Active NPI
Kathy Ann Staley-Ross, MHC-P
- Mental Health Counselor
- Albany, NY
National Provider Identifier
1104736073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- P142185
- Practice address
- 721 Madison Ave
Albany, NY 12208-3301 - Phone
- (518) 729-2126
- Fax
- (518) 729-2127
- NPI assigned
- Sep 11, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | P142185 | NY | Primary |
Addresses
Primary practice location
721 Madison Ave
Albany, NY 12208-3301
Mailing address
721 Madison Ave
Albany, NY 12208-3301
Phone (518) 729-2126
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789084800000",
"number": "1104736073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "721 MADISON AVE",
"city": "ALBANY",
"state": "NY",
"postal_code": "122083301",
"telephone_number": "518-729-2126",
"fax_number": "518-729-2127"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "721 MADISON AVE",
"city": "ALBANY",
"state": "NY",
"postal_code": "122083301",
"telephone_number": "518-729-2126",
"fax_number": "518-729-2127"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STALEY-ROSS",
"first_name": "KATHY",
"middle_name": "ANN",
"credential": "MHC-P",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-09-11",
"last_updated": "2026-09-11",
"certification_date": "2026-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "P142185",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Albany, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.