NPIMap

Organization Active NPI

Kids Above All Illinois

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Naperville, IL
National Provider Identifier
1235455163
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
1260 Iroquois Ave Ste 102
Naperville, IL 60563-8547
Phone
(630) 778-7542
Fax
(630) 778-7542
NPI assigned
Apr 16, 2010
Last updated
Apr 19, 2021By the provider in NPPES
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, LCSWNPI 1427079847
Title
Coo
Phone
(847) 284-0430

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X 01203311 IL

Addresses

Primary practice location

1260 Iroquois Ave Ste 102
Naperville, IL 60563-8547

Mailing address

8765 W Higgins Rd
Suite 450
Chicago, IL 60631-4101
Phone (773) 693-0300

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.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1271376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618790400000",
    "number": "1235455163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8765 W HIGGINS RD",
            "address_2": "SUITE 450",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606314101",
            "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": "1260 IROQUOIS AVE STE 102",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605638547",
            "telephone_number": "630-778-7542",
            "fax_number": "630-778-7542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS ABOVE ALL ILLINOIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-16",
        "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": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "IL",
            "license": "01203311",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, 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.