CHANGE ACADEMY AT LAKE OF THE OZARKS
NPI 1811610918
Residential Treatment Facility, Emotionally Disturbed Children in Independence, MO

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 1811610918. It was assigned to this organization in the NPPES registry on September 22, 2022. The provider is also known 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 September 22, 2022

3205 N TWYMAN RD, INDEPENDENCE, MO 64058(816) 249-5350 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 2022).

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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 1811610918) is a healthcare organization registered as a residential treatment facility, emotionally disturbed children in Independence, Missouri and active in the NPI registry since September 2022. The organization lists Sharnell Spencer, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1811610918

Entity TypeOrganization

Primary Taxonomy322D00000X

Legal Business NameCHANGE ACADEMY AT LAKE OF THE OZARKS

Location Address3205 N TWYMAN RDIndependence, MO 64058-3211

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

Phone(816) 249-5350

Organization SubpartYes

Authorized OfficialSharnell SpencerCredentialing Manager · (661) 239-6923

Enumeration DateSeptember 22, 2022

Last NPPES UpdateMay 21, 20255 updates tracked since enumeration

NPPES CertifiedMay 21, 2025

✔ NPI 1811610918 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.

3205 N TWYMAN RD, Independence, MO 64058

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Other Names 1

Other NameEmbark Behavioral Health

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.

SHELBY BOOS LPN

Licensed Practical Nurse