Mandala Healing Journeys

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

MANDALA HEALING JOURNEYS

Practice address

275 E South Temple Ste 250
Salt Lake City, UT 84111-1273

Phone

(801) 900-4023

NPI assigned

Mar 11, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Andrew Sidoli, LCSWNPI 1639493323

Title

Owner

Phone

(505) 504-0260

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Andrew C Sidoli, LMSW, LADAC

  • Clinical Social Worker
  • Salt Lake City, UT
  • NPI 1639493323

  Addiction (Substance Use Disorder)

  Medicare reassignment NPD Authorized official
• Parker Stringer, CSW

  • Clinical Social Worker
  • Salt Lake City, UT
  • NPI 1740090646
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1741651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745798400000",
    "number": "1003615170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 E SOUTH TEMPLE STE 250",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841111273",
            "telephone_number": "801-900-4023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 E SOUTH TEMPLE STE 250",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841111273",
            "telephone_number": "801-900-4023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANDALA HEALING JOURNEYS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-11",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A",
        "authorized_official_last_name": "SIDOLI",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-504-0260",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Stephen Manazer, PHD
• Anna Mancera
• Ashley Mancilla
• Leah Mancini, OTR/L
• Nicholas Manciocchi, PT
• Phyllis Karen Mandel, MD
• Angela Marie Mandeville, CSW
• Martha P Mandujano, PA-C
• William Andrew Mangan
• Mark Legrand Mangelson, DDS, MS

• Community/Behavioral Health Agency in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Community/Behavioral Health Agency in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.