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CHANGE ACADEMY AT LAKE OF THE OZARKS
NPI 1760199244
Clinic/Center - Mental Health (Including Community Mental Health Center) in Ashburn, VA

Active since November 03, 2022
20116 ASHBROOK PL STE 110, ASHBURN, VA 20147(480) 660-8757 Get Directions Write a Review

NPPES record last updated: June 3, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 3, 2026, May 21, 2025, Jun 20, 2023 and 2 more (5 updates tracked since 2022).

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 1760199244) is a healthcare organization registered as a mental health (including community mental health center) in Ashburn, Virginia and active in the NPI registry since November 2022. The organization lists Sharnell Spencer, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1760199244
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameCHANGE ACADEMY AT LAKE OF THE OZARKS
Location Address20116 ASHBROOK PL STE 110Ashburn, VA 20147-5086
Mailing Address5500 Ming Ave Ste 410Bakersfield, CA 93309-4631 · (661) 622-4132
Phone(480) 660-8757
Organization SubpartYes
Authorized OfficialSharnell SpencerCredentialing Manager · (661) 239-6923
Enumeration DateNovember 3, 2022
Last NPPES UpdateJune 3, 20265 updates tracked since enumeration
NPPES CertifiedJune 3, 2026
✔ NPI 1760199244 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
20116 ASHBROOK PL STE 110, Ashburn, VA 20147
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Other Names 2

Other NameEmbark Virtual At Virginia
Other NameEmbark 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.

CHANGE ACADEMY AT LAKE OF THE OZARKS
Clinic/Center (Mental Health (Including Community Mental Health Center))
20116 ASHBROOK PL STE 110
ASHBURN, VA 20147
Loudoun County (480) 550-9281
TIFFANY S CARABALLO
Counselor (Professional)
20116 ASHBROOK PL STE 110
ASHBURN, VA 20147
Loudoun County (480) 660-8757

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 1760199244. It was assigned to this organization in the NPPES registry on November 3, 2022. The provider is also known as Embark Virtual At Virginia and Embark Behavioral Health.

Where is Change Academy At Lake Of The Ozarks located?

Change Academy At Lake Of The Ozarks is located at 20116 Ashbrook Pl Ste 110, Ashburn, VA 20147. The listed phone number is (480) 660-8757.

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

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Change Academy At Lake Of The Ozarks was last updated on June 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.