Individual provider Active NPI

Brandon Donald Stahnke, B.A., CAP

  • Addiction (Substance Use Disorder) Counselor
  • Boynton Beach, FL
National Provider Identifier
1801789482
Registry record updated Jun 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
0100610 Issued in FL
Practice address
1981 W Woolbright Rd Apt E202
Boynton Beach, FL 33426-6335
Phone
(561) 312-1559
NPI assigned
Jun 2, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 0100610 FL Primary

Addresses

Primary practice location

1981 W Woolbright Rd Apt E202
Boynton Beach, FL 33426-6335

Mailing address

1981 W Woolbright Rd Apt E202
Boynton Beach, FL 33426-6335
Phone (561) 312-1559

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
Credentials
Bachelor of Arts

State licenses

LicenseStateTypeSpecialty
0100610FLMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1748822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748822400000",
    "number": "1801789482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1981 W WOOLBRIGHT RD APT E202",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334266335",
            "telephone_number": "561-312-1559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1981 W WOOLBRIGHT RD APT E202",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334266335",
            "telephone_number": "561-312-1559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAHNKE",
        "first_name": "BRANDON",
        "middle_name": "DONALD",
        "credential": "B.A., CAP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-06-02",
        "last_updated": "2025-06-02",
        "certification_date": "2025-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "0100610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.

Verify at the official NPI Registry.