Active NPI
Kaylie Terease Ysasi, M.S.
- Mental Health Counselor
- Holly Springs, NC
National Provider Identifier
1902797707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- A21564
- Practice address
- 209 Springleaf CT
Holly Springs, NC 27540-8624 - Phone
- (252) 702-0074
- NPI assigned
- Jul 10, 2025
- Sex
- Female
- 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 | A21564 | NC | Primary |
Addresses
Primary practice location
209 Springleaf CT
Holly Springs, NC 27540-8624
Mailing address
209 Springleaf CT
Holly Springs, NC 27540-8624
Phone (252) 702-0074
Other names 1
- Kaylie Terease Sargent
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
13420 Reese Blvd W
Suite 29
Huntersville, NC 28078-7925
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A21564 | NC | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Kohler Group, PLLC | Mental Health | Current | Accepting new patients |
Locations
13420 Reese Blvd W
Ste 29
Huntersville, NC 28078
Phone (252) 758-8636
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.
-
- Mental Health Counselor
- Huntersville, NC
- NPI 1356855670
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1752105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764633600000",
"number": "1902797707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "209 SPRINGLEAF CT",
"city": "HOLLY SPRINGS",
"state": "NC",
"postal_code": "275408624",
"telephone_number": "252-702-0074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "209 SPRINGLEAF CT",
"city": "HOLLY SPRINGS",
"state": "NC",
"postal_code": "275408624",
"telephone_number": "252-702-0074"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YSASI",
"first_name": "KAYLIE",
"middle_name": "TEREASE",
"credential": "M.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-07-10",
"last_updated": "2025-12-02",
"certification_date": "2025-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "A21564",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KAYLIE",
"last_name": "SARGENT",
"middle_name": "TEREASE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Holly Springs, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.