Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DOMENIQUE MARIE DELUCIA LMHC
NPI 1104470673
Counselor - Mental Health in Boston, MA

Active since August 01, 2019
23 BRADSTON ST FL 1, BOSTON, MA 02118(617) 318-6480(617) 427-1263 Get Directions Write a Review

NPPES record last updated: August 13, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 13, 2026, May 6, 2023, Jan 24, 2023 and 1 more (4 updates tracked since 2019).

About Domenique Marie Delucia Lmhc NPPES

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

DOMENIQUE MARIE DELUCIA LMHC (NPI 1104470673) is an individual mental health provider in Boston, Massachusetts, licensed in Massachusetts (12619) and active in the NPI registry since August 2019.

NPPES Registry Identity

NPI1104470673
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameDOMENIQUE MARIE DELUCIACredential: LMHC
Location Address23 BRADSTON ST FL 1Boston, MA 02118-2703
Mailing Address23 Bradston St Fl 1Boston, MA 02118-2703 · (617) 318-6480 · Fax (617) 427-1263
Fax(617) 427-1263
Sole ProprietorNo
Enumeration DateAugust 1, 2019
Last NPPES UpdateAugust 13, 20264 updates tracked since enumeration
NPPES CertifiedAugust 13, 2026
NPI 1104470673 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in MA · 12619
23 BRADSTON ST FL 1, Boston, MA 02118

Other Providers at the Same Location NPPES 4

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

Counselor (Addiction (Substance Use Disorder))
23 BRADSTON ST FL 1
BOSTON, MA 02118
Counselor (Addiction (Substance Use Disorder))
23 BRADSTON ST FL 1
BOSTON, MA 02118
Counselor (Addiction (Substance Use Disorder))
23 BRADSTON ST FL 1
BOSTON, MA 02118
Counselor (Addiction (Substance Use Disorder))
23 BRADSTON ST FL 1
BOSTON, MA 02118

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 Domenique Delucia's NPI number?

The NPI number for Domenique Delucia is 1104470673. It was assigned to this individual provider in the NPPES registry on August 1, 2019.

Where is Domenique Delucia located?

Domenique Delucia practices at 23 Bradston St Fl 1, Boston, MA 02118. The listed phone number is (617) 318-6480.

What is Domenique Delucia's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Domenique Delucia was last updated on August 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.