Kelly Janine Anderson, SUDRC I #24481
NPI 1104736990ActiveIndividual· Peer Specialist· Escondido, CA
Peer Specialist (SUDRC I #24481) in Escondido, California, licensed in CA, with an NPI issued in September 2026.
Overview
| NPI | 1104736990 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | SUDRC I #24481 |
| Sole proprietor | No |
| NPI issued | Sep 11, 2026 |
| Last updated in NPPES | Sep 11, 2026 |
| Certified by provider | Sep 11, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Peer Specialist Primary | 175T00000X | MPSSQTUFZB | CA |
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | 24481 | CA |
| Behavior Technician | 106S00000X | RBT262840842 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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