Individual provider Active NPI

Dallin Leroy Schenk

  • Mental Health Counselor
  • Mesa, AZ
National Provider Identifier
1689380198
Registry record updated Nov 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
1355 N Greenfield Rd
Mesa, AZ 85205-4073
Phone
(480) 937-2860
NPI assigned
Jan 27, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

1355 N Greenfield Rd
Mesa, AZ 85205-4073

Mailing address

384 E 60 S
American Fork, UT 84003-3835

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260203002266 AZ Practitioner - Mental Health Counselor 1052899713 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mesa Family Therapy LLCGroup PAC ID 0749718815, 4 clinicians

Practice addresses (Care Compare)

1355 N Greenfield Rd
Mesa, AZ 85205-4073
Phone (480) 256-2907

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mesa Family Therapy LLC CurrentSince Jan 1, 2026 Accepting new patients
Olympus Ink Systems Mental Health PastSince Jan 29, 2023 Accepting new patients

Locations

1355 N Greenfield Rd
Mesa, AZ 85205
Phone (480) 256-2907

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1674777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763510400000",
    "number": "1689380198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "384 E 60 S",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840033835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 N GREENFIELD RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852054073",
            "telephone_number": "480-937-2860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHENK",
        "first_name": "DALLIN",
        "middle_name": "LEROY",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-01-27",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.