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SUMMIT TRAVERSE
NPI 1497917371
Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children in Stow, ME

Active since July 01, 2008CLIA 20D2196994 · Waiver
69 DEER HILL RD, STOW, ME 04037(207) 697-2020(207) 697-2021 Get Directions Write a Review

NPPES record last updated: June 5, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 5, 2024, Apr 24, 2024 (2 updates tracked since 2024).

About Summit Traverse NPPES

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

SUMMIT TRAVERSE (NPI 1497917371) is a healthcare organization registered as a substance abuse treatment, children in Stow, Maine and active in the NPI registry since July 2008. The organization holds a CLIA Waiver certificate valid through October 20, 2026 and lists Nicholas Ernst, Ceo, Clinical Director, as its authorized official.

NPPES Registry Identity

NPI1497917371
Entity TypeOrganization
Primary Taxonomy3245S0500X
Legal Business NameSUMMIT ACHIEVEMENT OF STOW
Location Address69 DEER HILL RDStow, ME 04037-3100
Mailing Address69 Deer Hill RdStow, ME 04037-3100 · (207) 697-2020 · Fax (207) 697-2021
Phone(207) 697-2020
Fax(207) 697-2021
Organization SubpartNo
Authorized OfficialNicholas ErnstCeo, Clinical Director · (207) 697-2020
Enumeration DateJuly 1, 2008
Last NPPES UpdateJune 5, 20242 updates tracked since enumeration
NPPES CertifiedJune 5, 2024
✔ NPI 1497917371 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySubstance Abuse Rehabilitation Facility · Substance Abuse Treatment, ChildrenResidential Treatment Facilities
Taxonomy Code3245S0500X
License✔ Licensed in ME · 216716
Definition
A facility or distinct part of a facility for children that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.
Also ListedResidential Treatment Facility, Emotionally Disturbed ChildrenTaxonomy 322D00000X · License 216716 (ME)
69 DEER HILL RD, Stow, ME 04037
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Other Names 1

Doing Business AsSummit Traverse

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 20D2196994

Summit Achievement · Fryeburg, ME
Active · expires Oct 20, 2026
CLIA Number20D2196994
Laboratory TypeSchool/Student Health Service
Certificate Effective DateOctober 21, 2024
Certificate Expiration DateOctober 20, 2026
Laboratory DirectorNicholas B. Ernst
Laboratory Phone(207) 697-2020
Laboratory LocationSummit Achievement69 Deer Hill Road, Fryeburg, ME 04037
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

NICHOLAS ERNST LCSW
Social Worker (Clinical)
69 DEER HILL RD
STOW, ME 04037
Oxford County (207) 697-2020
SUMMIT ACHIEVEMENT OF STOW, INC.
Clinic/Center (Adolescent and Children Mental Health)
69 DEER HILL RD
STOW, ME 04037
Oxford County (207) 697-2020

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Summit Achievement Of Stow's NPI number?

The NPI number for Summit Achievement Of Stow is 1497917371. It was assigned to this organization in the NPPES registry on July 1, 2008. The provider is doing business as Summit Traverse.

Where is Summit Achievement Of Stow located?

Summit Achievement Of Stow is located at 69 Deer Hill Rd, Stow, ME 04037. The listed phone number is (207) 697-2020.

What is Summit Achievement Of Stow's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility, specializing in Substance Abuse Treatment, Children, with taxonomy code 3245S0500X.

Does Summit Achievement Of Stow hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 20D2196994) is associated with this NPI, valid through October 20, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Summit Achievement Of Stow was last updated on June 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.