MANDALA HEALING JOURNEYS
NPI 1003615170
Community/Behavioral Health in Salt Lake City, UT

Q: What is Mandala Healing Journeys's NPI number?

The NPI number for Mandala Healing Journeys is 1003615170. It was assigned to this organization in the NPPES registry on March 11, 2025.

Q: What is Mandala Healing Journeys's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Active since March 11, 2025

275 E SOUTH TEMPLE STE 250, SALT LAKE CITY, UT 84111(801) 900-4023 Get Directions Write a Review

NPPES record last updated: April 28, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Mandala Healing Journeys NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MANDALA HEALING JOURNEYS (NPI 1003615170) is a healthcare organization registered as a community/behavioral health in Salt Lake City, Utah and active in the NPI registry since March 2025. The organization lists Andrew Sidoli, Owner, as its authorized official.

NPPES Registry Identity

NPI1003615170

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameMANDALA HEALING JOURNEYS

Location Address275 E SOUTH TEMPLE STE 250Salt Lake City, UT 84111-1273

Mailing Address275 E South Temple Ste 250Salt Lake City, UT 84111-1273 · (801) 900-4023

Phone(801) 900-4023

Organization SubpartNo

Authorized OfficialAndrew SidoliOwner · (505) 504-0260

Enumeration DateMarch 11, 2025

Last NPPES UpdateApril 28, 2025

NPPES CertifiedApril 28, 2025

✔ NPI 1003615170 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

Definition

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.

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X

275 E SOUTH TEMPLE STE 250, Salt Lake City, UT 84111

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Utah.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mandala Healing Journeys is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Mandala Healing Journeys, which bills Medicare for the services this clinician delivers.

Clinician (1)

Andrew Sidoli, LMSW, LADAC

Clinical Social Worker

NPI 1639493323

10459 WEST 1300 SOUTH #102
Salt Lake City, UT 84095

(801) 413-7683

✔ PECOS14 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mandala Healing Journeys's NPI number?

The NPI number for Mandala Healing Journeys is 1003615170. It was assigned to this organization in the NPPES registry on March 11, 2025.

Where is Mandala Healing Journeys located?

Mandala Healing Journeys is located at 275 E South Temple Ste 250, Salt Lake City, UT 84111. The listed phone number is (801) 900-4023.

What is Mandala Healing Journeys's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Is Mandala Healing Journeys enrolled in Medicare?

Yes. Mandala Healing Journeys is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mandala Healing Journeys?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Mandala Healing Journeys. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Mandala Healing Journeys accept?

Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Utah list Mandala Healing Journeys as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mandala Healing Journeys was last updated on April 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.