Justin Michael Antons – Mental Health Counselor

Key facts

NPI: 1730712977
Entity type: Individual (NPI type 1)
Primary specialty: Mental Health Counselor 101YM0800X
License: 11797 (NE)
Practice address: 127 S 37TH St Ste B
Lincoln, NE 68510-1502
Phone: (402) 476-2337
NPI assigned: Feb 17, 2020
Sex: Male
Sole proprietor: Yes

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 and National Provider Directory roles.

Directions Counseling Center P.C. Addiction (Substance Use Disorder) Counselor · Beatrice, NE · NPI 1801481551

NPD Authorized official ADDICTION (SUBSTANCE USE DISORDER)

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
P-1391	NE	MD	Addiction (Substance Use Disorder) Counselor
11797	NE	MD	Mental Health Counselor

Practice roles

Organization	Specialty	Status	New patients
Directions Counseling Center P.C.	Addiction (Substance Use Disorder)	Current since Mar 7, 2021	Accepting new patients

Specialties & licenses

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

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

Type	Endpoint	Use	Affiliation
Direct Messaging Address	Justin.antons@icloud.com	Direct

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 17, 2020.

{
    "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

All providers in Lincoln, NE · Mental Health Counselor in Nebraska

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 17, 2020. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.