Active NPI
Antelope Recovery LLC
- Adolescent and Children Mental Health Clinic/Center
- Boulder, CO
National Provider Identifier
1821903253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adolescent and Children Mental Health Clinic/Center
- 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 LLC
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.
-
- Adolescent and Children Mental Health Clinic/Center
- Boulder, CO
- NPI 1174225031
Corporate family (same tax ID) 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Adolescent and Children Mental Health Clinic/Center
- Boulder, CO
- NPI 1174225031
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Boulder, CO
- NPI 1487446928
-
- Addiction (Substance Use Disorder) Counselor
- Boulder, CO
- NPI 1639061203
National Provider Directory
National Provider Directory- Tax ID family
- Antelope Recovery
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | Primary |
Addresses
NPPES NPI RegistryPrimary 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.