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CHANGE ACADEMY AT LAKE OF THE OZARKS
NPI 1710690706
Community/Behavioral Health in Los Angeles, CA

Active since January 04, 2023
11620 WILSHIRE BLVD STE 1150, LOS ANGELES, CA 90025(213) 946-5247 Get Directions Write a Review

NPPES record last updated: May 21, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 21, 2025, Jun 20, 2023, Apr 3, 2023 and 2 more (5 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 1710690706), doing business as Embark Behavioral Health, is a healthcare organization registered as a community/behavioral health in Los Angeles, California and active in the NPI registry since January 2023. The organization lists Sharnell Spencer, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1710690706
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameCHANGE ACADEMY AT LAKE OF THE OZARKS
Location Address11620 WILSHIRE BLVD STE 1150Los Angeles, CA 90025-1283
Mailing Address5500 Ming Ave Ste 410Bakersfield, CA 93309-4631 · (661) 622-4132
Phone(213) 946-5247
Organization SubpartYes
Authorized OfficialSharnell SpencerCredentialing Manager · (661) 239-6923
Enumeration DateJanuary 4, 2023
Last NPPES UpdateMay 21, 20255 updates tracked since enumeration
NPPES CertifiedMay 21, 2025
✔ NPI 1710690706 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X
11620 WILSHIRE BLVD STE 1150, Los Angeles, CA 90025
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Other Names 1

Doing Business AsEmbark Behavioral Health

Other Providers at the Same Location NPPES 2

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

JACQUELINE ZERBE LCSW
Social Worker (Clinical)
11620 WILSHIRE BLVD STE 1150
LOS ANGELES, CA 90025
Los Angeles County (424) 407-8864
GUIDELIGHT HEALTH SERVICES, LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
11620 WILSHIRE BLVD STE 1150
LOS ANGELES, CA 90025
Los Angeles County (310) 879-1785

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 1710690706. It was assigned to this organization in the NPPES registry on January 4, 2023. 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 11620 Wilshire Blvd Ste 1150, Los Angeles, CA 90025. The listed phone number is (213) 946-5247.

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

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

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.