Active NPI
The Thresholds
- Mental Illness Community Based Residential Treatment Facility
- Chicago, IL
National Provider Identifier
1346733698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Illness Community Based Residential Treatment Facility
- Legal business name
- THE THRESHOLDS
- Practice address
- 2041 W Arthur Ave
Chicago, IL 60645-5516 - Phone
- (773) 572-5500
- NPI assigned
- Jun 12, 2018
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
2041 W Arthur Ave
Chicago, IL 60645-5516
Mailing address
4101 N Ravenswood Ave
Chicago, IL 60613-2193
Phone (773) 572-5500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04133 | Medicaid | IL |
Other names 1
- Young Adult Program Diane's 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 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 1215573282
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Chicago, IL
- NPI 1225285752
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Chicago, IL
- NPI 1245487776
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Woodstock, IL
- NPI 1255588729
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Chicago Heights, IL
- NPI 1275789596
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Chicago, IL
- NPI 1275912289
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Chicago, IL
- NPI 1285009639
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Gurnee, IL
- NPI 1306292248
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Chicago, IL
- NPI 1336396860
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Chicago, IL
- NPI 1346497872
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Chicago, IL
- NPI 1366765976
-
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Chicago, IL
- NPI 1376036632
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": "1346733698",
"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",
"telephone_number": "773-572-5500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2041 W ARTHUR AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606455516",
"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": "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": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04133",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Young Adult Program Diane's House",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Young Adult Program Diane's House",
"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.