Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

CHANGE ACADEMY AT LAKE OF THE OZARKS
NPI 1720832330
Community/Behavioral Health in Wichita, KS

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 1720832330. It was assigned to this organization in the NPPES registry on April 11, 2024. The provider is also known as Embark Virtual at Kansas.

Q: 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.

Active since April 11, 2024

801 E DOUGLAS AVE FL 2, WICHITA, KS 67202(480) 550-9281 Get Directions Write a Review

NPPES record last updated: October 27, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Oct 27, 2026, May 21, 2025, Apr 11, 2024 (3 updates tracked since 2024).

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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 1720832330) is a healthcare organization registered as a community/behavioral health in Wichita, Kansas and active in the NPI registry since April 2024. The organization lists Sharnell Spencer, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1720832330

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameCHANGE ACADEMY AT LAKE OF THE OZARKS

Location Address801 E DOUGLAS AVE FL 2Wichita, KS 67202-3548

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

Phone(480) 550-9281

Organization SubpartYes

Authorized OfficialSharnell SpencerCredentialing Manager · (661) 239-6923

Enumeration DateApril 11, 2024

Last NPPES UpdateOctober 27, 20263 updates tracked since enumeration

NPPES CertifiedOctober 27, 2026

✔ NPI 1720832330 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

801 E DOUGLAS AVE FL 2, Wichita, KS 67202

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Other Names 1

Other NameEmbark Virtual At Kansas

Other Providers at the Same Location NPPES 20

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

FORM ASSOCIATES, P.A.

Internal Medicine (Endocrinology, Diabetes & Metabolism)