Organization Active NPI

Antelope Recovery LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Boulder, CO
National Provider Identifier
1821903253
Registry record updated Aug 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
ANTELOPE RECOVERY LLC
Practice address
1035 Pearl St Ste 313
Boulder, CO 80302-5130
Phone
(303) 578-2391
NPI assigned
Aug 18, 2026
Organization subpart
Yes
Parent organization
ANTELOPE RECOVERY LLCAs reported in NPPES

Authorized official

NPPES NPI Registry
Name
Ekaterina Nikitina
Title
Coo and Co-Founder
Phone
(303) 578-0451

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory
Tax ID family
Antelope Recovery (2 organizations share this tax ID)

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary

Addresses

NPPES NPI Registry

Primary practice location

1035 Pearl St Ste 313
Boulder, CO 80302-5130

Mailing address

1035 Pearl St Ste 313
Boulder, CO 80302-5130
Phone (303) 578-2391

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 18, 2026.

{
    "created_epoch": "1787011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787011200000",
    "number": "1821903253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 PEARL ST STE 313",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803025130",
            "telephone_number": "303-578-2391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 PEARL ST STE 313",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803025130",
            "telephone_number": "303-578-2391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTELOPE RECOVERY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ANTELOPE RECOVERY LLC",
        "enumeration_date": "2026-08-18",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A",
        "authorized_official_last_name": "NIKITINA",
        "authorized_official_first_name": "EKATERINA",
        "authorized_official_title_or_position": "COO AND CO-FOUNDER",
        "authorized_official_telephone_number": "303-578-0451"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.

Verify at the official NPI Registry.