Organization Active NPI

The Thresholds

Doing business as North Suburbs Morton Grove Group Home

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Morton Grove, IL
National Provider Identifier
1881049781
Registry record updated Sep 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
THE THRESHOLDS
Practice address
6044 Lincoln Ave
Morton Grove, IL 60053-2938
Phone
(773) 572-5500
NPI assigned
Apr 28, 2016
Last updated
Sep 8, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
THE THRESHOLDSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 8, 2021

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)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary
Mental Illness Community Based Residential Treatment Facility 320800000X NU
Community/Behavioral Health Agency 251S00000X 04133 IL

Addresses

Primary practice location

6044 Lincoln Ave
Morton Grove, IL 60053-2938

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
04133MedicaidIL

Other names 1

  • North Suburbs Morton Grove Group Home 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

NPI Registry JSON

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

{
    "created_epoch": "1461801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631059200000",
    "number": "1881049781",
    "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": "6044 LINCOLN AVE",
            "city": "MORTON GROVE",
            "state": "IL",
            "postal_code": "600532938",
            "telephone_number": "773-572-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE THRESHOLDS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE THRESHOLDS",
        "enumeration_date": "2016-04-28",
        "last_updated": "2021-09-08",
        "certification_date": "2021-09-08",
        "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
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": "04133",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04133",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Suburbs Morton Grove Group Home",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "North Suburbs Morton Grove Group Home",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Morton Grove, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2021; 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.