Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Kelwin Jairo Dominguez

Individual provider Mental Health Counselor · NPI 1487106415

Mr. Kelwin Jairo Dominguez is a Mental Health Counselor in Brooklyn, New York. Qualified in 2016, 10 years ago. Practices with Interborough Developmental and Consultation Center Inc, a 152-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth.

Years since qualifying
10
In the registry since
2016
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Practice location Address checks out

1623 Kings Hwy
Brooklyn, NY 11229
Phone: (718) 375-1200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 12 Park St Lowr Level, Brooklyn, NY 11206-4541 — (718) 963-4430

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 0

Record details

NPI number1487106415
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 25, 2016
Last updated in NPPESMarch 13, 2026
Certification dateMarch 13, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Interborough Developmental And Consultation Center Inc — 152 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Brooklyn