Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Tabbatha Jo Litchke Herdman, MSED, LPCC

Individual provider Professional Counselor · NPI 1518453554

Tabbatha Jo Litchke Herdman, MSED, LPCC is a Mental Health Counselor in Grand Rapids, Minnesota. Qualified in 2015, 11 years ago. Works from 2 locations. Licensed in Minnesota.

Years since qualifying
11
Licensed in
MN
In the registry since
2018
What do these letters mean?
LPCC — Licensed Professional Clinical Counselor
The title some states use for a licensed clinical counsellor.

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Practice location Address checks out

1833 W US Highway 2 Ste B
Grand Rapids, MN 55744-4733
Phone: (218) 392-5904
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 215 Se 2nd Ave, Grand Rapids, MN 55744-3615 — (218) 326-1274

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 1849 (MN)

Record details

NPI number1518453554
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSED , LPCC
Sole proprietorNo
NPI enumeratedJuly 2, 2018
Last updated in NPPESApril 5, 2026
Certification dateApril 5, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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