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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

SIMPLE STATE PSYCH, PLLC
NPI 1245139633
Nurse Practitioner - Psychiatric/Mental Health in Charlotte, NC

Active since November 03, 2026
10130 MALLARD CREEK RD STE 300, CHARLOTTE, NC 28262(980) 222-1447(980) 500-1066 Get Directions Write a Review

NPPES record added: November 3, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Simple State Psych, Pllc NPPES

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

SIMPLE STATE PSYCH, PLLC (NPI 1245139633) is a healthcare organization registered as a psychiatric/mental health in Charlotte, North Carolina and active in the NPI registry since November 2026. The organization lists Allison Dejarnatt, Owner, as its authorized official.

NPPES Registry Identity

NPI1245139633
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameSIMPLE STATE PSYCH, PLLC
Location Address10130 MALLARD CREEK RD STE 300Charlotte, NC 28262-6001
Mailing Address10130 Mallard Creek Rd Ste 300Charlotte, NC 28262-6001 · (980) 222-1447 · Fax (980) 500-1066
Phone(980) 222-1447
Fax(980) 500-1066
Organization SubpartNo
Authorized OfficialAllison DejarnattOwner · (980) 222-1447
Enumeration DateNovember 3, 2026
NPPES CertifiedNovember 3, 2026
✔ NPI 1245139633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
10130 MALLARD CREEK RD STE 300, Charlotte, NC 28262
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. TERRI LYNN TILFORD EDD
Counselor (Professional)
10130 MALLARD CREEK RD STE 300
CHARLOTTE, NC 28262
Mecklenburg County (980) 689-4127
JENNIFER HUGE LCMHCA
Counselor (Professional)
10130 MALLARD CREEK RD STE 300
CHARLOTTE, NC 28262
Mecklenburg County (704) 944-3533
TYLEA WHITE
Social Worker (Clinical)
10130 MALLARD CREEK RD STE 300
CHARLOTTE, NC 28262
Mecklenburg County (704) 944-3533
TAUSI KIDS FOUNDATION INC
Foster Care Agency
10130 MALLARD CREEK RD STE 300
CHARLOTTE, NC 28262
Mecklenburg County (704) 944-5554
SUPPORTING PEOPLE IN NEED - SPIN
Social Worker (Clinical)
10130 MALLARD CREEK RD STE 300
CHARLOTTE, NC 28262
Mecklenburg County (980) 253-1924
AMBER KIMBLE LCSW
Social Worker (Clinical)
10130 MALLARD CREEK RD STE 300
CHARLOTTE, NC 28262
Mecklenburg County (980) 225-1585
NEW PHASE CHRISTIAN COUNSELING & RESTORATION CENTER,PLLC
Counselor (Mental Health)
10130 MALLARD CREEK RD STE 300
CHARLOTTE, NC 28262
Mecklenburg County (704) 944-3530
RESTORE MENTAL HEALTH PLLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
10130 MALLARD CREEK RD STE 300
CHARLOTTE, NC 28262
Mecklenburg County (704) 550-8414

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 Simple State Psych, PLLC's NPI number?

The NPI number for Simple State Psych, PLLC is 1245139633. It was assigned to this organization in the NPPES registry on November 3, 2026.

Where is Simple State Psych, PLLC located?

Simple State Psych, PLLC is located at 10130 Mallard Creek Rd Ste 300, Charlotte, NC 28262. The listed phone number is (980) 222-1447.

What is Simple State Psych, PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Simple State Psych, PLLC was last updated on November 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.