OrganizationActive
Southcentral Foundation
NPI 1215700554 · Mental Health Clinic/Center (Including Community Mental Health Center) · Anchorage, AK
Provider details
- NPI number
- 1215700554
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Parent organization
- Southcentral Foundation
- Organization subpart
- Yes
- Authorized official
- Jona Tetzloff, Manager of Revenue Cycle(907) 729-5083
Specialties & taxonomies
Ambulatory Health Care Facilities
- Community/Behavioral Health Agency251S00000X
Agencies
Ambulatory Health Care Facilities
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3000 C St
Anchorage, AK 99503-3975
Phone: (907) 729-8558
Street-level locationGet directions
Mailing address
7033 E Tudor Rd
Anchorage, AK 99507-1262
Other names (DBA / former)
- Doing business as
- Intensive Home Based Treatment
Registry dates
- Enumerated
- 2023-10-30
- Last updated
- 2023-10-30
- Certified
- 2023-10-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.