Active NPI
Kacy Ross
- Professional Counselor
- Pittsburgh, PA
National Provider Identifier
1457118713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC016853
- Practice address
- 3495 Butler St Ste 3
Pittsburgh, PA 15201-1375 - Phone
- (412) 357-8717
- NPI assigned
- Mar 4, 2024
- Last updated
- Feb 5, 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PC016853 | PA | Primary |
Addresses
Primary practice location
3495 Butler St Ste 3
Pittsburgh, PA 15201-1375
Mailing address
250 Ramsey Ave
Bridgeville, PA 15017-1960
Phone (412) 802-5854
Other names 1
- Kacy Ruffin
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC016853 | PA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Samkirk LLC | Professional | Current | Accepting new patients |
Locations
3495 Butler St
Ste 3
Pittsburgh, PA 15201
Phone (412) 357-8717
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1709510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770249600000",
"number": "1457118713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 RAMSEY AVE",
"city": "BRIDGEVILLE",
"state": "PA",
"postal_code": "150171960",
"telephone_number": "412-802-5854"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3495 BUTLER ST STE 3",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152011375",
"telephone_number": "412-357-8717"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSS",
"first_name": "KACY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-03-04",
"last_updated": "2026-02-05",
"certification_date": "2026-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC016853",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KACY",
"last_name": "RUFFIN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.