Organization · Type 2 NPI

Change Academy at Lake of the Ozarks

Community/Behavioral Health Agency · Wichita, KS

NPI number 1720832330 Active

Practice location

801 E Douglas Ave Fl 2
Wichita, KS 67202-3548

Call (480) 550-9281 Map

Mailing address

5500 Ming Ave Ste 410
Bakersfield, CA 93309-4631

Specialties and licenses

Taxonomy	Code	License
Community/Behavioral Health Agency Primary	251S00000X	None listed
Mental Health Clinic/Center (Including Community Mental Health Center)	261QM0801X	None listed

Community/Behavioral Health Agency: 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 suppo…

38 other providers at this address

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NPI record

NPI: 1720832330
Entity type: Organization (Type 2)
Issued: Apr 11, 2024
Last updated: Oct 27, 2026
Status: Active
Subpart: Yes of Change Academy at Lake of the Ozarks

Other names

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Embark Virtual at Kansas · other name
Embark Virtual at Kansas · other name

Authorized official

Sharnell Spencer
Credentialing Manager
(661) 239-6923

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1720832330

Change Academy at Lake of the Ozarks's National Provider Identifier is 1720832330, issued on Apr 11, 2024. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Wichita, KS. The record was last updated on Oct 27, 2026.