ARLETTE ANNERIS DOMINGUEZ
NPI 1790395598
Counselor - Mental Health in Ridge, NY

Active since August 06, 2020PECOS Enrolled

NPPES record last updated: May 16, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 16, 2024, Jan 31, 2023, Aug 6, 2020 (3 updates tracked since 2020).

About Arlette Anneris Dominguez NPPES

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

ARLETTE ANNERIS DOMINGUEZ (NPI 1790395598) is an individual mental health provider in Ridge, New York, licensed in New York (013199) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1790395598
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameARLETTE ANNERIS DOMINGUEZ
Location Address92 RAYNOR RDRidge, NY 11961-1904
Mailing Address10819 Rockaway BlvdSouth Ozone Park, NY 11420-1034 · (718) 845-2620
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateAugust 6, 2020
Last NPPES UpdateMay 16, 20243 updates tracked since enumeration
NPPES CertifiedMay 16, 2024
✔ NPI 1790395598 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NY · 013199
92 RAYNOR RD, Ridge, NY 11961

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Arlette Anneris Dominguez is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2567939051
PECOS Enrollment IDI20260422000372
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Arlette Dominguez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Psychiatry
109 W 27TH ST # 5S
New York, NY 10001
  • Reassigned Medicare billing, New York enrollment
  • 590 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Arlette Dominguez's NPI number?

The NPI number for Arlette Dominguez is 1790395598. It was assigned to this individual provider in the NPPES registry on August 6, 2020.

Where is Arlette Dominguez located?

Arlette Dominguez practices at 92 Raynor Rd, Ridge, NY 11961. The listed phone number is (347) 431-6666.

What is Arlette Dominguez's specialty?

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

Is Arlette Dominguez enrolled in Medicare?

Yes. Arlette Dominguez is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Arlette Dominguez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Arlette Dominguez reassigns Medicare benefits to Mccd Psychiatry Services PLLC (New York, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Arlette Dominguez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Arlette Dominguez accept?

Health plans from Oscar Health and UnitedHealthcare list Arlette Dominguez as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Arlette Dominguez was last updated on May 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.