Active NPI
The Thresholds
Doing business as Northside Housing 2 Jacqueline Terrace
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Chicago, IL
National Provider Identifier
1679729990
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
- 719-721 W Aldine Ave
Chicago, IL 60657-3422 - Phone
- (773) 572-5500
- NPI assigned
- Aug 18, 2008
- 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 |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | |||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary | ||
| Mental Illness Community Based Residential Treatment Facility | 320800000X |
Addresses
Primary practice location
719-721 W Aldine Ave
Chicago, IL 60657-3422
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
- Northside Housing 2 Jacqueline Terrace
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 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
-
dba Southside Housing 2 Liberty House
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Chicago, IL
- NPI 1609285824
-
- Community/Behavioral Health Agency
- Waukegan, IL
- NPI 1619124922
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Woodstock, IL
- NPI 1629224944
-
dba Private Access York House
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Chicago, IL
- NPI 1639326168
-
dba Northside Housing Buffett Place
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Chicago, IL
- NPI 1659764504
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Chicago, IL
- NPI 1669488029
-
dba West Suburbs Safe Haven
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Melrose Park, IL
- NPI 1679720809
-
dba North Suburbs
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Northfield, IL
- NPI 1689029589
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219017600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1657756800000",
"number": "1679729990",
"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": "773-537-3488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "719-721 W ALDINE AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606573422",
"telephone_number": "773-572-5500"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE THRESHOLDS",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "THE THRESHOLDS",
"enumeration_date": "2008-08-18",
"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": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
},
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04133",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Northside Housing 2 Jacqueline Terrace",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Northside Housing 2 Jacqueline Terrace",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Chicago, IL
- The Thresholds (Thresholds Downtown)
- The Thresholds (Southside Housing 2 Liberty House)
- The Thresholds (Private Access York House)
- The Thresholds (Northside Housing Buffett Place)
- The Thresholds
- The Thresholds (Southside Housing Woodlawn House)
- The Thresholds (Young Adult Program Diane's House)
- The Thresholds
- The Thresholds
- The Thresholds (Young Adult Program Mary Hill 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.