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
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
- 6044 Lincoln Ave
Morton Grove, IL 60053-2938 - Phone
- (773) 572-5500
- NPI assigned
- Apr 28, 2016
- Last updated
- Sep 8, 2021
- 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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04133 | Medicaid | IL |
Other names 1
- North Suburbs Morton Grove Group Home
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 Islander House
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Chicago, IL
- NPI 1780831214
-
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
-
- Community/Behavioral Health Agency
- Chicago, IL
- NPI 1790931095
-
dba Young Adult Program and Loren Juhl School
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Chicago, IL
- NPI 1801609052
-
- Community/Behavioral Health Agency
- Glenview, IL
- NPI 1821244138
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Chicago, IL
- NPI 1821644147
-
dba Bridge Southeast
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Chicago, IL
- NPI 1831520261
-
dba Northside Housing Carroll House
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Chicago, IL
- NPI 1851548077
-
dba Thresholds Center for Mental Wellbeing - Kankakee
- Substance Use Disorder Rehabilitation Clinic/Center
- Kankakee, IL
- NPI 1861268807
-
- Community/Behavioral Health Agency
- Skokie, IL
- NPI 1871749192
-
dba Southside Housing Vincennes House
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Chicago, IL
- NPI 1881841187
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.