DR. DALE TREVINO PHD
NPI 1922633676
Counselor - Mental Health in Fort Collins, CO

Active since March 03, 2020PECOS EnrolledAccepts Medicare Assignment
4856 INNOVATION DR, FORT COLLINS, CO 80525(970) 494-4200(844) 270-7151 Get Directions Write a Review

NPPES record last updated: January 28, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 28, 2026, Mar 27, 2025, Mar 3, 2020 (3 updates tracked since 2020).

About Dr. Dale Trevino Phd NPPES

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

DR. DALE TREVINO PHD (NPI 1922633676) is an individual mental health provider in Fort Collins, Colorado and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS, maintains a secondary practice location in Fort Collins, and is a graduate of Other (1990).

NPPES Registry Identity

NPI1922633676
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameDR. DALE TREVINOCredential: PHD
Location Address4856 INNOVATION DRFort Collins, CO 80525-5539
Mailing Address4856 Innovation DrFort Collins, CO 80525-5539 · (970) 494-4200 · Fax (844) 270-7151
Fax(844) 270-7151
Sole ProprietorNo
Medical School CMSOtherGraduated 1990
Enumeration DateMarch 3, 2020
Last NPPES UpdateJanuary 28, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 28, 2026
NPI 1922633676 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
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License LPC.0023168 (CO)
4856 INNOVATION DR, Fort Collins, CO 80525

Secondary Practice Location 1

Location 1114 Bristlecone DrFort Collins, CO 80524-2031 · Phone (970) 494-4200

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

Dr. Dale Trevino Phd 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.

PECOS PAC ID8224515200
PECOS Enrollment IDI20260121002552
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.

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.

Case Manager/Care Coordinator
4856 INNOVATION DR
FORT COLLINS, CO 80525
Pharmacist
4856 INNOVATION DR
FORT COLLINS, CO 80525
Social Worker (Clinical)
4856 INNOVATION DR
FORT COLLINS, CO 80525
Counselor (Addiction (Substance Use Disorder))
4856 INNOVATION DR
FORT COLLINS, CO 80525
Counselor (Professional)
4856 INNOVATION DR
FORT COLLINS, CO 80525
Counselor (Addiction (Substance Use Disorder))
4856 INNOVATION DR
FORT COLLINS, CO 80525
Case Manager/Care Coordinator
4856 INNOVATION DR
FORT COLLINS, CO 80525
Counselor (Professional)
4856 INNOVATION DR
FORT COLLINS, CO 80525

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 Dale Trevino's NPI number?

The NPI number for Dale Trevino is 1922633676. It was assigned to this individual provider in the NPPES registry on March 3, 2020.

Where is Dale Trevino located?

Dale Trevino practices at 4856 Innovation Dr, Fort Collins, CO 80525. The listed phone number is (970) 494-4200.

What is Dale Trevino's specialty?

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

Is Dale Trevino enrolled in Medicare?

Yes. Dale Trevino 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 Dale Trevino was last updated on January 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.