CHANGE ACADEMY AT LAKE OF THE OZARKS
NPI 1194437004
Residential Treatment Facility, Emotionally Disturbed Children in Bend, OR
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 1194437004), doing business as Embark Behavioral Health, is a healthcare organization registered as a residential treatment facility, emotionally disturbed children in Bend, Oregon and active in the NPI registry since December 2022. The organization maintains a secondary practice location in Bend and lists Sharnell Spencer, Credentialing Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Accepted Insurance
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BEND, OR 97701
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 1194437004. It was assigned to this organization in the NPPES registry on December 22, 2022. The provider is doing business as Embark Behavioral Health.
Where is Change Academy At Lake Of The Ozarks located?
Change Academy At Lake Of The Ozarks is located at 22022 Nelson Rd, Bend, OR 97701. The listed phone number is (541) 318-1676.
What is Change Academy At Lake Of The Ozarks's specialty?
The primary specialty registered for this NPI is Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.
What insurance does Change Academy At Lake Of The Ozarks accept?
Health plans from Providence Health Plan list Change Academy At Lake Of The Ozarks as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Change Academy At Lake Of The Ozarks was last updated on April 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Change Academy At Lake Of The Ozarks · NPI 1194437004
Residential Treatment Facility, Emotionally Disturbed Children organization in Bend, Oregon. Organization record, active in the CMS NPPES registry since December 22, 2022.
## Identity
- **NPI:** 1194437004 (Entity type: Organization)
- **Enumerated:** December 22, 2022
- **Primary specialty:** Residential Treatment Facility, Emotionally Disturbed Children · taxonomy 322D00000X
- **Also known as:** Embark Behavioral Health (Doing Business As)
- **Organization subpart:** Yes (part of Change Academy At Lake Of The Ozarks)
- **Authorized official:** Sharnell Spencer, CREDENTIALING MANAGER
## Practice location
- **Address:** 22022 NELSON RD, Bend, OR 97701-9790
- **Phone:** (541) 318-1676
## Record status
- **NPPES last updated:** April 28, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1194437004) · Data from the CMS NPPES public registry.