NPIMap

Organization Active NPI

The Thresholds

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Woodstock, IL
National Provider Identifier
1558074443
Registry record updated Jan 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
THE THRESHOLDS
Practice address
2030 N Seminary Ave
Woodstock, IL 60098-2626
Phone
(773) 572-5500
NPI assigned
Jan 5, 2023
Organization subpart
Yes
Parent organization
THE THRESHOLDSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 5, 2023

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 Primary

Addresses

Primary practice location

2030 N Seminary Ave
Woodstock, IL 60098-2626

Mailing address

4101 N Ravenswood Ave
Chicago, IL 60613-2193
Phone (773) 572-5500

Other names 1

  • McHenry CCBHC Substance Use Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 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

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1672876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672876800000",
    "number": "1558074443",
    "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",
            "fax_number": "773-572-5240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 N SEMINARY AVE",
            "city": "WOODSTOCK",
            "state": "IL",
            "postal_code": "600982626",
            "telephone_number": "773-572-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE THRESHOLDS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE THRESHOLDS",
        "enumeration_date": "2023-01-05",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-05",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "McHenry CCBHC Substance Use",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "McHenry CCBHC Substance Use",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Woodstock, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2023; 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.

Verify at the official NPI Registry.