Dana Marie Dally-Cleys, LADC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

301217 Issued in MN

Practice address

606 Front St
Brainerd, MN 56401-3602

Phone

(218) 838-9471

Fax

(218) 316-3819

NPI assigned

Jul 16, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dana Marie Dally Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1626393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626393600000",
    "number": "1770155822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15096 COUNTY ROAD 159",
            "city": "BRAINERD",
            "state": "MN",
            "postal_code": "564015673",
            "telephone_number": "218-851-5125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 FRONT ST",
            "city": "BRAINERD",
            "state": "MN",
            "postal_code": "564013602",
            "telephone_number": "218-838-9471",
            "fax_number": "218-316-3819"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15096 County Road 159",
            "address_purpose": "LOCATION",
            "city": "Brainerd",
            "state": "MN",
            "postal_code": "564015673",
            "country_code": "US",
            "telephone_number": "218-851-5125",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DALLY-CLEYS",
        "first_name": "DANA",
        "middle_name": "MARIE",
        "credential": "LADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-16",
        "last_updated": "2021-07-16",
        "certification_date": "2021-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "301217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANA",
            "last_name": "DALLY",
            "middle_name": "MARIE",
            "credential": "LADC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sami Cross, LPCC
• Crow Wing County Social Services
• Michael John Curran, M.D.
• Kelsey Dagen, MA, ATR, LMFT
• Leif Michael Dahleen, M.D.
• Andrea Lee Dalzell, MSW, LICSW
• Alyssa Louise Daniels, MS; SLP
• Matthew Danielson, PHARM.D.
• Christy Lee Dano, LADC LSW
• Julia Elizabeth Davick, MA

• All providers in Brainerd, MN
• Addiction (Substance Use Disorder) Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2021; 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.