Individual provider Active NPI

Kevin Van Alstyne Bettini, LMFT

  • Marriage & Family Therapist
  • Portland, OR
National Provider Identifier
1215413703
Registry record updated Apr 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
T2575 Issued in OR
Practice address
2188 SW Park PL Ste 204
Portland, OR 97205-1100
Phone
(707) 404-3848
NPI assigned
Jul 17, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 124713 CA
Marriage & Family Therapist 106H00000X T2575 OR Primary

Addresses

Primary practice location

2188 SW Park PL Ste 204
Portland, OR 97205-1100

Mailing address

2188 SW Park PL Ste 204
Portland, OR 97205-1100
Phone (707) 404-3848

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
124713CAMDMarriage & Family Therapist
T2575ORMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1531785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777507200000",
    "number": "1215413703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2188 SW PARK PL STE 204",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972051100",
            "telephone_number": "707-404-3848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2188 SW PARK PL STE 204",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972051100",
            "telephone_number": "707-404-3848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BETTINI",
        "first_name": "KEVIN",
        "middle_name": "VAN ALSTYNE",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-17",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "124713",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OR",
            "license": "T2575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.