Active NPI
Kyle Y Ross, MA
- Mental Health Counselor
- Bryn Mawr, PA
National Provider Identifier
1104543602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 234 S Bryn Mawr Ave
Bryn Mawr, PA 19010-2133 - Phone
- (484) 887-8385
- NPI assigned
- Oct 25, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
234 S Bryn Mawr Ave
Bryn Mawr, PA 19010-2133
Mailing address
7950 Henry Ave Apt 18B
Philadelphia, PA 19128-7012
Phone (484) 896-8109
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://www.therapynotes.com/ | Health Information Exchange (HIE) | Growth Minded |
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
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Growth Minded | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Professional Counselor
- West Chester, PA
- NPI 1154920692
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666656000000",
"number": "1104543602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7950 HENRY AVE APT 18B",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191287012",
"telephone_number": "484-896-8109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "234 S BRYN MAWR AVE",
"city": "BRYN MAWR",
"state": "PA",
"postal_code": "190102133",
"telephone_number": "484-887-8385"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSS",
"first_name": "KYLE",
"middle_name": "Y",
"credential": "MA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-10-25",
"last_updated": "2022-10-25",
"certification_date": "2022-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://www.therapynotes.com/",
"affiliation": "Y",
"endpointDescription": "EMR",
"affiliationName": "Growth Minded",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "234 S Bryn Mawr Ave",
"city": "Bryn Mawr",
"state": "PA",
"country_code": "US",
"postal_code": "190102133",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Bryn Mawr, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.