SAMANTHA VAN SICKLE LPC
NPI 1831032770
Counselor - Mental Health in Canton, GA

Active since April 14, 2026PECOS Enrolled
191 LAMAR HALEY PKWY, CANTON, GA 30114(470) 979-0049 Get Directions Write a Review

NPPES record last updated: April 14, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Samantha Van Sickle Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMANTHA VAN SICKLE LPC (NPI 1831032770) is an individual mental health provider in Canton, Georgia, licensed in Georgia (LPC016380) and active in the NPI registry since April 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1831032770
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSAMANTHA VAN SICKLECredential: LPC
Location Address191 LAMAR HALEY PKWYCanton, GA 30114-8019
Mailing Address206 Northbrooke CtWoodstock, GA 30188-2195
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateApril 14, 2026
NPPES CertifiedApril 14, 2026
NPI 1831032770 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in GA · LPC016380
191 LAMAR HALEY PKWY, Canton, GA 30114

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Samantha Van Sickle Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2466920897
PECOS Enrollment IDI20260505000921
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Registered Nurse
191 LAMAR HALEY PKWY
CANTON, GA 30114
Social Worker (Clinical)
191 LAMAR HALEY PKWY
CANTON, GA 30114
Psychiatry & Neurology (Psychiatry)
191 LAMAR HALEY PKWY
CANTON, GA 30114
Social Worker (Clinical)
191 LAMAR HALEY PKWY
CANTON, GA 30114
Counselor (Mental Health)
191 LAMAR HALEY PKWY
CANTON, GA 30114
Counselor (Mental Health)
191 LAMAR HALEY PKWY
CANTON, GA 30114
Social Worker (Clinical)
191 LAMAR HALEY PKWY
CANTON, GA 30114
Counselor (Professional)
191 LAMAR HALEY PKWY
CANTON, GA 30114

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samantha Van Sickle's NPI number?

The NPI number for Samantha Van Sickle is 1831032770. It was assigned to this individual provider in the NPPES registry on April 14, 2026.

Where is Samantha Van Sickle located?

Samantha Van Sickle practices at 191 Lamar Haley Pkwy, Canton, GA 30114. The listed phone number is (470) 979-0049.

What is Samantha Van Sickle's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Samantha Van Sickle enrolled in Medicare?

Yes. Samantha Van Sickle is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Samantha Van Sickle was last updated on April 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.