Tabbatha Jo Litchke Herdman, MS ED, LPCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

1849 Issued in MN

Practice address

1833 W US Highway 2 Ste B
Grand Rapids, MN 55744-4733

Phone

(218) 392-5904

NPI assigned

Jul 2, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Tabbatha Jo Litchke Professional name

Medicare fee-for-service enrollment

Enrolled in MN

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

Specialty

Mental Health Counselor

Education

Other, 2015

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Wildwood Mental Health LLC

  • Professional Counselor
  • Grand Rapids, MN
  • NPI 1811613599
  Medicare reassignment NPD Authorized official
• Clearwater Mental Health & Wellness

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Grand Rapids, MN
  • NPI 1467324459
  NPD

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

{
    "created_epoch": "1530489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775347200000",
    "number": "1518453554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 124",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557440050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1833 W US HIGHWAY 2 STE B",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557444733",
            "telephone_number": "218-392-5904"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "215 SE 2nd Ave",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MN",
            "postal_code": "557443615",
            "country_code": "US",
            "telephone_number": "218-326-1274",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LITCHKE HERDMAN",
        "first_name": "TABBATHA",
        "middle_name": "JO",
        "credential": "MS ED, LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-02",
        "last_updated": "2026-04-05",
        "certification_date": "2026-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "1849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TABBATHA",
            "last_name": "LITCHKE",
            "middle_name": "JO",
            "credential": "MS ED, LPCC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Michael B. Liebe, MD
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• Danielle Lee Lindner, LICSW
• Mackenzie Paige Lindquist, DPT
• Mary Ellen Linnihan, MA, LP
• Sarah Jayne Litchke, LADC
• Lois J Meyer
• Steven Loney
• Alyson Lopez, MA, LPCC
• Morgan-Lee L. Lowden

• Professional Counselor in Grand Rapids, MN
• Providers in Grand Rapids, MN by specialty
• Professional Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.