Change Academy at Lake of the Ozarks
NPI 1962005108 · Emotionally Disturbed Childrens' Residential Treatment Facility · Benton, TN
Change Academy at Lake of the Ozarks is a Emotionally Disturbed Childrens' Residential Treatment Facility organization in Benton, TN (NPI 1962005108).
Provider details
- NPI number
- 1962005108
- Entity type
- Organization
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment FacilityResidential Treatment Facilities
- Parent organization
- Change Academy at Lake of the Ozarks, LLC
- Organization subpart
- Yes
- Authorized official
- Sharnell Spencer, Credentialing Manager(661) 239-6923
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Other name
- Embark at the Forge
Registry dates
- Enumerated
- 2020-11-19
- Last updated
- 2025-05-21
- Certified
- 2025-05-21
Frequently asked questions
- What is Change Academy at Lake of the Ozarks's NPI number?
- Change Academy at Lake of the Ozarks's National Provider Identifier (NPI) is 1962005108, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Change Academy at Lake of the Ozarks?
- Change Academy at Lake of the Ozarks is classified in the NPPES registry as Emotionally Disturbed Childrens' Residential Treatment Facility (Residential Treatment Facilities).
- Where is Change Academy at Lake of the Ozarks located?
- Change Academy at Lake of the Ozarks's practice location on file with NPPES is 5842 Highway 30, Benton, TN 37307-4734.
- What is Change Academy at Lake of the Ozarks's phone number?
- The practice phone number listed in the NPPES registry for Change Academy at Lake of the Ozarks is (505) 205-5819.
- Who is the authorized official for Change Academy at Lake of the Ozarks?
- The authorized official listed on Change Academy at Lake of the Ozarks's NPPES record is Sharnell Spencer, Credentialing Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Change Academy at Lake of the Ozarks's NPI active?
- Yes — Change Academy at Lake of the Ozarks's NPI (1962005108) is active in the NPPES registry as of the last update on 2025-05-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.