Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Nathan Shaylor Alley, LPCC, LADC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1649781311

Nathan Shaylor Alley, LPCC, LADC is an Addiction (Substance Use Disorder) Counselor in Elk River, Minnesota. Works from 2 locations. Licensed in Minnesota.

Licensed in
MN
In the registry since
2017
Specialties on file
2
What do these letters mean?
LPCC — Licensed Professional Clinical Counselor
The title some states use for a licensed clinical counsellor.
LADC — Licensed Alcohol and Drug Counselor
A licensed addiction counsellor.

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Practice location Address checks out

657 Main St NW Ste 214
Elk River, MN 55330-1579
Phone: (763) 412-1994
Fax: (763) 412-1994
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 26219 Fremont Dr Ste C, Zimmerman, MN 55398-4550 — (763) 412-1994

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 2401 (MN)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 304774 (MN)

Record details

NPI number1649781311
Entity typeIndividual (Type 1)
GenderMale
Credentials LPCC , LADC
Sole proprietorNo
NPI enumeratedOctober 20, 2017
Last updated in NPPESFebruary 11, 2020
Certification dateFebruary 11, 2020

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