BSD- PATHWAY HOME
NPI 1639102882
Community Based Residential Treatment Facility, Mental Illness in Anchorage, AK

Active since July 09, 2006
4000 SAN ERNESTO AVE, ANCHORAGE, AK 99508(907) 729-5020 Get Directions Write a Review

NPPES record last updated: September 14, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Bsd- Pathway Home NPPES

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

BSD- PATHWAY HOME (NPI 1639102882) is a healthcare organization registered as a community based residential treatment facility, mental illness in Anchorage, Alaska and active in the NPI registry since July 2006. The organization lists Ronald Lee Olson, Executive Vice President Finance, as its authorized official.

NPPES Registry Identity

NPI1639102882
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NameSOUTHCENTRAL FOUNDATION
Location Address4000 SAN ERNESTO AVEAnchorage, AK 99508-2874
Mailing AddressPo Box 35198Seattle, WA 98124-5198
Organization SubpartYes
Authorized OfficialRonald Lee OlsonExecutive Vice President Finance · (907) 729-4939
Enumeration DateJuly 9, 2006
Last NPPES UpdateSeptember 14, 2023
NPPES CertifiedSeptember 14, 2023
✔ NPI 1639102882 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities
Taxonomy Code320800000X
License✔ Licensed in AK · 20467
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
4000 SAN ERNESTO AVE, Anchorage, AK 99508

Other Names 1

Doing Business AsBsd- Pathway Home

Other Identifiers 2

Medicaid1000855AK
Medicaid1021095AK

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bsd- Pathway Home 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 Bsd- Pathway Home, which bills Medicare for the services they deliver. Of these, 2 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
Mental Health Counselor
NPI 1760919633
4000 SAN ERNESTO AVE
Anchorage, AK 99508
(907) 729-5055
✔ PECOSSame address
Clinical Social Worker
NPI 1710388608
4000 SAN ERNESTO AVE
Anchorage, AK 99508
(907) 729-5030
✔ PECOSSame address
Clinical Social Worker
NPI 1336883354
4130 SAN ERNESTO AVE
Anchorage, AK 99508
(206) 417-9904
✔ PECOS0.1 mi
Mental Health Counselor
NPI 1659859221
3600 SAN JERONIMO DR STE 316
Anchorage, AK 99508
(907) 793-3200
✔ PECOS0.2 mi
Nurse Practitioner
NPI 1225567431
SOUTH CENTRAL FOUNDATION 4155 TUDOR CENTRE DRIVE
Anchorage, AK 99508
(509) 215-1700
✔ PECOS0.8 mi
Pediatric Medicine
NPI 1437384583
3340 PROVIDENCE DR STE A-565
Anchorage, AK 99508
(907) 212-2321
✔ PECOS1.7 mi
Qualified Audiologist
NPI 1871991661
3801 UNIVERSITY LAKE DR SOUTHCENTRAL FOUNDATION AUDIOLOGY DEPARTMENT
Anchorage, AK 99508
(907) 729-1400
✔ Accepts Medicare1.7 mi
Family Practice
NPI 1639464050
821 N ST STE 102
Anchorage, AK 99501
(253) 844-4327
✔ PECOS✔ Accepts Medicare1.8 mi
Hematology/Oncology
NPI 1255407854
3841 PIPER STREET SUITE T4-020
Anchorage, AK 99508
(907) 929-7337
✔ PECOS✔ Accepts Medicare1.9 mi
Nurse Practitioner
NPI 1538607403
3831 PIPER ST SUITE S450
Anchorage, AK 99508
(907) 830-1041
✔ PECOS✔ Accepts Medicare1.9 mi
Psychiatry
NPI 1891006946
3760 PIPER ST SUITE 1108
Anchorage, AK 99508
(907) 212-6900
✔ PECOS✔ Accepts Medicare1.9 mi
Clinical Social Worker
NPI 1215541743
1015 E 6TH AVE
Anchorage, AK 99501
(907) 276-6430
✔ PECOS2.0 mi
Obstetrics/Gynecology
NPI 1093876674
4141 AMBASSADOR DR
Anchorage, AK 99508
(907) 729-1542
✔ PECOS✔ Accepts Medicare2.0 mi
Certified Nurse Midwife (CNM)
NPI 1043859127
4141 AMBASSADOR DR
Anchorage, AK 99508
(907) 729-3973
✔ PECOS✔ Accepts Medicare2.0 mi
Mental Health Counselor
NPI 1174007280
3700 PIPER ST
Anchorage, AK 99508
(907) 269-6997
✔ PECOS2.0 mi
Optometry
NPI 1285017194
5800 WESTOVER AVE
Jber, AK 99506
(907) 978-1937
✔ PECOS2.1 mi
Physical Therapist in Private Practice
NPI 1265744254
4160 TUDOR CENTRE DR
Anchorage, AK 99508
(907) 729-8624
2.1 mi
Qualified Speech Language Pathologist
NPI 1861623266
4315 DIPLOMACY DR
Anchorage, AK 99508
(907) 729-1063
2.1 mi
Clinical Psychologist
NPI 1396490405
4441 DIPLOMACY DR
Anchorage, AK 99508
(907) 729-8880
✔ PECOS2.1 mi
Occupational Therapist in Private Practice
NPI 1821674748
4441 DIPLOMACY DR
Anchorage, AK 99508
(907) 729-8880
2.1 mi
See all 457 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 1639102882. It was assigned to this organization in the NPPES registry on July 9, 2006. The provider is doing business as Bsd- Pathway Home.

Where is Southcentral Foundation located?

Southcentral Foundation is located at 4000 San Ernesto Ave, Anchorage, AK 99508. The listed phone number is (907) 729-5020.

What is Southcentral Foundation's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

Is Southcentral Foundation enrolled in Medicare?

Yes. Southcentral Foundation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southcentral Foundation?

According to the CMS Revalidation Reassignment List (October 2026 release), 457 clinicians in 24 Medicare specialties reassign their Medicare billing to Southcentral Foundation. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (95), Mental Health Counselor (50) and Family Practice (45). Of these, 2 practice at this address and 304 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Southcentral Foundation was last updated on September 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.