Organization Active NPI

Motivated Mental Performance

  • Counselor
  • Sisters, OR
National Provider Identifier
1104755362
Registry record updated May 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
MOTIVATED MENTAL PERFORMANCE
Practice address
204 W Adams Ave Ste 213
Sisters, OR 97759-2517
Phone
(801) 628-3881
NPI assigned
May 14, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2026

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

Authorized official

Name
Chris Tittle, LPC, CMHC
Title
Owner/Psychotherapist
Phone
(801) 628-3881

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101Y00000X 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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260521003770 OR Part B Supplier - Clinic/Group Practice 5496225237 Receives reassigned benefits from 1 practitioner
Practice locations: Sisters, OR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1778716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778716800000",
    "number": "1104755362",
    "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": {
        "organization_name": "MOTIVATED MENTAL PERFORMANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-14",
        "last_updated": "2026-05-14",
        "certification_date": "2026-05-14",
        "status": "A",
        "authorized_official_last_name": "TITTLE",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "OWNER/PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "801-628-3881",
        "authorized_official_credential": "LPC, CMHC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sisters, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.