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Fred Ledbetter , LPC

Counselor - Professional β€’ Wasilla, AK

Active NPI 1609453968 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

1001 S Knik Goose Bay Rd
Wasilla, AK 996548083

Call 9076317800 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1001 S Knik Goose Bay Rd

Wasilla, AK 996548083

Telephone 9076317800
Organization at the Same NPPES Address or Phone
Southcentral Foundation Facility NPI 1386680056

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Wasilla, AK. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

CMS Doctors and Clinicians lists 1 group name: Southcentral Foundation. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2018

Years since graduation

8 years (graduated 2018)

CMS Doctors and Clinicians data list 2018 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2021

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Fred Ledbetter has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Fred Ledbetter as eligible to order or refer Medicare Part B clinical laboratory and imaging services and durable medical equipment (DME) for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Wasilla and Alaska

50 active clinicians are listed under Counselor - Professional with a practice address in Wasilla, AK (586 in Alaska).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Wasilla

0% of these 50 clinicians have the CMS telehealth indicator.

20% of these 50 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-02-04
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES AK 182783
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Alaska State Medical Licensing Board.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - MENTAL HEALTH COUNSELOR

Medicare Enrollment ID

I20250806001125

Enrollment State Jurisdiction

TX

PECOS Control ID

4183132483

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Not Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Southcentral Foundation

1001 S Knik Goose Bay Rd, Wasilla, AK 996548083

Phone: 9077296342

Secondary Practice Locations

1365 E Prks Hwy, Suite 100

Wasilla, AK 99654

Phone: 9073576445

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

27 listed
Kara Boothby , PA-C

Physician Assistant

NPI 1356999189

Physician Assistant (Certified)

Leah Bramer , PA-C

Physician Assistant - Medical

NPI 1548426471

Physician Assistant (Certified)

Dr. Lara Church , MD

Family Medicine

NPI 1043280449

Doctor of Medicine (M.D.)

Dr. Laurie Dahms , MD

Family Medicine

NPI 1245285964

Doctor of Medicine (M.D.)

Andrea Farmer , APRN

Nurse Practitioner - Psychiatric/Mental Health

NPI 1588141741

Advanced Practice Registered Nurse

NPI 1629718002

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
πŸ“
Updated Practice Location February 04, 2026

Registered at 1001 S KNIK GOOSE BAY RD, WASILLA, AK 996548083 (Tel: 9076317800)

πŸ“
Updated Business Mailing Address February 04, 2026

Registered at 7033 E TUDOR RD, ANCHORAGE, AK 995071262

🏒
Secondary Practice Location Registered February 04, 2026

Additional practice office at 1365 E prks Hwy, suite 100, wasilla, AK 99654

πŸ‘€
Provider Name / Credentials Updated February 04, 2026

Recorded as FRED LEDBETTER, LPC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 04, 2026

Counselor (license number reported to NPPES: AK 182783)

βœ…
NPI Profile Active March 24, 2021

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) March 24, 2021

Registered at 1365 E PRKS HWY, SUITE 100, WASILLA, AK 99654 (Tel: 9073576445)

πŸ“
Business Mailing Address (Initial Record) March 24, 2021

Registered at 1365 E PRKS HWY, SUITE 100, WASILLA, AK 99654 (Tel: 9073576445)

πŸ‘€
Provider Name / Credentials (Initial Record) March 24, 2021

Recorded as FRED LEDBETTER

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 24, 2021

Community Health Worker

🟒
Initial NPI Registration & Enumeration March 24, 2021

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1609453968
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 24, 2021
Last Update: February 04, 2026
Sole Proprietor: No

Mailing Address

7033 E Tudor Rd

Anchorage, AK 995071262

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.