Samantha Van Sickle, LPC - Medicare Counselor in Canton, GA

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Samantha Van Sickle, LPC is a medicare enrolled "Counselor - Mental Health" provider in Canton, Georgia. She graduated from healthcare school in 2022 and has 4 years of diverse experience with area of expertise as Mental Health Counselor. Her current practice location is 191 Lamar Haley Pkwy, Canton, Georgia. You can reach out to her office (for appointments etc.) via phone at (470) 979-0049.

Samantha Van Sickle is licensed to practice in Georgia (license number LPC016380) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1831032770.

Contact Information

Samantha Van Sickle, LPC
191 Lamar Haley Pkwy,
Canton, GA 30114-8019
(470) 979-0049
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameSamantha Van Sickle
GenderFemale
SpecialityMental Health Counselor
Experience4 Years
Location191 Lamar Haley Pkwy, Canton, Georgia
Accepts Medicare AssignmentsMay be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Samantha Van Sickle graduated from medical school in 2022
  NPI Data:
  • NPI Number: 1831032770
  • Provider Enumeration Date: 04/14/2026
  • Last Update Date: 04/14/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 2466920897
  • Enrollment ID: I20260505000921

Medical Identifiers

Medical identifiers for Samantha Van Sickle such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1831032770NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health LPC016380 (Georgia)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Samantha Van Sickle allows following entities to bill medicare on her behalf.
Entity NameHighland Rivers Community Service Board
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447256243
PECOS PAC ID: 9032000245
Enrollment ID: O20040324001204

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Samantha Van Sickle is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Samantha Van Sickle, LPC
206 Northbrooke Ct,
Woodstock, GA 30188-2195

Ph: Not Available		Samantha Van Sickle, LPC
191 Lamar Haley Pkwy,
Canton, GA 30114-8019

Ph: (470) 979-0049

Reviews and Comments


Counselor in Canton, GA

Joy Tulloch,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 310 Paper Trail Way Ste 106, Canton, GA 30115
Phone: 678-880-4645    
Ms. M Katherine Coolidge, LCSW
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 1213 Cherry Ln, Canton, GA 30114
Phone: 678-494-6690    Fax: 678-494-9622
Katie Payne,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 230 Marietta Hwy, Canton, GA 30114
Phone: 770-345-9535    
Mrs. Lauren Moss, LPC
Counselor
Medicare: Accepting Medicare Assignments
Practice Location: 310 Paper Trail Way Ste 108, Canton, GA 30115
Phone: 678-880-4645    
Priscilla F Parsons,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 249 Whitetail Cir, Canton, GA 30115
Phone: 404-952-7176    
Mary Robin Grove, CRC, LPC
Counselor
Medicare: Accepting Medicare Assignments
Practice Location: 310 Paper Trail Way, 106, Canton, GA 30115
Phone: 678-880-4645    
Jennifer Gilreath,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 3395 Sixes Rd, Canton, GA 30114
Phone: 678-880-8385    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.