Steven Ruiz Bettencourt, PSY.D

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

11630 SE 40TH Ave Ste a
Milwaukie, OR 97222-6195

Phone

(503) 650-0680

NPI assigned

Jul 22, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 2, 2024 through Jan 2, 2028

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Peaceful Warrior Wellness Services, LLC

  • Community/Behavioral Health Agency
  • Milwaukie, OR
  • NPI 1851993554
  NPD Authorized official
• Lifeworks NW

  • Mental Health Counselor
  • Portland, OR
  • NPI 1467408013
  NPD (past)

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

{
    "created_epoch": "1469145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607904000000",
    "number": "1649623844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11954 NE GLISAN ST. #433",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97220",
            "telephone_number": "503-650-0680",
            "fax_number": "503-650-3886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11630 SE 40TH AVE STE A",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972226195",
            "telephone_number": "503-650-0680"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4105 SE International Way Ste 501",
            "address_purpose": "LOCATION",
            "city": "Milwaukie",
            "state": "OR",
            "postal_code": "972228855",
            "country_code": "US",
            "telephone_number": "503-496-3201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUIZ BETTENCOURT",
        "first_name": "STEVEN",
        "credential": "PSY.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-07-22",
        "last_updated": "2020-12-14",
        "certification_date": "2020-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Rudd
• William Daniel Ruegg, MD
• Roberta W Ruggeri, D.O.
• Meera J Rughani, OTRL
• Janet Lee Ruhland, PT
• Cristenia Rule
• William Forest Runckel, DMD
• David Wayne Runestrand, LMT
• Grant Russ
• Donna L Russell, PTA

• Mental Health Counselor in Milwaukie, OR
• Providers in Milwaukie, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.