Individual provider Active NPI

Kathy Ann Staley-Ross, MHC-P

  • Mental Health Counselor
  • Albany, NY
National Provider Identifier
1104736073
Registry record updated Sep 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
P142185 Issued in NY
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

Updated by the provider on Sep 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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.

Verify at the official NPI Registry.