KYLE JOSEPH FERLIC LPCA
NPI 1144786476
Counselor - Professional in Cornelius, NC

Active since February 12, 2019Opted out of Medicare · through Mar 11, 2028
20721 TORRENCE CHAPEL RD STE 102, CORNELIUS, NC 28031(704) 237-4042 Get Directions Write a Review

NPPES record last updated: February 12, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kyle Joseph Ferlic Lpca NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KYLE JOSEPH FERLIC LPCA (NPI 1144786476) is an individual professional provider in Cornelius, North Carolina, licensed in North Carolina (A14624) and active in the NPI registry since February 2019. He has opted out of Medicare through March 11, 2028 and maintains a secondary practice location in Charlotte.

NPPES Registry Identity

NPI1144786476
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameKYLE JOSEPH FERLICCredential: LPCA
Location Address20721 TORRENCE CHAPEL RD STE 102Cornelius, NC 28031-6497
Mailing Address4530 Avalon Forest LnCharlotte, NC 28269-8195 · (803) 792-1559
Sole ProprietorYes
Enumeration DateFebruary 12, 2019
NPI 1144786476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in NC · A14624
20721 TORRENCE CHAPEL RD STE 102, Cornelius, NC 28031

Secondary Practice Location 1

Location 13622 Central AveCharlotte, NC 28205-5638 · Phone (704) 910-5810 · Fax (980) 207-0214

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Kyle Joseph Ferlic Lpca has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 11, 2024 through March 11, 2028.

Opt-Out Effective DateMarch 11, 2024
Opt-Out In Effect ThroughMarch 11, 2028Opt-out affidavits renew automatically every two years unless cancelled

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kyle Ferlic's NPI number?

The NPI number for Kyle Ferlic is 1144786476. It was assigned to this individual provider in the NPPES registry on February 12, 2019.

Where is Kyle Ferlic located?

Kyle Ferlic practices at 20721 Torrence Chapel Rd Ste 102, Cornelius, NC 28031. The listed phone number is (704) 237-4042.

What is Kyle Ferlic's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Kyle Ferlic enrolled in Medicare?

No. Kyle Ferlic has opted out of Medicare through March 11, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Kyle Ferlic was last updated on February 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.