-2236
Practice Address - Country:US
Practice Address - Phone:234-208-6838
Practice Address - Fax:234-525-2324
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-04
Last Update Date:2025-02-07
Deactivation Date:2020-10-24
Deactivation Code:
Reactivation Date:2020-12-15
Provider Licenses
StateLicense IDTaxonomies
OHE1600067101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0213088Medicaid