Susan Moore-Wallace
NPI 1790357796ActiveIndividual· Counselor, Addiction (Substance Use Disorder)· Pottstown, PA
Counselor, Addiction (Substance Use Disorder) with Creative Health Services, Inc, practicing in Pottstown, Pennsylvania. Enrolled in Medicare as practitioner - mental health counselor.
Overview
| NPI | 1790357796 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Jul 11, 2021 |
| Last updated in NPPES | Jul 11, 2021 |
| Certified by provider | Jul 11, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Addiction (Substance Use Disorder) Primary | 101YA0400X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Mental Health Counselor (PA) |
|---|
Education and affiliations
| Graduation year | 1997 |
|---|---|
| Medicare specialty | Mental Health Counselor |
Medical group
- Creative Health Services, IncPottstown, PA · 20 clinicians
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