SOUTHCENTRAL FOUNDATION
NPI 1275186975
Community/Behavioral Health in Anchorage, AK

Q: What is Southcentral Foundation's NPI number?

The NPI number for Southcentral Foundation is 1275186975. It was assigned to this organization in the NPPES registry on July 22, 2019. The provider is doing business as Bh 1115- Icm and Sud/Bh 1115- Icm.

Q: What is Southcentral Foundation's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Active since July 22, 2019

400 W BENSON BLVD, ANCHORAGE, AK 99503(907) 729-5418(907) 729-8607 Get Directions Write a Review

NPPES record last updated: September 25, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 31, 2023, Jul 22, 2019 (2 updates tracked since 2019).

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About Southcentral Foundation NPPES

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

SOUTHCENTRAL FOUNDATION (NPI 1275186975), doing business as Bh 1115- Icm, is a healthcare organization registered as a community/behavioral health in Anchorage, Alaska and active in the NPI registry since July 2019. The organization lists Lee Olson, Executive Vp Finance, as its authorized official.

NPPES Registry Identity

NPI1275186975

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameSOUTHCENTRAL FOUNDATION

Location Address400 W BENSON BLVDAnchorage, AK 99503-3829

Mailing AddressPo Box 35198Seattle, WA 98124-5198

Phone(907) 729-5418

Fax(907) 729-8607

Organization SubpartYes

Authorized OfficialLee OlsonExecutive Vp Finance · (907) 729-4939

Enumeration DateJuly 22, 2019

Last NPPES UpdateSeptember 25, 20252 updates tracked since enumeration

NPPES CertifiedSeptember 25, 2025

✔ NPI 1275186975 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

400 W BENSON BLVD, Anchorage, AK 99503

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Other Names 2

Doing Business AsBh 1115- Icm

Doing Business AsSud/bh 1115- Icm

Other Identifiers 1

Medicaid1696879AK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Southcentral Foundation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

457

Medicare enrollment records show 457 clinicians reassign Medicare billing to Southcentral Foundation, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 304 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 24

Nurse Practitioner95

Mental Health Counselor50

Family Practice45

Pediatric Medicine42

Clinical Social Worker34

Psychiatry29

Obstetrics/Gynecology28

Physical Therapist in Private Practice28

16 other specialties106

Nearest to this location (20)

See all 457

Ryan Gleason, LPC

Mental Health Counselor

NPI 1841856622