Active NPI
Susan A Moore-Motily, MA
- Counseling Psychologist
- Erie, PA
National Provider Identifier
1073597696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- PS006812L
- Practice address
- 3939 W Ridge Rd
Ste A210
Erie, PA 16506-1879 - Phone
- (814) 838-9155
- Fax
- (814) 838-9097
- NPI assigned
- Dec 6, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | PS006812L | PA | Primary |
Addresses
Primary practice location
3939 W Ridge Rd
Ste A210
Erie, PA 16506-1879
Mailing address
4124 Ridgewood Dr
Erie, PA 16506-4090
Phone (814) 838-9155
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 802324 | Other | PA | HIGHMARK BC/BS PREMIER BL |
| 211426 | Other | PA | VALUE OPTIONS |
| 500985 | Other | PA | KEYSTONE HEALTH PLAN WEST |
| 5732205 | Other | PA | AETNA |
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS006812L | PA | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1073597696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4124 RIDGEWOOD DR",
"city": "ERIE",
"state": "PA",
"postal_code": "165064090",
"telephone_number": "814-838-9155",
"fax_number": "814-838-9097"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3939 W RIDGE RD",
"address_2": "STE A210",
"city": "ERIE",
"state": "PA",
"postal_code": "165061879",
"telephone_number": "814-838-9155",
"fax_number": "814-838-9097"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE-MOTILY",
"first_name": "SUSAN",
"middle_name": "A",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-06",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "PA",
"license": "PS006812L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BC/BS PREMIER BL",
"identifier": "802324",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "211426",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE HEALTH PLAN WEST",
"identifier": "500985",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5732205",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Erie, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.