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SOUTHCENTRAL FOUNDATION
NPI 1215700554
Clinic/Center - Mental Health (Including Community Mental Health Center) in Anchorage, AK

Active since October 30, 2023
3000 C ST, ANCHORAGE, AK 99503(907) 729-8558 Get Directions Write a Review

NPPES record last updated: October 30, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Southcentral Foundation NPPES

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

SOUTHCENTRAL FOUNDATION (NPI 1215700554) is a healthcare organization registered as a mental health (including community mental health center) in Anchorage, Alaska and active in the NPI registry since October 2023. The organization lists Jona Tetzloff, Manager Of Revenue Cycle, as its authorized official.

NPPES Registry Identity

NPI1215700554
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameSOUTHCENTRAL FOUNDATION
Location Address3000 C STAnchorage, AK 99503-3975
Mailing Address7033 E Tudor RdAnchorage, AK 99507-1262 · (907) 729-5083
Phone(907) 729-8558
Organization SubpartYes
Authorized OfficialJona TetzloffManager Of Revenue Cycle · (907) 729-5083
Enumeration DateOctober 30, 2023
NPPES CertifiedOctober 30, 2023
✔ NPI 1215700554 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
Also ListedClinic/Center · Adolescent and Children Mental HealthTaxonomy 261QM0855X
3000 C ST, Anchorage, AK 99503
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Other Providers at the Same Location NPPES 20

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

MR. DELROY A DUCKWORTH MA, LPC
Counselor (Professional)
3000 C ST
ANCHORAGE, AK 99503
Anchorage Municipality (907) 729-8558
MADELINE ALYSSA WAGNECHT BHCM
Case Manager/Care Coordinator
3000 C ST
ANCHORAGE, AK 99503
Anchorage Municipality (907) 729-8558
RACHEL HERRERA
Counselor (Mental Health)
3000 C ST
ANCHORAGE, AK 99503
Anchorage Municipality (907) 729-8558
SAMANTHA GREMLEY CCM
Case Manager/Care Coordinator
3000 C ST
ANCHORAGE, AK 99503
Anchorage Municipality (907) 729-8558
MADISON HUMPHREY
Behavior Technician
3000 C ST
ANCHORAGE, AK 99503
Anchorage Municipality (907) 729-3300
DARLENE KNOWLES
Case Manager/Care Coordinator
3000 C ST
ANCHORAGE, AK 99503
Anchorage Municipality (907) 729-8558
ROBERTO PEREA
Behavior Technician
3000 C ST
ANCHORAGE, AK 99503
Anchorage Municipality (907) 729-8936
RENEE KOTVA OT
Occupational Therapist
3000 C ST
ANCHORAGE, AK 99503
Anchorage Municipality (907) 345-0050

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 Southcentral Foundation's NPI number?

The NPI number for Southcentral Foundation is 1215700554. It was assigned to this organization in the NPPES registry on October 30, 2023.

Where is Southcentral Foundation located?

Southcentral Foundation is located at 3000 C St, Anchorage, AK 99503. The listed phone number is (907) 729-8558.

What is Southcentral Foundation's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Southcentral Foundation was last updated on October 30, 2023. 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.