NPIMap

Organization Active NPI

Great Circle

  • School Counselor
  • Saint Louis, MO
National Provider Identifier
1730659376
Registry record updated Dec 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
School CounselorTaxonomy code 101YS0200X
Legal business name
GREAT CIRCLE
Practice address
330 N Gore Ave
Saint Louis, MO 63119-1600
Phone
(314) 968-2060
Fax
(314) 968-8308
NPI assigned
Nov 27, 2018
Last updated
Dec 4, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2018

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
School Counselor 101YS0200X Primary
School Social Worker 1041S0200X
Occupational Therapist 225X00000X
Speech-Language Pathologist 235Z00000X

Addresses

Primary practice location

330 N Gore Ave
Saint Louis, MO 63119-1600

Mailing address

PO Box 189
Saint James, MO 65559-0189
Phone (573) 265-3251

Other practice location 1

13160 County Road 3610
Saint James, MO 65559-9151
Phone (573) 265-3251

Other practice location 2

4304 S Bearfield Rd
Columbia, MO 65201-9557
Phone (573) 874-8686

Other practice location 3

1126 E Highway Ww
Marshall, MO 65340-4641
Phone (660) 886-2253

Other practice location 4

25573 Highway 5
Lebanon, MO 65536-5710
Phone (417) 532-2204

National Provider Directory

National Provider Directory
Tax ID family
Great Circle14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

Organizations that report the same tax identification number in the National Provider Directory.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1543276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543881600000",
    "number": "1730659376",
    "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": "573-265-5370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 N GORE AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631191600",
            "telephone_number": "314-968-2060",
            "fax_number": "314-968-8308"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13160 County Road 3610",
            "address_purpose": "LOCATION",
            "city": "Saint James",
            "state": "MO",
            "postal_code": "655599151",
            "country_code": "US",
            "telephone_number": "573-265-3251",
            "fax_number": "573-265-5370",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4304 S Bearfield Rd",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MO",
            "postal_code": "652019557",
            "country_code": "US",
            "telephone_number": "573-874-8686",
            "fax_number": "573-874-8608",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1126 E Highway Ww",
            "address_purpose": "LOCATION",
            "city": "Marshall",
            "state": "MO",
            "postal_code": "653404641",
            "country_code": "US",
            "telephone_number": "660-886-2253",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "25573 Highway 5",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "MO",
            "postal_code": "655365710",
            "country_code": "US",
            "telephone_number": "417-532-2204",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GREAT CIRCLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-27",
        "last_updated": "2018-12-04",
        "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": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2018; 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.