Antelope Recovery LLC

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

Last updated

Aug 18, 2026By the provider in NPPES

Organization subpart

Yes

Parent organization

ANTELOPE RECOVERY LLCAs reported in NPPES

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

Authorized official

Name

Ekaterina Nikitina

Title

Coo and Co-Founder

Phone

(303) 578-0451

Specialties & licenses 1

Addresses

Tax ID family

Antelope Recovery LLC2 organizations share this tax ID, including this one

Part of

Antelope Recovery LLC

Other organizations with this tax ID 1

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

• Antelope Recovery LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Boulder, CO
  • NPI 1174225031
  NPD tax ID

Locations

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.

• Antelope Recovery LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Boulder, CO
  • NPI 1174225031
  NPPES parent name

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Philip Tedeschi, LCSW

  • Clinical Social Worker
  • Boulder, CO
  • NPI 1487446928
  NPD (past)
• Ariel Turner, LAC

  • Addiction (Substance Use Disorder) Counselor
  • Boulder, CO
  • NPI 1639061203
  NPD (past)

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

{
    "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": []
}

• Dhiraj Nitin Ankolekar
• Annamaria Boehms Ma LPC
• Julie Ansell, MD
• Andrew Gordon Antell, MD
• Antelope Recovery LLC
• Anthony Riske Counseling LLC
• Heather Lee Anthony, M.A.
• Kristina A Anton-Schnell, MD
• Alexander Antonucci
• Stepheny Antrobus, LPCC

• Adolescent and Children Mental Health Clinic/Center in Boulder, CO
• Providers in Boulder, CO by specialty
• Adolescent and Children Mental Health Clinic/Center in Colorado

• 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.