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CHANGE ACADEMY AT LAKE OF THE OZARKS
NPI 1316130784
Residential Treatment Facility, Emotionally Disturbed Children in Lake Ozark, MO

Active since August 20, 2007
130 CALO LANE, LAKE OZARK, MO 65049(573) 365-2221(573) 365-2224 Get Directions Write a Review

NPPES record last updated: May 21, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 21, 2025, Jun 20, 2023, Apr 3, 2023 and 1 more (4 updates tracked since 2020).

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 1316130784) is a healthcare organization registered as a residential treatment facility, emotionally disturbed children in Lake Ozark, Missouri and active in the NPI registry since August 2007. The organization lists Sharnell Spencer, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1316130784
Entity TypeOrganization
Primary Taxonomy322D00000X
Legal Business NameCHANGE ACADEMY AT LAKE OF THE OZARKS
Location Address130 CALO LANELake Ozark, MO 65049
Mailing Address5500 Ming Ave Ste 410Bakersfield, CA 93309-4631 · (661) 622-4132 · Fax (573) 365-2224
Phone(573) 365-2221
Fax(573) 365-2224
Organization SubpartNo
Authorized OfficialSharnell SpencerCredentialing Manager · (661) 239-6923
Enumeration DateAugust 20, 2007
Last NPPES UpdateMay 21, 20254 updates tracked since enumeration
NPPES CertifiedMay 21, 2025
✔ NPI 1316130784 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedPsychiatric Residential Treatment FacilityTaxonomy 323P00000X · License 105270 (MO)
130 CALO LANE, Lake Ozark, MO 65049
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Other Identifiers 2

Medicaid179084125AR
Medicaid3404547NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

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 1316130784. It was assigned to this organization in the NPPES registry on August 20, 2007.

Where is Change Academy At Lake Of The Ozarks located?

Change Academy At Lake Of The Ozarks is located at 130 Calo Lane, Lake Ozark, MO 65049. The listed phone number is (573) 365-2221.

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 Anthem Blue Cross and Blue Shield 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 May 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.