GREAT CIRCLE — NPI 1285713289 (Licensed & Credentialed Psychiatric Residential Treatment Facility in SAINT JAMES, MO)

CMS-1500 Box 24J / 33a • NPI

1285713289

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

323P00000X

Licensed & Credentialed Psychiatric Residential Treatment Facility

Box 32 Service Location & ZIP+4

13160 COUNTY ROAD 3610, SAINT JAMES, MO, 65559-0189

✓ 9-Digit EDI 837 ZIP+4 (65559-0189)

Practice Phone & Referral Fax

(573) 265-3251

Fax: (573) 265-8571

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1285713289 (GREAT CIRCLE) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1285713289` (NPI-2 Organization / Facility)
Provider / Legal Name	GREAT CIRCLE
Plain-English Specialty	Licensed & Credentialed Psychiatric Residential Treatment Facility NUCC Code: `323P00000X` (Psychiatric Residential Treatment Facility)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	13160 COUNTY ROAD 3610, SAINT JAMES, MO, 65559-0189
Practice Telephone / Fax	Tel: (573) 265-3251 \| Fax: (573) 265-8571
Administrative Mailing Address	PO BOX 189, SAINT JAMES, MO, 65559-0189
Enumeration & Last Sync	Enumerated: 2006-11-02 \| CMS Record Updated: 2022-07-21
Authorized Official	DAWN KLIETHERMES (Credentialing Specialist)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

13160 COUNTY ROAD 3610, SAINT JAMES, MO, 65559-0189

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Plain-English Taxonomy & CMS Crosswalk (323P00000X)

What Does Taxonomy Code 323P00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 323P00000X translates to:
"Licensed & Credentialed Psychiatric Residential Treatment Facility"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Psychiatric Residential Treatment Facility for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (GREAT CIRCLE)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`251S00000X` — Community/Behavioral Health Plain English: Licensed & Credentialed Community/Behavioral Health	State: MO \| License: `430681470A` \| Primary: Secondary
`253J00000X` — Foster Care Agency Plain English: Licensed & Credentialed Foster Care Agency	State: MO \| License: `000046739` \| Primary: Secondary
`261QM0850X` — Clinic/Center, Adult Mental Health Plain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center	State: N/A \| License: `Verified` \| Primary: Secondary
`261QM0855X` — Clinic/Center, Adolescent and Children Mental Health Plain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center	State: N/A \| License: `Verified` \| Primary: Secondary
`322D00000X` — Residential Treatment Facility, Emotionally Disturbed Children Plain English: Licensed & Credentialed Residential Treatment Facility, Emotionally Disturbed Children	State: MO \| License: `0A` \| Primary: Secondary
`323P00000X` — Psychiatric Residential Treatment Facility Plain English: Licensed & Credentialed Psychiatric Residential Treatment Facility	State: MO \| License: `000045712` \| Primary: Secondary
`323P00000X` — Psychiatric Residential Treatment Facility Plain English: Licensed & Credentialed Psychiatric Residential Treatment Facility	State: MO \| License: `000045767` \| Primary: Secondary
`323P00000X` — Psychiatric Residential Treatment Facility Plain English: Licensed & Credentialed Psychiatric Residential Treatment Facility	State: MO \| License: `0000469461` \| Primary: Secondary
`323P00000X` — Psychiatric Residential Treatment Facility Plain English: Licensed & Credentialed Psychiatric Residential Treatment Facility	State: MO \| License: `000363075` \| Primary: Secondary
`323P00000X` — Psychiatric Residential Treatment Facility Plain English: Licensed & Credentialed Psychiatric Residential Treatment Facility	State: MO \| License: `001943115` \| Primary: Secondary
`323P00000X` — Psychiatric Residential Treatment Facility Plain English: Licensed & Credentialed Psychiatric Residential Treatment Facility	State: MO \| License: `000046739` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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GREAT CIRCLE (NPI #1285713289)