1. Home
  2. Directory
  3. Alaska
  4. Anchorage
  5. Community Behavioral Health
  6. NPI Profile

SUD 1115- DENA A COY
NPI 1699329003
Community/Behavioral Health in Anchorage, AK

Active since July 25, 2019
4130 SAN ERNESTO AVE, ANCHORAGE, AK 99508(907) 729-5070 Get Directions Write a Review

NPPES record last updated: September 14, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Sud 1115- Dena A Coy NPPES

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

SUD 1115- DENA A COY (NPI 1699329003) 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 Ronald Lee Olson, Executive Vice President Finance, as its authorized official.

NPPES Registry Identity

NPI1699329003
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameSOUTHCENTRAL FOUNDATION
Location Address4130 SAN ERNESTO AVEAnchorage, AK 99508-2875
Mailing AddressPo Box 35198Seattle, WA 98124-5198
Phone(907) 729-5070
Organization SubpartYes
Authorized OfficialRonald Lee OlsonExecutive Vice President Finance · (907) 729-4939
Enumeration DateJuly 25, 2019
Last NPPES UpdateSeptember 14, 2023
NPPES CertifiedSeptember 14, 2023
✔ NPI 1699329003 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.
4130 SAN ERNESTO AVE, Anchorage, AK 99508
Open in Google Maps ↗

Other Names 1

Doing Business AsSud 1115- Dena A Coy

Other Identifiers 1

Medicaid1696895AK

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.

DONA MAE KING-ROGERS
Counselor (Addiction (Substance Use Disorder))
4130 SAN ERNESTO AVE
ANCHORAGE, AK 99508
Anchorage Municipality (907) 729-5070
HILLARY MENDOZA CONOLLEY
Behavior Technician
4130 SAN ERNESTO AVE
ANCHORAGE, AK 99508
Anchorage Municipality (907) 729-5070
BEVERLY J SPUD
Community Health Worker
4130 SAN ERNESTO AVE
ANCHORAGE, AK 99508
Anchorage Municipality (907) 729-5070
ANNA M. STAFFORD LCSW
Social Worker (Clinical)
4130 SAN ERNESTO AVE
ANCHORAGE, AK 99508
Anchorage Municipality (907) 729-5070
KAREN MIRANDA CORPUZ
Behavior Technician
4130 SAN ERNESTO AVE
ANCHORAGE, AK 99508
Anchorage Municipality (907) 729-5084
MOLLIE MARGARETHE DONOHUE-MEYER
Counselor (Mental Health)
4130 SAN ERNESTO AVE
ANCHORAGE, AK 99508
Anchorage Municipality (907) 729-2500
CHERYL MURRAY
Behavior Technician
4130 SAN ERNESTO AVE
ANCHORAGE, AK 99508
Anchorage Municipality (907) 729-6799
AMY JONES BUGH
Counselor (Addiction (Substance Use Disorder))
4130 SAN ERNESTO AVE
ANCHORAGE, AK 99508
Anchorage Municipality (907) 729-5084

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 1699329003. It was assigned to this organization in the NPPES registry on July 25, 2019. The provider is doing business as Sud 1115- Dena A Coy.

Where is Southcentral Foundation located?

Southcentral Foundation is located at 4130 San Ernesto Ave, Anchorage, AK 99508. The listed phone number is (907) 729-5070.

What is Southcentral Foundation's specialty?

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

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 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.