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CHANGE ACADEMY AT LAKE OF THE OZARKS
NPI 1063102226
Clinic/Center - Mental Health (Including Community Mental Health Center) in Independence, MO

Active since May 11, 2023
3205 N TWYMAN RD, INDEPENDENCE, MO 64058(480) 550-9281 Get Directions Write a Review

NPPES record last updated: May 15, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 15, 2025, Jun 20, 2023, May 11, 2023 (3 updates tracked since 2023).

About Change Academy At Lake Of The Ozarks NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHANGE ACADEMY AT LAKE OF THE OZARKS (NPI 1063102226), doing business as Embark Virtual At Missouri, is a healthcare organization registered as a mental health (including community mental health center) in Independence, Missouri and active in the NPI registry since May 2023. The organization lists Sharnell Spencer, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1063102226
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameCHANGE ACADEMY AT LAKE OF THE OZARKS
Location Address3205 N TWYMAN RDIndependence, MO 64058-3212
Mailing Address5500 Ming Ave Ste 410Bakersfield, CA 93309-4631 · (661) 622-4132
Phone(480) 550-9281
Organization SubpartYes
Authorized OfficialSharnell SpencerCredentialing Manager · (661) 239-6923
Enumeration DateMay 11, 2023
Last NPPES UpdateMay 15, 20253 updates tracked since enumeration
NPPES CertifiedMay 15, 2025
✔ NPI 1063102226 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
3205 N TWYMAN RD, Independence, MO 64058
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Other Names 1

Doing Business AsEmbark Virtual At Missouri

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EMILY AGNIEL PLPC
Counselor (Mental Health)
3205 N TWYMAN RD
INDEPENDENCE, MO 64058
Jackson County (816) 249-5373
DOULOS MINISTRIES, INC.
Community/Behavioral Health
3205 N TWYMAN RD
INDEPENDENCE, MO 64058
Jackson County (816) 249-5350
SARA JACKAWAY MA PLPC
Counselor (Professional)
3205 N TWYMAN RD
INDEPENDENCE, MO 64058
Jackson County (816) 249-5368
MRS. JULIE FADDIS MSCAT, LPC
Counselor (Professional)
3205 N TWYMAN RD
INDEPENDENCE, MO 64058
Jackson County (816) 249-5377
MRS. MEGAN LEIGH BARTLOW MS., LMFT
Marriage & Family Therapist
3205 N TWYMAN RD
INDEPENDENCE, MO 64058
Jackson County (816) 249-5376
CHANDON LECKRON BA, MAADC II
Counselor (Addiction (Substance Use Disorder))
3205 N TWYMAN RD
INDEPENDENCE, MO 64058
Jackson County (812) 552-1772
TIFFANY RENSBERGER
Counselor (Addiction (Substance Use Disorder))
3205 N TWYMAN RD
INDEPENDENCE, MO 64058
Jackson County (816) 249-5345
MISS KAYLA NICOLE BELLE MAADC II
Counselor (Addiction (Substance Use Disorder))
3205 N TWYMAN RD
INDEPENDENCE, MO 64058
Jackson County (580) 678-5540

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Change Academy At Lake Of The Ozarks's NPI number?

The NPI number for Change Academy At Lake Of The Ozarks is 1063102226. It was assigned to this organization in the NPPES registry on May 11, 2023.

Where is Change Academy At Lake Of The Ozarks located?

Change Academy At Lake Of The Ozarks is located at 3205 N Twyman Rd, Independence, MO 64058. The listed phone number is (480) 550-9281.

What is Change Academy At Lake Of The Ozarks's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Change Academy At Lake Of The Ozarks was last updated on May 15, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.