Active NPI
The Thresholds
Doing business as Southside Housing Islander House
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Chicago, IL
National Provider Identifier
1780831214
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
- 6757 S Cornell Ave
Chicago, IL 60649-1017 - Phone
- (773) 572-5500
- NPI assigned
- Aug 27, 2008
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary | ||
| Mental Illness Community Based Residential Treatment Facility | 320800000X | |||
| Community/Behavioral Health Agency | 251S00000X |
Addresses
Primary practice location
6757 S Cornell Ave
Chicago, IL 60649-1017
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 Islander 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 Southside Housing Woodlawn House
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Chicago, IL
- NPI 1699922120
-
dba Young Adult Program Diane's House
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Chicago, IL
- NPI 1700032083
-
dba McHenry
- 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
-
dba Young Adult Program Mary Hill House
- Mental Illness Community Based Residential Treatment Facility
- Chicago, IL
- NPI 1770076028
-
dba Young Adult Program Touhy REACH Apartments
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Chicago, IL
- NPI 1780159723
-
dba Thresholds Center for Mental Wellbeing - South
- Substance Use Disorder Rehabilitation Clinic/Center
- Chicago, IL
- NPI 1780450726
-
dba Kankakee Dearborn Center
- Mental Illness Community Based Residential Treatment Facility
- Kankakee, IL
- NPI 1780487579
-
dba South Suburbs Residential
- Mental Illness Community Based Residential Treatment Facility
- Blue Island, IL
- NPI 1790588580
-
dba Deaf California House
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Chicago, IL
- NPI 1790931079
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219795200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1657756800000",
"number": "1780831214",
"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": "6757 S CORNELL AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606491017",
"telephone_number": "773-572-5500"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE THRESHOLDS",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "THE THRESHOLDS",
"enumeration_date": "2008-08-27",
"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": true
},
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04133",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Southside Housing Islander House",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Southside Housing Islander House",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Chicago, IL
- The Thresholds
- The Thresholds
- The Thresholds (Young Adult Program Mary Hill House)
- The Thresholds (Young Adult Program Touhy REACH Apartments)
- The Thresholds (Thresholds Center for Mental Wellbeing - South)
- The Thresholds (Deaf California House)
- The Thresholds
- The Thresholds (Young Adult Program and Loren Juhl School)
- The Thresholds
- The Thresholds (Bridge Southeast)
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.