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DEETRA MICHELLE MASON
NPI 1972798890
Counselor in Champaign, IL

Active since September 13, 2007
202 W PARK AVE, CHAMPAIGN, IL 61820(217) 373-2436(217) 373-2444 Get Directions Write a Review

NPPES record last updated: September 13, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Deetra Michelle Mason NPPES

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

DEETRA MICHELLE MASON (NPI 1972798890) is an individual counselor in Champaign, Illinois and active in the NPI registry since September 2007.

NPPES Registry Identity

NPI1972798890
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameDEETRA MICHELLE MASON
Location Address202 W PARK AVEChampaign, IL 61820-3929
Mailing Address202 W Park AveChampaign, IL 61820-3929 · (217) 373-2436 · Fax (217) 373-2444
Phone(217) 373-2436
Fax(217) 373-2444
Sole ProprietorNo
Enumeration DateSeptember 13, 2007
✔ NPI 1972798890 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
202 W PARK AVE, Champaign, IL 61820
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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.

MISS JOSEPHINE F KALIPENI
Rehabilitation Counselor
202 W PARK AVE
CHAMPAIGN, IL 61820
Champaign County (217) 373-2428
MARK HUANG ZINGER LSW
Social Worker
202 W PARK AVE
CHAMPAIGN, IL 61820
Champaign County (217) 373-2430
MS. JOHANNA HERMINA WILLEMSE BA, MHP
Counselor (Mental Health)
202 W PARK AVE
CHAMPAIGN, IL 61820
Champaign County (217) 373-2436
COURTNEY STREET BSW
Counselor
202 W PARK AVE
CHAMPAIGN, IL 61820
Champaign County (217) 693-4613
CALEB STEVEN PARKER HIGH SCHOOL DIPLOMA
Rehabilitation Counselor
202 W PARK AVE
CHAMPAIGN, IL 61820
Champaign County (217) 355-1697
DYLAN PATRICK PRENDERGAST
Counselor (Mental Health)
202 W PARK AVE
CHAMPAIGN, IL 61820
Champaign County (217) 373-2430
MISS MARIA F HUANCA
Social Worker
202 W PARK AVE
CHAMPAIGN, IL 61820
Champaign County (217) 398-8080
MS. JACQUELINE CHRISTINE THOMAS
Social Worker
202 W PARK AVE
CHAMPAIGN, IL 61820
Champaign County (217) 373-2430

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 Deetra Mason's NPI number?

The NPI number for Deetra Mason is 1972798890. It was assigned to this individual provider in the NPPES registry on September 13, 2007.

Where is Deetra Mason located?

Deetra Mason practices at 202 W Park Ave, Champaign, IL 61820. The listed phone number is (217) 373-2436.

What is Deetra Mason's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Deetra Mason was last updated on September 13, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.