MR. KELWIN JAIRO DOMINGUEZ
NPI 1487106415
Counselor - Mental Health in Brooklyn, NY
About Mr. Kelwin Jairo Dominguez NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. KELWIN JAIRO DOMINGUEZ (NPI 1487106415) is an individual mental health provider in Brooklyn, New York, licensed in (0) and active in the NPI registry since October 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mr. Kelwin Jairo Dominguez is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
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.
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 Kelwin Dominguez's NPI number?
The NPI number for Kelwin Dominguez is 1487106415. It was assigned to this individual provider in the NPPES registry on October 25, 2016.
Where is Kelwin Dominguez located?
Kelwin Dominguez practices at 1623 Kings Hwy, Brooklyn, NY 11229. The listed phone number is (718) 375-1200.
What is Kelwin Dominguez's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Kelwin Dominguez enrolled in Medicare?
Yes. Kelwin Dominguez is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
When was this NPI record last updated?
The NPPES record for Kelwin Dominguez was last updated on March 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Mr. Kelwin Jairo Dominguez · NPI 1487106415
Mental Health provider in Brooklyn, New York. Individual provider, active in the CMS NPPES registry since October 25, 2016.
## Identity
- **NPI:** 1487106415 (Entity type: Individual)
- **Enumerated:** October 25, 2016
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 0
- **Sole proprietor:** No
## Practice location
- **Address:** 1623 KINGS HWY, Brooklyn, NY 11229
- **Phone:** (718) 375-1200
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** March 13, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1487106415) · Data from the CMS NPPES public registry.