Active NPI
Jodi Lynn Siri
- Social Worker
- Logan, UT
National Provider Identifier
1134637945
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 88 W 1000 N
Logan, UT 84321-2240 - Phone
- (436) 753-9046
- Fax
- (435) 787-9140
- NPI assigned
- Jan 15, 2018
- Last updated
- Aug 19, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NU | ||
| Social Worker | 104100000X | NU | Primary |
Addresses
Primary practice location
88 W 1000 N
Logan, UT 84321-2240
Mailing address
88 W 1000 N
Logan, UT 84321-2240
Phone (435) 753-9046
Other practice location 1
90 E 200 N
Logan, UT 84321-4034
Phone (436) 752-0750
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lake Whatcom Residential & Treatment Center | Mental Health | Past | Accepting new patients |
| Lake Whatcom Residential & Treatment Center | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Bellingham, WA
- NPI 1043281736
Mental Health
-
- Case Management Agency
- Bellingham, WA
- NPI 1780991844
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724025600000",
"number": "1134637945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "88 W 1000 N",
"city": "LOGAN",
"state": "UT",
"postal_code": "843212240",
"telephone_number": "435-753-9046",
"fax_number": "435-787-9140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "88 W 1000 N",
"city": "LOGAN",
"state": "UT",
"postal_code": "843212240",
"telephone_number": "436-753-9046",
"fax_number": "435-787-9140"
}
],
"practiceLocations": [
{
"address_1": "90 E 200 N",
"address_purpose": "LOCATION",
"city": "Logan",
"state": "UT",
"postal_code": "843214034",
"country_code": "US",
"telephone_number": "436-752-0750",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SIRI",
"first_name": "JODI",
"middle_name": "LYNN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-15",
"last_updated": "2024-08-19",
"certification_date": "2024-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Logan, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.