Active NPI
The Thresholds
Doing business as Young Adult Program James House
- Mental Illness Community Based Residential Treatment Facility
- Chicago, IL
National Provider Identifier
1205329554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Illness Community Based Residential Treatment Facility
- Legal business name
- THE THRESHOLDS
- Practice address
- 4448 N Kimball Ave
Chicago, IL 60625-5416 - Phone
- (773) 572-5500
- NPI assigned
- Jun 12, 2018
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | |||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | |||
| Mental Illness Community Based Residential Treatment Facility | 320800000X | Primary | ||
| Emotionally Disturbed Childrens' Residential Treatment Facility | 322D00000X |
Addresses
Primary practice location
4448 N Kimball Ave
Chicago, IL 60625-5416
Mailing address
4101 N Ravenswood Ave
Chicago, IL 60613-2193
Other names 1
- Young Adult Program James House
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 24
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
dba Young Adult Program Hart House
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Chicago, IL
- NPI 1114684131
-
dba Young Adult Program Mary Hill House
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Chicago, IL
- NPI 1124275037
-
dba Bridge Southwest
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Chicago, IL
- NPI 1144476458
-
dba West Suburbs
- Substance Use Disorder Rehabilitation Clinic/Center
- Chicago, IL
- NPI 1154876050
-
dba Substance Use Treatment West
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Chicago, IL
- NPI 1154977585
-
- Community/Behavioral Health Agency
- Chicago, IL
- NPI 1164679056
-
dba Southside Housing 2 Rowan Trees
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Chicago, IL
- NPI 1174770473
-
dba North Suburbs
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Skokie, IL
- NPI 1184014862
-
dba McHenry Main Offices
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Woodstock, IL
- NPI 1184111536
-
dba Young Adult Program Hart House
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Chicago, IL
- NPI 1194361717
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Chicago, IL
- NPI 1205082518
-
dba West Suburbs Karlov House
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Chicago, IL
- NPI 1205082526
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528761600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1657756800000",
"number": "1205329554",
"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": "4448 N KIMBALL AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606255416",
"telephone_number": "773-572-5500"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE THRESHOLDS",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "THE THRESHOLDS",
"enumeration_date": "2018-06-12",
"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": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"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": false
},
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": null,
"license": null,
"primary": true
},
{
"code": "322D00000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Emotionally Disturbed Children",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Young Adult Program James House",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Young Adult Program James House",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Chicago, IL
- The Thresholds (Southside Housing 2 Rowan Trees)
- The Thresholds (Bridge South, Peer Success New Freedom Center South)
- The Thresholds (Young Adult Program Hart House)
- The Thresholds
- The Thresholds (West Suburbs Karlov House)
- The Thresholds (Young Adult Program Houston REACH)
- The Thresholds (Southside Housing King House)
- The Thresholds (Deaf Washtenaw House)
- The Thresholds (Schwartz Center)
- The Thresholds (Peer Success Empowerment Center)
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.