Individual provider Active NPI

Justin Michael Antons, PLMHP, PLADC, PCDGC

  • Mental Health Counselor
  • Lincoln, NE
National Provider Identifier
1730712977
Registry record updated Feb 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
11797 Issued in NE
Practice address
127 S 37TH St Ste B
Lincoln, NE 68510-1502
Phone
(402) 476-2337
NPI assigned
Feb 17, 2020
Last updated
Feb 17, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X P-1391 NE
Mental Health Counselor 101YM0800X 11797 NE Primary

Addresses

Primary practice location

127 S 37TH St Ste B
Lincoln, NE 68510-1502

Mailing address

10157 E Lilac Rd
Beatrice, NE 68310-7404
Phone (402) 239-7844

Other practice location 1

110 S 6th St Ste 210
Beatrice, NE 68310-3912
Phone (402) 239-7844

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Justin.antons@icloud.com Direct

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
P-1391NEMDAddiction (Substance Use Disorder) Counselor
11797NEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Directions Counseling Center P.C. Addiction (Substance Use Disorder) CurrentSince Mar 7, 2021 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1581897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581897600000",
    "number": "1730712977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10157 E LILAC RD",
            "city": "BEATRICE",
            "state": "NE",
            "postal_code": "683107404",
            "telephone_number": "402-239-7844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 S 37TH ST STE B",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685101502",
            "telephone_number": "402-476-2337"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 S 6th St Ste 210",
            "address_purpose": "LOCATION",
            "city": "Beatrice",
            "state": "NE",
            "postal_code": "683103912",
            "country_code": "US",
            "telephone_number": "402-239-7844",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANTONS",
        "first_name": "JUSTIN",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "PLMHP, PLADC, PCDGC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-02-17",
        "last_updated": "2020-02-17",
        "certification_date": "2020-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NE",
            "license": "P-1391",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "11797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Justin.antons@icloud.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "127 S 37th St Ste B",
            "city": "Lincoln",
            "state": "NE",
            "country_code": "US",
            "postal_code": "685101502",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 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.