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NPISignal

Individual Healthcare Provider

Jane Marie Vansickle, PHD, LP

NPI Record: ActivePsychologist
NPI1992852602
Granite Falls, Minnesota

Provider's NPPES record last updated: January 20, 2019

Overview

Entity Type
Individual Healthcare Provider
NPI
1992852602
Primary Specialty
Psychologist
Practice Location
Granite Falls, Minnesota
Sole Proprietor
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 19, 2026, 6:33 PM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Psychologist

    Behavioral Health & Social Service Providers

    Primary

    A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

    Taxonomy code 103T00000X
  • Counselor

    Mental Health

    Behavioral Health & Social Service Providers

    Definition to come...

    Taxonomy code 101YM0800X

Provider-Reported License Information

Psychologist (Minnesota)
LP3973
Counselor (North Carolina)
10537
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

345 10th Ave

Granite Falls, Minnesota 56241-1442

Phone: (320) 564-6200

Additional Practice Location

152 Capcom Ave Ste 101

Wake Forest, North Carolina 27587-6585

Phone: (919) 818-0382

Record Information

Enumeration Date
January 4, 2007
Provider's NPPES Record Last Updated
January 20, 2019
NPISignal NPPES Dataset
August 2026

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