Individual provider Active NPI

Melissa Compton

  • Mental Health Counselor
  • North Syracuse, NY
National Provider Identifier
1285283945
Registry record updated Sep 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
013203 Issued in NY
Practice address
216 Carlton Dr
North Syracuse, NY 13212-3509
Phone
(410) 422-1443
NPI assigned
Sep 5, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Mental Health Counselor 101YM0800X TPMC2993 FL
Art Therapist 221700000X 002800 NY
Mental Health Counselor 101YM0800X 013203 NY Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

216 Carlton Dr
North Syracuse, NY 13212-3509

Mailing address

216 Carlton Dr
North Syracuse, NY 13212-3509
Phone (410) 422-1443

Other practice location 1

216 Carlton Dr
North Syracuse, NY 13212-3509
Phone (315) 456-9088

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jun 25, 2024 through Jun 25, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
TPMC2993FLMDMental Health Counselor
002800NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Untangled, Mental Health Counseling & Creative Arts Therapy, PLLC CurrentSince Jul 28, 2025 Accepting new patients
Meghan M. Tobin, Licensed Mental Health Counselor, PC Mental Health PastSince May 1, 2022 Accepting new patients
Shine Medical Providers PC Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1567641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758153600000",
    "number": "1285283945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 CARLTON DR",
            "city": "NORTH SYRACUSE",
            "state": "NY",
            "postal_code": "132123509",
            "telephone_number": "410-422-1443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 CARLTON DR",
            "city": "NORTH SYRACUSE",
            "state": "NY",
            "postal_code": "132123509",
            "telephone_number": "410-422-1443"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "216 Carlton Dr",
            "address_purpose": "LOCATION",
            "city": "North Syracuse",
            "state": "NY",
            "postal_code": "132123509",
            "country_code": "US",
            "telephone_number": "315-456-9088",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COMPTON",
        "first_name": "MELISSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-05",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "TPMC2993",
            "primary": false
        },
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": "NY",
            "license": "002800",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "013203",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Syracuse, NY

Sources for this page

Verify at the official NPI Registry.