CHANGE ACADEMY AT LAKE OF THE OZARKS
NPI 1710690706
Community/Behavioral Health in Los Angeles, CA

NPI Status: Active since January 04, 2023

Contact Information

11620 WILSHIRE BLVD STE 1150
LOS ANGELES, CA
ZIP 90025
Phone: (213) 946-5247

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  • Organization
  • Community/Behavioral Health

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 Los Angeles, California operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1710690706 assigned on January 2023. The practitioner's primary taxonomy code is 251S00000X. The provider is registered as an organization and their NPI record was last updated May 2025. The provider's . The authorized official of this NPI record is Sharnell Spencer (Credentialing Manager)

NPI
1710690706
Provider Legal Name
CHANGE ACADEMY AT LAKE OF THE OZARKS
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
11620 WILSHIRE BLVD STE 1150 LOS ANGELES, CA 90025
Location Phone
(213) 946-5247
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
01-04-2023
Last Update Date
05-21-2025
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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

Community/Behavioral Health

Taxonomy Code
251S00000X
Type
Agencies
Taxonomy Description
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 support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261QM0801XAmbulatory Health Care Facilities

Clinic/Center
Mental Health (Including Community Mental Health Center)

 

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SHARNELL SPENCER

Authorized Official Title
CREDENTIALING MANAGER
Authorized Official Phone
(661) 239-6923

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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.
1710690706
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2720129070
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 2 + 0 + 1 + 2 + 9 + 0 + 7 + 0 + 24 = 54
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 54 = 66

The NPI number 1710690706 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 provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1215637293 JACQUELINE ZERBE LCSW
Individual
Social Worker (Clinical)11620 WILSHIRE BLVD STE 1150
LOS ANGELES, CA 90025
(424) 407-8864

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710690706, enumerated in the NPI registry as an "organization" on January 04, 2023

The provider is located at 11620 Wilshire Blvd Ste 1150 Los Angeles, Ca 90025 and the phone number is (213) 946-5247

This medical organization specializes in Community/Behavioral Health with taxonomy code 251S00000X

This NPI record was last updated on January 04, 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.