CHANGE ACADEMY AT LAKE OF THE OZARKS
NPI 1063102226
Clinic/Center - Mental Health (Including Community Mental Health Center) in Independence, MO
NPI Status: Active since May 11, 2023
Contact Information
3205 N TWYMAN RD
INDEPENDENCE, MO
ZIP 64058
Phone: (480) 550-9281
- Organization
- Clinic/Center
- Mental Health (Including Community Menta...
About CHANGE ACADEMY AT LAKE OF THE OZARKS
This page provides the complete NPI Profile along with additional information for Change Academy At Lake Of The Ozarks, a provider established in Independence, Missouri operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1063102226 assigned on May 2023. The practitioner's primary taxonomy code is 261QM0801X. The provider is registered as an organization and their NPI record was last updated May 2025. The provider's
- NPI
- 1063102226
- Provider Legal Name
- CHANGE ACADEMY AT LAKE OF THE OZARKS
- Other Organization Name
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 3205 N TWYMAN RD INDEPENDENCE, MO 64058
- Location Phone
- (480) 550-9281
- Mailing Address
- 5500 MING AVE STE 410 BAKERSFIELD, CA 93309
- Mailing Phone
- (661) 622-4132
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 05-11-2023
- Last Update Date
- 05-15-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Mental Health (Including Community Mental Health Center)
- Taxonomy Code
- 261QM0801X
- Type
- Ambulatory Health Care Facilities
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 6 | 3 | 1 | 0 | 2 | 2 | 2 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 12 | 3 | 2 | 0 | 4 | 2 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 1 + 2 + 3 + 2 + 0 + 4 + 2 + 4 + 24 = 44 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 44 = 6 | 6 | ||||||||
The NPI number 1063102226 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1346631694 | EMILY AGNIEL PLPC Individual | Counselor (Mental Health) | 3205 N TWYMAN RD INDEPENDENCE, MO 64058 (816) 249-5373 |
| 1659762912 | DOULOS MINISTRIES, INC. Organization | Community/Behavioral Health | 3205 N TWYMAN RD INDEPENDENCE, MO 64058 (816) 249-5350 |
| 1972979730 | SARA JACKAWAY MA PLPC Individual | Counselor (Professional) | 3205 N TWYMAN RD INDEPENDENCE, MO 64058 (816) 249-5368 |
| 1578955480 | MRS. JULIE FADDIS MSCAT, LPC Individual | Counselor (Professional) | 3205 N TWYMAN RD INDEPENDENCE, MO 64058 (816) 249-5377 |
| 1255688479 | MRS. MEGAN LEIGH BARTLOW MS., LMFT Individual | Marriage & Family Therapist | 3205 N TWYMAN RD INDEPENDENCE, MO 64058 (816) 249-5376 |
| 1558800573 | CHANDON LECKRON BA, MAADC II Individual | Counselor (Addiction (Substance Use Disorder)) | 3205 N TWYMAN RD INDEPENDENCE, MO 64058 (812) 552-1772 |
| 1760915755 | TIFFANY RENSBERGER Individual | Counselor (Addiction (Substance Use Disorder)) | 3205 N TWYMAN RD INDEPENDENCE, MO 64058 (816) 249-5345 |
| 1215460217 | MISS KAYLA NICOLE BELLE MAADC II Individual | Counselor (Addiction (Substance Use Disorder)) | 3205 N TWYMAN RD INDEPENDENCE, MO 64058 (580) 678-5540 |
| 1922337583 | DOULOS MINISTRIES, INC. Organization | Residential Treatment Facility, Emotionally Disturbed Children | 3205 N TWYMAN RD INDEPENDENCE, MO 64058 (816) 249-5350 |
| 1336482215 | MR. KENNETH MARTIN DEBLOCK LPC Individual | Counselor (Professional) | 3205 N TWYMAN RD INDEPENDENCE, MO 64058 (816) 249-5371 |
| 1245994409 | ALEXA CHRISTINE SURRATT PLPC Individual | Counselor (Professional) | 3205 N TWYMAN RD INDEPENDENCE, MO 64058 (816) 249-5372 |
| 1710660675 | TIM COLLINS Individual | Counselor (Professional) | 3205 N TWYMAN RD INDEPENDENCE, MO 64058 (816) 249-5368 |
| 1356852651 | ALEXANDER SEBASTIAN COSIO-SANTILLAN CADC II Individual | Counselor (Addiction (Substance Use Disorder)) | 3205 N TWYMAN RD INDEPENDENCE, MO 64058 (816) 249-5420 |
| 1386305597 | MISS MARIAH RENEE MAXWELL MORSE LCSW Individual | Social Worker (Clinical) | 3205 N TWYMAN RD INDEPENDENCE, MO 64058 (816) 249-5376 |
| 1033642038 | MR. JOSIAH DAVID JOHNSON CRADC Individual | Counselor (Addiction (Substance Use Disorder)) | 3205 N TWYMAN RD INDEPENDENCE, MO 64058 (816) 249-5420 |
| 1053112532 | DREW ARNOLD RN Individual | Registered Nurse (Psychiatric/Mental Health, Child & Adolescent) | 3205 N TWYMAN RD INDEPENDENCE, MO 64058 (816) 750-1813 |
| 1710788013 | TANYA WILSON Individual | Licensed Practical Nurse | 3205 N TWYMAN RD INDEPENDENCE, MO 64058 (816) 708-0768 |
| 1003618968 | SHELBY BOOS LPN Individual | Licensed Practical Nurse | 3205 N TWYMAN RD INDEPENDENCE, MO 64058 (816) 750-1813 |
| 1134921075 | CASEY F. KAPPLE PLPC Individual | Counselor (Professional) | 3205 N TWYMAN RD INDEPENDENCE, MO 64058 (816) 249-5350 |
| 1134921265 | MRS. MARY SUE KNUDSEN RN Individual | Registered Nurse (Psychiatric/Mental Health, Child & Adolescent) | 3205 N TWYMAN RD INDEPENDENCE, MO 64058 (000) 000-0000 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1063102226, enumerated in the NPI registry as an "organization" on May 11, 2023
The provider is located at 3205 N Twyman Rd Independence, Mo 64058 and the phone number is (480) 550-9281
This medical organization specializes in Clinic/Center with taxonomy code 261QM0801X with a focus in Mental Health (Including Community Mental Health Center)
This NPI record was last updated on May 11, 2023. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.