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MR. DEMITRI DE'TRAYON MA, LPC
NPI 1093602500
Counselor - Professional in Chicago, IL

Active since June 18, 2025
2310 S STATE ST APT 209, CHICAGO, IL 60616(773) 474-9270 Get Directions Write a Review

NPPES record last updated: June 18, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Mr. Demitri De'trayon Ma, Lpc NPPES

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

MR. DEMITRI DE'TRAYON MA, LPC (NPI 1093602500) is an individual professional provider in Chicago, Illinois, licensed in Illinois (178.020585) and active in the NPI registry since June 2025.

NPPES Registry Identity

NPI1093602500
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. DEMITRI DE'TRAYONCredential: MA, LPC
Location Address2310 S STATE ST APT 209Chicago, IL 60616-2155
Mailing Address2310 S State St Apt 209Chicago, IL 60616-2155 · (773) 474-9270
Phone(773) 474-9270
Sole ProprietorNo
Enumeration DateJune 18, 2025
NPPES CertifiedJune 18, 2025
✔ NPI 1093602500 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 IL · 178.020585
2310 S STATE ST APT 209, Chicago, IL 60616
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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 Demitri De'trayon's NPI number?

The NPI number for Demitri De'trayon is 1093602500. It was assigned to this individual provider in the NPPES registry on June 18, 2025.

Where is Demitri De'trayon located?

Demitri De'trayon practices at 2310 S State St Apt 209, Chicago, IL 60616. The listed phone number is (773) 474-9270.

What is Demitri De'trayon's specialty?

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

When was this NPI record last updated?

The NPPES record for Demitri De'trayon was last updated on June 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.