Active NPI
Donald M. Van Sickle Jr., LPCC
- School Psychologist
- Farmington, NM
National Provider Identifier
1437166162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 224-044
- Practice address
- 701 W Apache St
Farmington, NM 87401-5511 - Phone
- (505) 327-7777
- NPI assigned
- Aug 2, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 0183 | NM | |
| School Psychologist | 103TS0200X | 224-044 | NM | Primary |
Addresses
Primary practice location
701 W Apache St
Farmington, NM 87401-5511
Mailing address
4751 Sundance Rd
Farmington, NM 87401-9313
Phone (505) 326-1074
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0183 | NM | MD | Mental Health Counselor |
| 224-044 | NM | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1437166162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4751 SUNDANCE RD",
"city": "FARMINGTON",
"state": "NM",
"postal_code": "874019313",
"telephone_number": "505-326-1074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 W APACHE ST",
"city": "FARMINGTON",
"state": "NM",
"postal_code": "874015511",
"telephone_number": "505-327-7777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAN SICKLE",
"first_name": "DONALD",
"middle_name": "M.",
"name_suffix": "Jr.",
"credential": "LPCC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-02",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NM",
"license": "0183",
"primary": false
},
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "NM",
"license": "224-044",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Farmington, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.