Individual provider Active NPI

Stephen Grant Detucci, LMHC, LADC

  • Addiction (Substance Use Disorder) Counselor
  • Arlington, MA
National Provider Identifier
1720008832
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
1327 Issued in MA
Practice address
22 Mill St Ste 407
Arlington, MA 02476-4744
Phone
(781) 483-3308
NPI assigned
Jul 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1327 MA Primary
Mental Health Counselor 101YM0800X 4839 MA

Addresses

Primary practice location

22 Mill St Ste 407
Arlington, MA 02476-4744

Mailing address

76 Leicester Rd
Belmont, MA 02478-3338
Phone (617) 489-4665

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
4839MAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1720008832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 LEICESTER RD",
            "city": "BELMONT",
            "state": "MA",
            "postal_code": "024783338",
            "telephone_number": "617-489-4665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 MILL ST STE 407",
            "city": "ARLINGTON",
            "state": "MA",
            "postal_code": "024764744",
            "telephone_number": "781-483-3308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DETUCCI",
        "first_name": "STEPHEN",
        "middle_name": "GRANT",
        "name_prefix": "Mr.",
        "credential": "LMHC, LADC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MA",
            "license": "1327",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "4839",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.