Individual provider Active NPI

James Dean Anders, CADC-LL

  • Addiction (Substance Use Disorder) Counselor
  • Moreno Valley, CA
National Provider Identifier
1881163434
Registry record updated Jan 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
A044530517 Issued in CA
Practice address
14340 Elsworth St Ste 108
Moreno Valley, CA 92553-9020
Phone
(951) 653-3000
NPI assigned
Nov 13, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X A044530517 CA Primary

Addresses

Primary practice location

14340 Elsworth St Ste 108
Moreno Valley, CA 92553-9020

Mailing address

4113 Wilson St
Space 64
Banning, CA 92220
Phone (951) 660-3497

Other practice location 1

13941 Courage St
Moreno Valley, CA 92553-8757
Phone (951) 653-3000

Other practice location 2

13921 Courage St
Moreno Valley, CA 92553-8757
Phone (951) 653-3000

Other practice location 3

835 Anira Ct
Perris, CA 92571-5113
Phone (951) 653-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
A044530517CAMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Immanuel Sobriety Inc. PastSince Dec 8, 2024 Accepting new patients
Telecare Corporation Past Accepting new patients
Immanuel Sobriety Inc. PastSince Dec 8, 2024 Accepting new patients
Immanuel Sobriety Inc. PastSince Dec 8, 2024 Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1542067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767312000000",
    "number": "1881163434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4113 WILSON ST",
            "address_2": "SPACE 64",
            "city": "BANNING",
            "state": "CA",
            "postal_code": "92220",
            "telephone_number": "951-660-3497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14340 ELSWORTH ST STE 108",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925539020",
            "telephone_number": "951-653-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13941 Courage St",
            "address_purpose": "LOCATION",
            "city": "Moreno Valley",
            "state": "CA",
            "postal_code": "925538757",
            "country_code": "US",
            "telephone_number": "951-653-3000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13921 Courage St",
            "address_purpose": "LOCATION",
            "city": "Moreno Valley",
            "state": "CA",
            "postal_code": "925538757",
            "country_code": "US",
            "telephone_number": "951-653-3000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "835 Anira Ct",
            "address_purpose": "LOCATION",
            "city": "Perris",
            "state": "CA",
            "postal_code": "925715113",
            "country_code": "US",
            "telephone_number": "951-653-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERS",
        "first_name": "JAMES",
        "middle_name": "DEAN",
        "credential": "CADC-LL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-11-13",
        "last_updated": "2026-01-02",
        "certification_date": "2026-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "A044530517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moreno Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.