GREAT CIRCLE (NPI# 1285713289) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285713289 |
| Entity Type | Organization |
| Organization Name | GREAT CIRCLE |
| Practice Address |
13160 County Road 3610 Saint James MO 65559-0189 |
| Mailing Address |
Po Box 189 Saint James MO 65559-0189 |
| Practice Telephone | 5732653251 |
| Practice Fax Number | 5732658571 |
| Mailing Telephone | 5732653251 |
| Mailing Fax Number | 5732658571 |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2018-12-04 |
| Authorized Official Name | DAWN RENEE KLIETHERMES (CREDENTIALING SPECIALIST) |
| Authorized Official Telephone | 5733037219 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | 430681470A | MO | Agencies |
| N | 253J00000X | Foster Care Agency | 000046739 | MO | Agencies |
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities | ||
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities | ||
| N | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | =========0A | MO | Residential Treatment Facilities |
| N | 323P00000X | Psychiatric Residential Treatment Facility | 000045712 | MO | Residential Treatment Facilities |
| N | 323P00000X | Psychiatric Residential Treatment Facility | 000045767 | MO | Residential Treatment Facilities |
| N | 323P00000X | Psychiatric Residential Treatment Facility | 0000469461 | MO | Residential Treatment Facilities |
| N | 323P00000X | Psychiatric Residential Treatment Facility | 000363075 | MO | Residential Treatment Facilities |
| N | 323P00000X | Psychiatric Residential Treatment Facility | 001943115 | MO | Residential Treatment Facilities |
| Y | 323P00000X | Psychiatric Residential Treatment Facility | 000046739 | MO | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 507009603 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730659376 | Great Circle | Social Worker | 330 N Gore Ave, Saint Louis, MO 63119-1600 | 2018-11-27 |
| 1174074678 | Great Circle | Local Education Agency (LEA) | 330 N Gore Ave, Saint Louis, MO 63119-1600 | 2016-10-19 |
| 1912353673 | Great Circle | Community/Behavioral Health | 13160 Co Rd 3610, Saint James, MO 65559 | 2016-05-11 |
| 1780044693 | Great Circle | Residential Treatment Facility, Emotionally Disturbed Children | 13160 County Road 3610, Saint James, MO 65559-9151 | 2016-03-04 |
| 1568843647 | Great Circle | Health Maintenance Organization | 3965 Marietta Dr, Florissant, MO 63033-3214 | 2015-06-15 |
| 1619308822 | Great Circle | Community Based Residential Treatment Facility, Mental Illness | 1212 W Lombard St, Springfield, MO 65806-2720 | 2013-12-13 |
| 1801133525 | Great Circle | Community/Behavioral Health | 330 N Gore Ave, Saint Louis, MO 63119-1600 | 2013-01-15 |
| 1346587763 | Great Circle | Community/Behavioral Health | 330 N Gore Ave, Saint Louis, MO 63119-1600 | 2013-01-04 |
| 1417214636 | Great Circle | Psychiatric Residential Treatment Facility | 1212 W Lombard St, Springfield, MO 65806-2720 | 2012-04-12 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | GREAT CIRCLE ART LLC | 180 Harbor Sq Loop Ne, Bainbridge Is, WA 98110-2449 |
| New York State Corporations | GREAT CIRCLE CABLE LLC | Po Box 257, Peconic, Ny 11958 |
| Connecticut Business Registrations | GREAT CIRCLE CAPITAL LLC | 2039 Palmer Avenue, Suite 102, Larchmont, NY 10538 |
| New York State Corporations | GREAT CIRCLE CAPITAL LLC | Suite 102, 2039 Palmer Avenue, Larchmont, Ny 10538 |
| Connecticut Business Registrations | Great Circle Creative LLC | 223 Rowayton Ave, Norwalk, CT 06853 |
| New York State Corporations | GREAT CIRCLE CREATIVE LLC | 47 New York Avenue, Congers, Ny 109202415 |
| Ohio Business Entities | GREAT CIRCLE FINANCIAL, INC | 675 Sierra Rose Drive, Reno, NV 89511 |
| New York State Corporations | GREAT CIRCLE FOUNDATION, INC. | 10 Warner Court, Huntington, Ny 11743 |
| Colorado Business Entities | Great Circle International, Inc. | 309 Glenview Ct., Longmont, CO 80504 |
| Virginia Business Entities | Great Circle L.L.C. | 426 Old Stoney Creek Road, Nellysford, Virginia 22958 |
| Street Address |
13160 COUNTY ROAD 3610 |
| City | SAINT JAMES |
| State | MO |
| Zip Code | 65559-0189 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871191437 | Jason Earl Reeves | Social Worker | 13160 County Road 3610, Saint James, MO 65559-9151 | 2020-10-15 |
| 1407419021 | Barry Wainwright | Counselor | 13160 County Road 3610, Saint James, MO 65559-9151 | 2019-04-18 |
| 1639639966 | Kaetlyn Barlund | Counselor | 13160 County Road 3610, Saint James, MO 65559-9151 | 2019-03-22 |
| 1467931410 | Mandie Shannon Nelson | Social Worker | 13160 County Road 3610, Saint James, MO 65559-9151 | 2018-08-10 |
| 1780189217 | Shawn Warren | Counselor | 13160 County Road 3610, Saint James, MO 65559-9151 | 2018-03-27 |
| 1750883831 | David Stephen Garro | Counselor | 13160 County Road 3610, Saint James, MO 65559-9151 | 2018-03-05 |
| 1598278483 | Mary Frances Downey-jones | Counselor | 13160 County Road 3610, Saint James, MO 65559-9151 | 2017-11-14 |
| 1598287229 | Brandie Rachelle Reagan | Social Worker | 13160 County Road 3610, Saint James, MO 65559-9151 | 2017-07-14 |
| 1740717958 | Amanda Simon | Social Worker | 13160 County Road 3610, Saint James, MO 65559-9151 | 2017-05-18 |
| 1841733094 | Michelle Ritz | Counselor | 13160 County Road 3610, Saint James, MO 65559-9151 | 2016-11-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033605282 | Sarah Curtis | Speech-Language Pathologist | 620 N. Jefferson St., St. James, MO 65559 | 2018-07-10 |
| 1245592054 | Stanley Charles Johnston | Pharmacist | 105 W. Eldon St, St. James, MO 65559 | 2012-06-08 |
| 1346490638 | Diana Brandt | Physical Therapist | 115 E. Springfield, St. James, MO 65559 | 2008-09-24 |
| 1336346147 | Angela Michelle Taylor | Counselor | 32151 County Road 3610, St. James, MO 65559 | 2007-06-27 |
| 1790839850 | Donna L Rippelmeyer | Social Worker | 104 N Jefferson, St James, MO 65559 | 2007-01-23 |
| 1689735128 | Christine G Durbin | Nurse Practitioner | 1000 N. Jefferson St, Saint James, MO 65559 | 2006-12-12 |
| 1730250762 | Forest City Health Mart Pharmacy | Pharmacist | 1000 B N Jefferson, Saint James, MO 65559 | 2006-11-13 |
| 1659440014 | Jesus Martinez | Social Worker | 13160 County Rd. 3610, St. James, MO 65559 | 2006-11-07 |
| 1790895100 | St. James Ambulance District | Ambulance | 203 S. Louise, St. James, MO 65559 | 2006-08-30 |
| 1811910052 | Susanna Heike White | Counselor | 13160 Cty Rd 3610, St. James, MO 65559 | 2006-07-26 |
| Find all providers in zip 65559 | ||||
| Taxonomy Code | 323P00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Psychiatric Residential Treatment Facility |
| A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient’s surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary |
| Notes: Source: Champus Policy manual, Volume II, p. 6010.47M dated 9/12/94. Revision: Definition title revised 7/1/03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023618014 | R &r Residential Care LLC | Psychiatric Residential Treatment Facility | 17025 Old Jamestown Rd, Florissant, MO 63034-1414 | 2020-10-28 |
| 1336596832 | Castlewood Treatment Center LLC | Psychiatric Residential Treatment Facility | 1268 Saint Paul Rd, Ballwin, MO 63021-8207 | 2016-05-16 |
| 1780043141 | Lisa Brown | Psychiatric Residential Treatment Facility | 5921 County Road 647, Hornersville, MO 63855-9811 | 2016-02-14 |
| 1073909511 | Weatherby & Associates, LLC | Psychiatric Residential Treatment Facility | 1323 N Washington St, Mexico, MO 65265-3352 | 2015-04-10 |
| 1073830139 | Castlewood Treatment Center LLC | Psychiatric Residential Treatment Facility | 1260 St. Paul Road, St. Louis, MO 63021 | 2010-04-29 |
| 1932369857 | Missouri Residential Care LLC | Psychiatric Residential Treatment Facility | 7700 Minnesota Ave, Saint Louis, MO 63111-3336 | 2008-06-13 |
| 1003000571 | House of Care Center | Psychiatric Residential Treatment Facility | 3744 Benton Blvd, Kansas City, MO 64128-2515 | 2007-08-28 |
| 1316130784 | Change Academy At Lake of The Ozarks | Psychiatric Residential Treatment Facility | 130 Calo Lane, Lake Ozark, MO 65049 | 2007-08-20 |
| 1407058894 | K. F. Jammer Manor Inc. | Psychiatric Residential Treatment Facility | 5415 Thekla Ave, Saint Louis, MO 63120-2513 | 2007-06-05 |
| 1972705341 | K. F. Jammer Manor Inc. | Psychiatric Residential Treatment Facility | 1004 Pennsylvania Ave, Saint Louis, MO 63130-2325 | 2007-06-05 |
| Find all providers with the same taxonomy | ||||
| City | SAINT JAMES |
| Zip Code | 65559 |
Please comment or provide details below to improve the information on GREAT CIRCLE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.