Southcentral Foundation

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

SOUTHCENTRAL FOUNDATION

Doing business as

BSD- Benteh Nuutah Primary Care Center (BNPCC)
BSD- Valley Native Primary Care Center- VNPCC

Practice address

1001 S Knik Goose Bay Rd
Wasilla, AK 99654-8083

Phone

(907) 631-7800

NPI assigned

Nov 23, 2010

Last updated

Jun 5, 2026By the provider in NPPES

Organization subpart

Yes

Parent organization

SOUTHCENTRAL FOUNDATIONAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ronald Lee Olson

Title

Executive Vice President Finance

Phone

(907) 729-4939

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 2

• BSD- Benteh Nuutah Primary Care Center (BNPCC) Doing business as
• BSD- Valley Native Primary Care Center- VNPCC Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Part of

Southcentral Foundation Nikolai Health Center

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rebekah Bailey, LCSW

  • Clinical Social Worker
  • Wasilla, AK
  • NPI 1245939354
  NPD
• Joshua Bradly Bearden, ANP

  • Psychiatric/Mental Health Nurse Practitioner
  • Anchorage, AK
  • NPI 1790358992

  Single Specialty

  NPD
• Natalia Dias, LPC

  • Professional Counselor
  • Wasilla, AK
  • NPI 1659108454
  NPD
• Fred Ledbetter, LPC

  • Professional Counselor
  • Wasilla, AK
  • NPI 1609453968
  NPD
• Aryeh Leib Levenson, M.D.

  • Psychiatry Physician
  • Anchorage, AK
  • NPI 1245303650
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1290470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780617600000",
    "number": "1205138294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35198",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981245198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 S KNIK GOOSE BAY RD",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996548083",
            "telephone_number": "907-631-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHCENTRAL FOUNDATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTHCENTRAL FOUNDATION",
        "enumeration_date": "2010-11-23",
        "last_updated": "2026-06-05",
        "certification_date": "2026-06-05",
        "status": "A",
        "authorized_official_last_name": "OLSON",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT FINANCE",
        "authorized_official_telephone_number": "907-729-4939"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1697883",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BSD- Benteh Nuutah Primary Care Center (BNPCC)",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BSD- Valley Native Primary Care Center- VNPCC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christy Dawn South, MD
• Southcentral Foundation (BH 1115- Benteh Nuutah Primary Care Center)
• Southcentral Foundation
• Southcentral Foundation (SUD 1115- Benteh Nuutah Four Directions)
• Southcentral Foundation (Benteh Nuutah Dental Clinic)
• Southcentral Foundation (Tribal/HPG- Benteh Nuutah Primary Care Center (BNPCC))
• Southcentral Foundation (Alaska Subspecialty Pediatric Network (ASPN))
• Southcentral Foundation
• Southcentral Foundation
• Southcentral Foundation (HPG- BNPCC Wellness Center (BNPCC Comp Med))

• Mental Health Clinic/Center (Including Community Mental Health Center) in Wasilla, AK
• Providers in Wasilla, AK by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.