Active NPI
John M Brandl, LADC
- Addiction (Substance Use Disorder) Counselor
- Mankato, MN
National Provider Identifier
1467115261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 305662
- Practice address
- 201 N Broad St Ste 200
Mankato, MN 56001-3569 - Phone
- (507) 225-1500
- Fax
- (507) 225-1501
- NPI assigned
- Oct 19, 2021
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Counselor
- New Brighton, MN
- NPI 1467549220
-
- Clinical Social Worker
- New Brighton, MN
- NPI 1396750188
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Minneapolis, MN
- NPI 1013608405
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 305662 | MN | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nystrom & Associates, LTD | Current | Accepting new patients | |
| Family Support Services Inc. | Current | Accepting new patients | |
| Nuway Mental Health Clinic | Past | Accepting new patients |
Locations
201 N Broad St
Ste 200
Mankato, MN 56001
Phone (507) 200-2624
1900 Silver Lake Rd NW
Ste 110
Saint Paul, MN 55112
Phone (651) 379-1718
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 305662 | MN | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
201 N Broad St Ste 200
Mankato, MN 56001-3569
Mailing address
1900 Silver Lake Rd NW Ste 110
New Brighton, MN 55112-1789
Phone (651) 628-9566
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 29, 2025.
{
"created_epoch": "1634601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748476800000",
"number": "1467115261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900 SILVER LAKE RD NW STE 110",
"city": "NEW BRIGHTON",
"state": "MN",
"postal_code": "551121789",
"telephone_number": "651-628-9566",
"fax_number": "651-628-0411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 N BROAD ST STE 200",
"city": "MANKATO",
"state": "MN",
"postal_code": "560013569",
"telephone_number": "507-225-1500",
"fax_number": "507-225-1501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRANDL",
"first_name": "JOHN",
"middle_name": "M",
"credential": "LADC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-10-19",
"last_updated": "2025-05-29",
"certification_date": "2025-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MN",
"license": "305662",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mankato, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.