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

Samantha Van Sickle, LPC

Individual provider Mental Health Counselor · NPI 1831032770

Samantha Van Sickle, LPC is a Mental Health Counselor in Canton, Georgia. Qualified in 2022, 4 years ago. Licensed in Georgia.

Years since qualifying
4
Licensed in
GA
In the registry since
2026
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

See every abbreviation used in this directory →

Practice location Address checks out

191 Lamar Haley Pkwy
Canton, GA 30114-8019
Phone: (470) 979-0049
Show map & directions

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

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence LPC016380 (GA)

Record details

NPI number1831032770
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorNo
NPI enumeratedApril 14, 2026
Last updated in NPPESApril 14, 2026
Certification dateApril 14, 2026

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated

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