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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: October 25, 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
Phone(970) 494-4200
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
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Secondary Practice Location 1

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

Medicare Participation & PECOS CMS

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

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.

Medicare Billing Reassignment

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

Summitstone Health Partners
Same address
Mental Health (Including Community Mental Health Center)
4856 INNOVATION DR
Fort Collins, CO 80525
  • Reassigned Medicare billing, Colorado enrollment
  • 183 clinicians in this Medicare group
NPI 1225873136 (970) 494-4200

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

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.

KOKI ADACHI BA
Case Manager/Care Coordinator
4856 INNOVATION DR
FORT COLLINS, CO 80525
Larimer County (970) 494-4200
DR. JOSEPH MESSER PHARMD
Pharmacist
4856 INNOVATION DR
FORT COLLINS, CO 80525
Larimer County (970) 494-4200
ANDREA STRAYER LCSW, CAC II, MSW
Social Worker (Clinical)
4856 INNOVATION DR
FORT COLLINS, CO 80525
Larimer County (970) 494-4200
AMANDA MURRY M.ED.
Counselor (Addiction (Substance Use Disorder))
4856 INNOVATION DR
FORT COLLINS, CO 80525
Larimer County (970) 494-4200
LIZBETT GARCIA
Counselor (Professional)
4856 INNOVATION DR
FORT COLLINS, CO 80525
Larimer County (970) 494-4200
MORGAN RICE CAT
Counselor (Addiction (Substance Use Disorder))
4856 INNOVATION DR
FORT COLLINS, CO 80525
Larimer County (970) 494-4200
ELISSA STILWELL
Case Manager/Care Coordinator
4856 INNOVATION DR
FORT COLLINS, CO 80525
Larimer County (970) 494-4200
EMILY LAU
Counselor (Professional)
4856 INNOVATION DR
FORT COLLINS, CO 80525
Larimer County (970) 494-4200

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.

Which organization bills Medicare for Dale Trevino's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dale Trevino reassigns Medicare benefits to Summitstone Health Partners (Fort Collins, CO). 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 Dale Trevino's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 9 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.