GREAT CIRCLE — NPI 1730659376 (Licensed & Credentialed Counselor, School in SAINT LOUIS, MO)

CMS-1500 Box 24J / 33a • NPI

1730659376

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

101YS0200X

Licensed & Credentialed Counselor, School

Box 32 Service Location & ZIP+4

330 N GORE AVE, SAINT LOUIS, MO, 63119-1600

✓ 9-Digit EDI 837 ZIP+4 (63119-1600)

Practice Phone & Referral Fax

(314) 968-2060

Fax: (314) 968-8308

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1730659376 (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	`1730659376` (NPI-2 Organization / Facility)
Provider / Legal Name	GREAT CIRCLE
Plain-English Specialty	Licensed & Credentialed Counselor, School NUCC Code: `101YS0200X` (Counselor, School)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	330 N GORE AVE, SAINT LOUIS, MO, 63119-1600
Practice Telephone / Fax	Tel: (314) 968-2060 \| Fax: (314) 968-8308
Administrative Mailing Address	PO BOX 189, SAINT JAMES, MO, 65559-0189
Enumeration & Last Sync	Enumerated: 2018-11-27 \| CMS Record Updated: 2018-12-04
Authorized Official	DAWN KLIETHERMES (Credentialing Specialist)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

330 N GORE AVE, SAINT LOUIS, MO, 63119-1600

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Plain-English Taxonomy & CMS Crosswalk (101YS0200X)

What Does Taxonomy Code 101YS0200X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 101YS0200X translates to:
"Licensed & Credentialed Counselor, School"

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 Counselor, School 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
`1041S0200X` — Social Worker, School Plain English: Licensed & Credentialed Social Worker, School	State: N/A \| License: `Verified` \| Primary: Secondary
`225X00000X` — Occupational Therapist Plain English: Board-Certified Occupational Therapist (OTR/L — Functional & Daily Living Rehab)	State: N/A \| License: `Verified` \| Primary: Secondary
`235Z00000X` — Speech-Language Pathologist, Plain English: Licensed & Credentialed Speech, Language and Hearing Service Providers	State: N/A \| License: `Verified` \| Primary: Secondary
`101YS0200X` — Counselor, School Plain English: Licensed & Credentialed Counselor, School	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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GREAT CIRCLE (NPI #1730659376)