Individual provider Active NPI

Kaylie Terease Ysasi, M.S.

  • Mental Health Counselor
  • Holly Springs, NC
National Provider Identifier
1902797707
Registry record updated Dec 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
A21564 Issued in NC
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

Updated by the provider on Dec 2, 2025

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 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 Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260216002716 NC Practitioner - Mental Health Counselor 5991285256 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
A21564NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
The Kohler Group, PLLC Mental Health CurrentSince Dec 16, 2025 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.

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

Verify at the official NPI Registry.