CHANGE ACADEMY AT LAKE OF THE OZARKS
NPI 1194437004
Residential Treatment Facility, Emotionally Disturbed Children in Bend, OR

NPI Status: Active since December 22, 2022

Contact Information

22022 NELSON RD
BEND, OR
ZIP 97701
Phone: (541) 318-1676

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  • Organization
  • Residential Treatment Facility, Emotiona...
  • Accepts Insurance

About CHANGE ACADEMY AT LAKE OF THE OZARKS

This page provides the complete NPI Profile along with additional information for Change Academy At Lake Of The Ozarks, a provider established in Bend, Oregon operating as a Residential Treatment Facility, Emotionally Disturbed Children. The healthcare provider is registered in the NPI registry with number 1194437004 assigned on December 2022. The practitioner's primary taxonomy code is 322D00000X. The provider is registered as an organization and their NPI record was last updated April 2026. The provider's . The authorized official of this NPI record is Sharnell Spencer (Credentialing Manager)

NPI
1194437004
Provider Legal Name
CHANGE ACADEMY AT LAKE OF THE OZARKS
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
22022 NELSON RD BEND, OR 97701
Location Phone
(541) 318-1676
Mailing Address
5500 MING AVE STE 410 BAKERSFIELD, CA 93309
Mailing Phone
(661) 622-4132
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
12-22-2022
Last Update Date
04-28-2026
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Location Map

Secondary Locations

  • 63140 Dickey Rd
    Bend, OR 97701
    (541) 318-1676

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Residential Treatment Facility, Emotionally Disturbed Children

Taxonomy Code
322D00000X
Type
Residential Treatment Facilities
Taxonomy Description
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • HSA Qualified 7500 Bronze - Choice Network - EPO
  • HSA-E Qualified 7500 Bronze - Signature Network - EPO
  • Providence Oregon Standard Bronze Plan - Choice Network - EPO
  • Providence Oregon Standard Bronze Plan - Signature Network - EPO
  • Providence Oregon Standard Gold Plan - Choice Network - EPO
  • Providence Oregon Standard Gold Plan - Signature Network - EPO
  • Providence Oregon Standard Silver Plan - Choice Network - EPO
  • Providence Oregon Standard Silver Plan - Signature Network - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SHARNELL SPENCER

Authorized Official Title
CREDENTIALING MANAGER
Authorized Official Phone
(661) 239-6923

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1194437004, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
4
Unchanged
Pos 5
4
Doubled → 8
Pos 6
3
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
0
Unchanged
Pos 9
0
Doubled → 0
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 4 → 8 7 → 14 → 5 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 1 + 8 + 4 + 8 + 3 + 1 + 4 + 0 + 0 + 24 = 56

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 56 is 60. The difference is the calculated check digit.

60 - 56 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1194437004.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Counselor (Mental Health)
22022 NELSON RD
BEND, OR 97701
Community Based Residential Treatment Facility, Mental Illness
22022 NELSON RD
BEND, OR 97701
Social Worker (Clinical)
22022 NELSON RD
BEND, OR 97701

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1194437004, enumerated as an "organization" on December 22, 2022.

The provider is located at 22022 NELSON RD BEND, OR 97701 and the phone number is (541) 318-1676.

Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.

The provider might be accepting Accepts: Providence Health Plan. Please consult your insurance carrier or call the provider to verify.