Domenique Marie Delucia, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

12619 Issued in MA

Practice address

23 Bradston St FL 1
Boston, MA 02118-2703

Phone

(617) 318-6480

Fax

(617) 427-1263

NPI assigned

Aug 1, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Addiction Treatment Center of New England, Inc.

  • Case Management Agency
  • Brighton, MA
  • NPI 1477605228
  NPD (past)
• Community Health Care, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Westfield, MA
  • NPI 1912980251

  Addiction (Substance Use Disorder)

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1564617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786579200000",
    "number": "1104470673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 BRADSTON ST FL 1",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021182703",
            "telephone_number": "617-318-6480",
            "fax_number": "617-427-1263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 BRADSTON ST FL 1",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021182703",
            "telephone_number": "617-318-6480",
            "fax_number": "617-427-1263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELUCIA",
        "first_name": "DOMENIQUE",
        "middle_name": "MARIE",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-01",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "12619",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kim Deltano, CNM
• Michael Robert Deluca, M.D.
• Salvatore A Deluca, MD
• Schuyler Deluca, DDS
• Stephelynn Deluca, D.D.S.
• Louis Deluke, D.M.D.
• Jean-Marie Delva, N.P.
• Jennyfer Delva
• Mireille Delva, PMHNP
• Kayla Liany Delvalle, NP-C

• Mental Health Counselor in Boston, MA
• Providers in Boston, MA by specialty
• Mental Health Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.