Antlers Inc

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

ANTLERS INC

Practice address

2501 South Street
Lincoln, NE 68502-3050

Phone

(402) 434-3965

Fax

(402) 434-3972

NPI assigned

Dec 26, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Kevin Ralph Fox, MA EDPYSCH LMHP LAPC

Title

President

Phone

(402) 434-3965

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679638084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 SOUTH STREET",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685023050",
            "telephone_number": "402-434-3965",
            "fax_number": "402-434-3972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 SOUTH STREET",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685023050",
            "telephone_number": "402-434-3965",
            "fax_number": "402-434-3972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTLERS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FOX",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "RALPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-434-3965",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA EDPYSCH LMHP LAPC"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF",
            "identifier": "99043",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Substance Abuse Rehabilitation Facility in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Substance Abuse Rehabilitation Facility in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.