1. Home
  2. Directory
  3. Georgia
  4. Canton
  5. Counselor
  6. NPI Profile

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: October 25, 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
Phone(470) 979-0049
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
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Samantha Van Sickle reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Highland Rivers Csb
Same address
Community/Behavioral Health
191 LAMAR HALEY DR
Canton, GA 30114
  • Reassigned Medicare billing, Georgia enrollment
  • Medicare enrollment name: Highland Rivers Community Service Board
  • 142 clinicians in this Medicare group
NPI 1043373467 (770) 704-1600

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

REBEKAH DAVIS RN
Registered Nurse
191 LAMAR HALEY PKWY
CANTON, GA 30114
Cherokee County (770) 704-1600
ASHLYN WILKINS LCSW
Social Worker (Clinical)
191 LAMAR HALEY PKWY
CANTON, GA 30114
Cherokee County (770) 704-1600
DAVID GILLENWATER M.D.
Psychiatry & Neurology (Psychiatry)
191 LAMAR HALEY PKWY
CANTON, GA 30114
Cherokee County (770) 704-1600
ANDREW NATHAN WALLACE LCSW
Social Worker (Clinical)
191 LAMAR HALEY PKWY
CANTON, GA 30114
Cherokee County (770) 704-1600
CHERYL LEWIS LPC
Counselor (Mental Health)
191 LAMAR HALEY PKWY
CANTON, GA 30114
Cherokee County (770) 704-1600
JENNIFER WARD LPC
Counselor (Mental Health)
191 LAMAR HALEY PKWY
CANTON, GA 30114
Cherokee County (770) 704-1600
CHRISTINE LYNN JOSEPH LCSW
Social Worker (Clinical)
191 LAMAR HALEY PKWY
CANTON, GA 30114
Cherokee County (770) 704-1600
MS. SHELLEY LAUZON LPC
Counselor (Professional)
191 LAMAR HALEY PKWY
CANTON, GA 30114
Cherokee County (770) 704-1600

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.

Which organization bills Medicare for Samantha Van Sickle's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Van Sickle reassigns Medicare benefits to Highland Rivers Csb (Canton, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Samantha Van Sickle's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Samantha Van Sickle accept?

Health plans from Oscar Health list Samantha Van Sickle as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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 6 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.