Active NPI
The Thresholds
Doing business as Young Adult Program
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Chicago, IL
National Provider Identifier
1003062399
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- THE THRESHOLDS
- Practice address
- 4219 N Lincoln Ave
Chicago, IL 60618-2901 - Phone
- (773) 572-5500
- Fax
- (773) 537-3488
- NPI assigned
- Aug 18, 2008
- Last updated
- Jul 14, 2022
- Organization subpart
- Yes
- Parent organization
- THE THRESHOLDS
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Marcella Klauer
- Title
- Executive Assistant
- Phone
- (773) 572-5480
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
4219 N Lincoln Ave
Chicago, IL 60618-2901
Mailing address
4101 N Ravenswood Ave
Chicago, IL 60613-2193
Phone (773) 572-5500
Other names 1
- Young Adult Program
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040517000766 | IL | Part B Supplier - Clinic/Group Practice | 6204826647 |
Receives reassigned benefits from 36 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
National Provider Directory- Tax ID family
- Thresholds
- Part of
- Thresholds
Organizations with this tax ID in the same state 12
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
dba Northside Housing Polk House
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Chicago, IL
- NPI 1013164326
-
- Community/Behavioral Health Agency
- Westmont, IL
- NPI 1033573092
-
dba Deaf Kiley House
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Chicago, IL
- NPI 1053625061
-
dba Substance Use Treatment West
- Substance Use Disorder Rehabilitation Clinic/Center
- Chicago, IL
- NPI 1063068492
-
dba Mothers Project
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Chicago, IL
- NPI 1063715613
-
dba Bridge Southwest DuPage CST
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Westmont, IL
- NPI 1083590996
-
dba McHenry AMI House
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Woodstock, IL
- NPI 1083861512
-
- Community/Behavioral Health Agency
- Woodstock, IL
- NPI 1083861975
-
- Community/Behavioral Health Agency
- Chicago, IL
- NPI 1093202558
-
- Community/Behavioral Health Agency
- Chicago, IL
- NPI 1093039125
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Chicago, IL
- NPI 1093056814
-
- Community/Behavioral Health Agency
- Saint Anne, IL
- NPI 1053577031
Locations
4219 N Lincoln Ave
Chicago, IL 60618
Phone (773) 435-0117
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219017600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1657756800000",
"number": "1003062399",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4101 N RAVENSWOOD AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606132193",
"telephone_number": "773-572-5500",
"fax_number": "773-537-3488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4219 N LINCOLN AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606182901",
"telephone_number": "773-572-5500",
"fax_number": "773-537-3488"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE THRESHOLDS",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "THE THRESHOLDS",
"enumeration_date": "2008-08-18",
"last_updated": "2022-07-14",
"certification_date": "2022-07-14",
"status": "A",
"authorized_official_last_name": "KLAUER",
"authorized_official_first_name": "MARCELLA",
"authorized_official_title_or_position": "EXECUTIVE ASSISTANT",
"authorized_official_telephone_number": "773-572-5480"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Young Adult Program",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Young Adult Program",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.