NPIMap

Organization Active NPI

Kids Above All Illinois

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Elgin, IL
National Provider Identifier
1003391749
Registry record updated Apr 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
KIDS ABOVE ALL ILLINOIS
Practice address
United Methodist Church
651 Lillie Street
Elgin, IL 60120
Phone
(630) 883-8560
Fax
(630) 883-8641
NPI assigned
Sep 28, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2021

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

Authorized official

Name
Jeri Lynn Laureano, LCSW
Title
Coo
Phone
(847) 284-0430

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

United Methodist Church
651 Lillie Street
Elgin, IL 60120

Mailing address

8765 W Higgins Rd Ste 450
Chicago, IL 60631-2794
Phone (773) 693-0300

Other practice location 1

620 Wing St Ste 11
Elgin, IL 60123-2800
Phone (630) 883-8641

National Provider Directory

National Provider Directory
Tax ID family
Kids Above All Illinois9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

Locations

620 Wing St
Ste 11
Elgin, IL 60123
Phone (312) 358-3513

NPI Registry JSON

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

{
    "created_epoch": "1538092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618790400000",
    "number": "1003391749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8765 W HIGGINS RD STE 450",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606312794",
            "telephone_number": "773-693-0300",
            "fax_number": "773-693-0322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UNITED METHODIST CHURCH",
            "address_2": "651 LILLIE STREET",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "60120",
            "telephone_number": "630-883-8560",
            "fax_number": "630-883-8641"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "620 Wing St Ste 11",
            "address_purpose": "LOCATION",
            "city": "Elgin",
            "state": "IL",
            "postal_code": "601232800",
            "country_code": "US",
            "telephone_number": "630-883-8641",
            "fax_number": "224-227-6282",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KIDS ABOVE ALL ILLINOIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-28",
        "last_updated": "2021-04-19",
        "certification_date": "2021-04-19",
        "status": "A",
        "authorized_official_last_name": "LAUREANO",
        "authorized_official_first_name": "JERI",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "847-284-0430",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elgin, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2021; 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.