Active NPI
The Thresholds
Doing business as Southside Housing 2 Liberty House
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Chicago, IL
National Provider Identifier
1609285824
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
- 550 W 43Rd St
Chicago, IL 60609-2749 - Phone
- (773) 572-5500
- NPI assigned
- Aug 13, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | NU | Primary | |
| Mental Illness Community Based Residential Treatment Facility | 320800000X | NU |
Addresses
Primary practice location
550 W 43Rd St
Chicago, IL 60609-2749
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
- Southside Housing 2 Liberty 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.
-
dba Northside Housing 2 Grais Apartments
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Chicago, IL
- NPI 1518114404
-
- Community/Behavioral Health Agency
- Chicago, IL
- NPI 1528215050
-
dba Southside Housing Bill's Place
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Chicago, IL
- NPI 1538316062
-
- Community/Behavioral Health Agency
- Chicago, IL
- NPI 1548417074
-
dba Kankakee River House
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Kankakee, IL
- NPI 1548417827
-
dba HOP Chicago Lawson Safe Haven
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Chicago, IL
- NPI 1548872708
-
dba McHenry CCBHC Substance Use
- Substance Use Disorder Rehabilitation Clinic/Center
- Woodstock, IL
- NPI 1558074443
-
dba Northside Housing 2 Hope Apartments
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Chicago, IL
- NPI 1558517870
-
- Community/Behavioral Health Agency
- Bradley, IL
- NPI 1568619799
-
dba Thresholds Downtown
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Chicago, IL
- NPI 1588043251
-
- Community/Behavioral Health Agency
- Waukegan, IL
- NPI 1619124922
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Woodstock, IL
- NPI 1629224944
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407888000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1657756800000",
"number": "1609285824",
"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": "550 W 43RD ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606092749",
"telephone_number": "773-572-5500"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE THRESHOLDS",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "THE THRESHOLDS",
"enumeration_date": "2014-08-13",
"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": "NU",
"license": null,
"primary": true
},
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04133",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Southside Housing 2 Liberty House",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Southside Housing 2 Liberty House",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Chicago, IL
- The Thresholds (Southside Housing Bill's Place)
- The Thresholds
- The Thresholds (HOP Chicago Lawson Safe Haven)
- The Thresholds (Northside Housing 2 Hope Apartments)
- The Thresholds (Thresholds Downtown)
- The Thresholds (Private Access York House)
- The Thresholds (Northside Housing Buffett Place)
- The Thresholds
- The Thresholds (Northside Housing 2 Jacqueline Terrace)
- The Thresholds (Southside Housing Woodlawn House)
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.