Active NPI
Debra S Lalley, CNS
- Child & Adolescent Psychiatric/Mental Health Registered Nurse
- St Cloud, MN
National Provider Identifier
1245206291
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatric/Mental Health Registered Nurse
- License
- R0820028
- Practice address
- 1406 6TH Ave N
St Cloud Hospital Behavioral Health Clinic
St Cloud, MN 56303 - Phone
- (320) 229-4908
- Fax
- (320) 656-7026
- NPI assigned
- Feb 28, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Nurse Specialist | 364S00000X | 0820028 | MN | |
| Adult Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0809X | 0148074 | MN | |
| Child & Adolescent Psychiatric/Mental Health Registered Nurse | 163WP0807X | R0820028 | MN | Primary |
Addresses
Primary practice location
1406 6TH Ave N
St Cloud Hospital Behavioral Health Clinic
St Cloud, MN 56303
Mailing address
1406 6TH Ave N
St Cloud Hospital Behavioral Health Clinic
St Cloud, MN 56303
Phone (320) 229-4908
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)
- Enrolled
- Credentials
- Certified Nurse Specialist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R0820028 | MN | MD | Child & Adolescent Psychiatric/Mental Health Registered Nurse |
| 0820028 | MN | MD | Clinical Nurse Specialist |
| 0148074 | MN | MD | Adult Psychiatric/Mental Health Clinical Nurse Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1245206291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1406 6TH AVE N",
"address_2": "ST CLOUD HOSPITAL BEHAVIORAL HEALTH CLINIC",
"city": "ST CLOUD",
"state": "MN",
"postal_code": "56303",
"telephone_number": "320-229-4908",
"fax_number": "320-656-7026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1406 6TH AVE N",
"address_2": "ST CLOUD HOSPITAL BEHAVIORAL HEALTH CLINIC",
"city": "ST CLOUD",
"state": "MN",
"postal_code": "56303",
"telephone_number": "320-229-4908",
"fax_number": "320-656-7026"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LALLEY",
"first_name": "DEBRA",
"middle_name": "S",
"credential": "CNS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-28",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "364S00000X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist",
"state": "MN",
"license": "0820028",
"primary": false
},
{
"code": "364SP0809X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
"state": "MN",
"license": "0148074",
"primary": false
},
{
"code": "163WP0807X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
"state": "MN",
"license": "R0820028",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Cloud, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.