Individual provider Active NPI

Christopher Tittle, MS, CMHC, LPC

  • Mental Health Counselor
  • Sisters, OR
National Provider Identifier
1073091872
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
10350774-6004 Issued in UT
Practice address
204 W Adams Ave Ste 213
Sisters, OR 97759-2517
Phone
(801) 628-3881
NPI assigned
Aug 2, 2018
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 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 10350774-6004 UT Primary

Addresses

Primary practice location

204 W Adams Ave Ste 213
Sisters, OR 97759-2517

Mailing address

1255 W Hill Ave
Sisters, OR 97759-3134
Phone (801) 628-3881

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20260521003707 OR Practitioner - Mental Health Counselor 1951871789 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1255 W Hill Ave
Sisters, OR 97759-3134

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
10350774-6004UTMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Motivated Mental Performance CurrentSince Jun 2, 2024 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1533168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1073091872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1255 W HILL AVE",
            "city": "SISTERS",
            "state": "OR",
            "postal_code": "977593134",
            "telephone_number": "801-628-3881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 W ADAMS AVE STE 213",
            "city": "SISTERS",
            "state": "OR",
            "postal_code": "977592517",
            "telephone_number": "801-628-3881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TITTLE",
        "first_name": "CHRISTOPHER",
        "name_prefix": "Mr.",
        "credential": "MS, CMHC, LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-02",
        "last_updated": "2025-09-11",
        "certification_date": "2024-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "10350774-6004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sisters, OR

Sources for this page

Verify at the official NPI Registry.