Great Circle

Primary specialty

Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X

License

000046739 Issued in MO

Legal business name

GREAT CIRCLE

Practice address

13160 County Road 3610
Saint James, MO 65559-0189

Phone

(573) 265-3251

Fax

(573) 265-8571

NPI assigned

Nov 2, 2006

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dawn Renee Kliethermes

Title

Credentialing Specialist

Phone

(573) 303-7219

Specialties & licenses 11

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Katharine Schofield Beem, LCSW

  • Clinical Social Worker
  • Raytown, MO
  • NPI 1427482124
  NPD (past)

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1285713289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 189",
            "city": "SAINT JAMES",
            "state": "MO",
            "postal_code": "655590189",
            "telephone_number": "573-265-3251",
            "fax_number": "573-265-8571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13160 COUNTY ROAD 3610",
            "city": "SAINT JAMES",
            "state": "MO",
            "postal_code": "655590189",
            "telephone_number": "573-265-3251",
            "fax_number": "573-265-8571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT CIRCLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "KLIETHERMES",
        "authorized_official_first_name": "DAWN",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "573-303-7219"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "MO",
            "license": "0A",
            "primary": false
        },
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "MO",
            "license": "000046739",
            "primary": true
        },
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "MO",
            "license": "000045712",
            "primary": false
        },
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "MO",
            "license": "000045767",
            "primary": false
        },
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "MO",
            "license": "0000469461",
            "primary": false
        },
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "MO",
            "license": "000363075",
            "primary": false
        },
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "MO",
            "license": "001943115",
            "primary": false
        },
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": "MO",
            "license": "000046739",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MO",
            "license": "430681470A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "507009603",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Forest City Family Practice LLC
• Franklin C Gica, P.T.
• Rachelle L Gorrell, D.O.
• Kara C Goss, LCSW
• Marsha Kay Gray
• Great Circle
• Tiffany Gregory
• Norman Eugene Grover, DMD
• Lori Christine Hanson
• Gabriella Harms, PLPC

• Psychiatric Residential Treatment Facility in Saint James, MO
• Providers in Saint James, MO by specialty
• Psychiatric Residential Treatment Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.