Active NPI
The Thresholds
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Chicago, IL
National Provider Identifier
1215573282
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
- 3905 N Kimball Ave
Chicago, IL 60618-3318 - Phone
- (773) 572-5500
- NPI assigned
- Nov 25, 2019
- 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
3905 N Kimball Ave
Chicago, IL 60618-3318
Mailing address
4101 N Ravenswood Ave
Chicago, IL 60613-2193
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04133 | Medicaid | IL |
Other names 1
- Young Adult Program Houston REACH
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 West Suburbs
- 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Chicago, IL
- NPI 1144476458
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Chicago, IL
- NPI 1154876050
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Chicago, IL
- NPI 1154977585
-
- Community/Behavioral Health Agency
- Chicago, IL
- NPI 1164679056
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Chicago, IL
- NPI 1174770473
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Skokie, IL
- NPI 1184014862
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Woodstock, IL
- NPI 1184111536
-
- 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
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Chicago, IL
- NPI 1205082526
-
- Mental Illness Community Based Residential Treatment Facility
- Chicago, IL
- NPI 1205329554
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Oak Park, IL
- NPI 1215184502
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1574640000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1657756800000",
"number": "1215573282",
"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": "3905 N KIMBALL AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606183318",
"telephone_number": "773-572-5500"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE THRESHOLDS",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "THE THRESHOLDS",
"enumeration_date": "2019-11-25",
"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": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04133",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Young Adult Program Houston REACH",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Young Adult Program Houston REACH",
"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.