SAVANA ROSE SUMMERS MLADC
NPI 1407520398
Counselor - Addiction (Substance Use Disorder) in Manchester, NH

Active since August 04, 2021PECOS EnrolledAccepts Medicare Assignment
69 BAY ST, MANCHESTER, NH 03104(603) 232-6987 Get Directions Write a Review

NPPES record last updated: December 23, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 23, 2025, Mar 15, 2023, Aug 4, 2021 (3 updates tracked since 2021).

About Savana Rose Summers Mladc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAVANA ROSE SUMMERS MLADC (NPI 1407520398) is an individual addiction (substance use disorder) provider in Manchester, New Hampshire and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Manchester, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1407520398
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameSAVANA ROSE SUMMERSCredential: MLADC
Location Address69 BAY STManchester, NH 03104-3005
Mailing Address69 Bay StManchester, NH 03104-3005 · (603) 232-6987
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateAugust 4, 2021
Last NPPES UpdateDecember 23, 20253 updates tracked since enumeration
NPPES CertifiedDecember 23, 2025
NPI 1407520398 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
69 BAY ST, Manchester, NH 03104

Other Names 1

Former Name (1)Savana Rose Melanson Buxton

Secondary Practice Location 1

Location 12 Wall StManchester, NH 03101-1518 · Phone (603) 668-4111

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Savana Rose Summers Mladc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6709386881
PECOS Enrollment IDI20250822003066
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Marriage & Family Therapist
69 BAY ST
MANCHESTER, NH 03104
Nurse Practitioner (Psychiatric/Mental Health)
69 BAY ST
MANCHESTER, NH 03104
Counselor (Mental Health)
69 BAY ST
MANCHESTER, NH 03104
Nurse Practitioner (Psychiatric/Mental Health)
69 BAY ST
MANCHESTER, NH 03104

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1407520398, enumerated as an "individual" on August 04, 2021.

The provider is located at 69 BAY ST MANCHESTER, NH 03104 and the phone number is (603) 232-6987.

Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).