CHANGE ACADEMY AT LAKE OF THE OZARKS
NPI 1215705215
Residential Treatment Facility, Emotionally Disturbed Children in Greeley, CO

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

The NPI number for Change Academy At Lake Of The Ozarks is 1215705215. It was assigned to this organization in the NPPES registry on December 19, 2023. The provider is doing business as Embark Behavioral Health.

Q: 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.

Active since December 19, 2023CLIA 06D2297155 · Waiver

5401 W 9TH ST, GREELEY, CO 80634(720) 372-0031 Get Directions Write a Review

NPPES record last updated: May 15, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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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 1215705215), doing business as Embark Behavioral Health, is a healthcare organization registered as a residential treatment facility, emotionally disturbed children in Greeley, Colorado and active in the NPI registry since December 2023. The organization holds a CLIA Waiver certificate valid through January 10, 2028 and lists Sharnell Spencer, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1215705215

Entity TypeOrganization

Primary Taxonomy322D00000X

Legal Business NameCHANGE ACADEMY AT LAKE OF THE OZARKS

Location Address5401 W 9TH STGreeley, CO 80634-4431

Mailing Address5500 Ming Ave Ste 410Bakersfield, CA 93309-4631 · (661) 622-4132

Phone(720) 372-0031

Organization SubpartYes

Authorized OfficialSharnell SpencerCredentialing Manager · (661) 239-6923

Enumeration DateDecember 19, 2023

Last NPPES UpdateMay 15, 2025

NPPES CertifiedMay 15, 2025

✔ NPI 1215705215 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Emotionally Disturbed ChildrenResidential Treatment Facilities

Taxonomy Code322D00000X

Definition

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.

5401 W 9TH ST, Greeley, CO 80634

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Other Names 1

Doing Business AsEmbark Behavioral Health

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 06D2297155

Change Academy At Lake Of The Ozarks, LLC · Greeley, CO

Active · expires Jan 10, 2028

CLIA Number06D2297155

Laboratory TypeMental Health Residency

Certificate Effective DateJanuary 11, 2026

Certificate Expiration DateJanuary 10, 2028

Laboratory DirectorBrooke Schneider

Laboratory Phone(480) 235-9977

Laboratory LocationChange Academy At Lake Of The Ozarks, LLC5401 West 9th Street, Greeley, CO 80634

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

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