NPIMap

Organization Active NPI

The Thresholds

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Chicago, IL
National Provider Identifier
1154876050
Registry record updated Aug 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
04133 Issued in IL
Legal business name
THE THRESHOLDS
Practice address
334 N Menard Ave
Chicago, IL 60644-2157
Phone
(773) 572-5500
NPI assigned
Aug 20, 2016
Organization subpart
Yes
Parent organization
THE THRESHOLDSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 20, 2021

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)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 04133 IL Primary

Addresses

Primary practice location

334 N Menard Ave
Chicago, IL 60644-2157

Mailing address

4101 N Ravenswood Ave
Chicago, IL 60613-2193

Other identifiers 1

IdentifierTypeStateIssuer
04133MedicaidIL

Other names 1

  • West Suburbs Other name

National Provider Directory

National Provider Directory
Tax ID family
Thresholds West Suburbs122 organizations share this tax ID, including this one
Part of
Thresholds West Suburbs

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1471651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629417600000",
    "number": "1154876050",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "334 N MENARD AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606442157",
            "telephone_number": "773-572-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE THRESHOLDS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE THRESHOLDS",
        "enumeration_date": "2016-08-20",
        "last_updated": "2021-08-20",
        "certification_date": "2021-08-20",
        "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": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "IL",
            "license": "04133",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04133",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Suburbs",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "West Suburbs",
            "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 Aug 20, 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.