Active NPI
James Dean Anders, CADC-LL
- Addiction (Substance Use Disorder) Counselor
- Moreno Valley, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- A044530517
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| A044530517 | CA | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Immanuel Sobriety Inc. | Past | Accepting new patients | |
| Telecare Corporation | Past | Accepting new patients | |
| Immanuel Sobriety Inc. | Past | Accepting new patients | |
| Immanuel Sobriety Inc. | Past | 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.
-
dba Immanuel House
- Substance Abuse Rehabilitation Facility
- Moreno Valley, CA
- NPI 1467096818
-
dba Immanuel House
- Substance Abuse Rehabilitation Facility
- Perris, CA
- NPI 1558177642
-
dba Immanuel House
- Substance Abuse Rehabilitation Facility
- Moreno Valley, CA
- NPI 1710793807
-
dba Windsor Center
- Mental Health Clinic/Center (Including Community Mental Health Center)
- San Bernardino, CA
- NPI 1912418930
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.