NPIMap

Organization Active NPI

Kids Above All Illinois

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Chicago, IL
National Provider Identifier
1083723027
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
8765 W. Higgins
Suite 450
Chicago, IL 60631
Phone
(773) 693-0300
Fax
(773) 693-0322
NPI assigned
Aug 30, 2006
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
Ms. Jeri L Laureano, LCSWNPI 1427079847
Title
Chief Operating Officer
Phone
(773) 239-8940

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary
Mental Illness Community Based Residential Treatment Facility 320800000X 012033-10 IL
Mental Illness Community Based Residential Treatment Facility 320800000X 012033-10

Addresses

Primary practice location

8765 W. Higgins
Suite 450
Chicago, IL 60631

Mailing address

8765 W. Higgins Road
Suite 450
Chicago, IL 60631
Phone (773) 693-0300

Other identifiers 1

IdentifierTypeStateIssuer
2B05CHR013MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210430000548 IL Part B Supplier - Clinic/Group Practice 2769891845 Receives reassigned benefits from 3 practitioners
Practice locations: Waukegan, IL; Naperville, IL; Lisle, IL; Elgin, IL; Downers Grove, IL; Chicago, IL

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

651 Lillie St
Elgin, IL 60120
Phone (630) 883-8560

1260 Iroquois Ave
Ste 102
Naperville, IL 60563
Phone (630) 778-7542

415 Washington St
Ste 2
Waukegan, IL 60085
Phone (773) 867-7360

Practitioners & affiliated clinicians

Practitioners 7

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

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618790400000",
    "number": "1083723027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8765 W. HIGGINS ROAD",
            "address_2": "SUITE 450",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60631",
            "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": "8765 W. HIGGINS",
            "address_2": "SUITE 450",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60631",
            "telephone_number": "773-693-0300",
            "fax_number": "773-693-0322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS ABOVE ALL ILLINOIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "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": "L",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "773-239-8940",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "IL",
            "license": "012033-10",
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": "012033-10",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2B05CHR013",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Apr 19, 2021; 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.

Verify at the official NPI Registry.