Active NPI
The Thresholds
- Mental Illness Community Based Residential Treatment Facility
- Kankakee, IL
National Provider Identifier
1780487579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Illness Community Based Residential Treatment Facility
- Legal business name
- THE THRESHOLDS
- Practice address
- 202 N Schuyler Ave Ste 201
Kankakee, IL 60901-3866 - Phone
- (773) 572-5500
- Fax
- (773) 572-5240
- NPI assigned
- Mar 28, 2025
- 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 | |||
| Mental Illness Community Based Residential Treatment Facility | 320800000X | Primary |
Addresses
Primary practice location
202 N Schuyler Ave Ste 201
Kankakee, IL 60901-3866
Mailing address
4101 N Ravenswood Ave
Chicago, IL 60613-2193
Phone (773) 572-5500
Other names 1
- Kankakee Dearborn Center
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)
- Northfield, IL
- NPI 1689029589
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Chicago, IL
- NPI 1699922120
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Chicago, IL
- NPI 1700032083
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Crystal Lake, IL
- NPI 1700274750
-
- Community Health Clinic/Center
- McHenry, IL
- NPI 1710717285
-
- Community Health Clinic/Center
- Chicago, IL
- NPI 1740010214
-
- Mental Health Counselor
- Chicago, IL
- NPI 1740815232
-
- Mental Illness Community Based Residential Treatment Facility
- Chicago, IL
- NPI 1770076028
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Chicago, IL
- NPI 1780159723
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Chicago, IL
- NPI 1780450726
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Chicago, IL
- NPI 1780831214
-
- Mental Illness Community Based Residential Treatment Facility
- Blue Island, IL
- NPI 1790588580
Locations
202 N Schuyler Ave
Ste 201
Kankakee, IL 60901
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1743120000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1743120000000",
"number": "1780487579",
"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": "202 N SCHUYLER AVE STE 201",
"city": "KANKAKEE",
"state": "IL",
"postal_code": "609013866",
"telephone_number": "773-572-5500",
"fax_number": "773-572-5240"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE THRESHOLDS",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "THE THRESHOLDS",
"enumeration_date": "2025-03-28",
"last_updated": "2025-03-28",
"certification_date": "2025-03-28",
"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
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Kankakee Dearborn Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Kankakee Dearborn Center",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Kankakee, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2025; 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.