Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jane Marie Vansickle, PHD, LP

Individual provider Mental Health Counselor · NPI 1992852602

Dr. Jane Marie Vansickle, PHD, LP is a Clinical Psychologist in Granite Falls, Minnesota. Qualified in 2017, 9 years ago. Practices with Avera Granite Falls, a 15-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Minnesota and North Carolina.

Years since qualifying
9
Licensed in
MN, NC
In the registry since
2007
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

See every abbreviation used in this directory →

Practice location Address checks out

345 10th Ave
Granite Falls, MN 56241-1442
Phone: (320) 564-6200
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 152 Capcom Ave Ste 101, Wake Forest, NC 27587-6585 — (919) 818-0382

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence LP3973 (MN)
Mental Health Counselor Taxonomy 101YM0800X · Licence 10537 (NC)

Record details

NPI number1992852602
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD , LP
Sole proprietorNo
NPI enumeratedJanuary 4, 2007
Last updated in NPPESJanuary 20, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Avera Granite Falls — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare