WILDWOOD MENTAL HEALTH LLC
NPI 1811613599
Counselor - Professional in Grand Rapids, MN
About Wildwood Mental Health Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WILDWOOD MENTAL HEALTH LLC (NPI 1811613599) is a healthcare organization registered as a professional in Grand Rapids, Minnesota and active in the NPI registry since October 2022. The organization lists Tabbatha Litchke Herdman, Lpcc, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Wildwood Mental Health Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Wildwood Mental Health LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Wildwood Mental Health LLC's NPI number?
The NPI number for Wildwood Mental Health LLC is 1811613599. It was assigned to this organization in the NPPES registry on October 14, 2022.
Where is Wildwood Mental Health LLC located?
Wildwood Mental Health LLC is located at 1833 W Us Highway 2 Ste B, Grand Rapids, MN 55744. The listed phone number is (218) 392-5904.
What is Wildwood Mental Health LLC's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Wildwood Mental Health LLC enrolled in Medicare?
Yes. Wildwood Mental Health LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Wildwood Mental Health LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Wildwood Mental Health LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Wildwood Mental Health LLC accept?
Health plans from HealthPartners and Sanford Health Plan list Wildwood Mental Health LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Wildwood Mental Health LLC was last updated on April 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Wildwood Mental Health Llc · NPI 1811613599
Professional organization in Grand Rapids, Minnesota. Organization record, active in the CMS NPPES registry since October 14, 2022.
## Identity
- **NPI:** 1811613599 (Entity type: Organization)
- **Enumerated:** October 14, 2022
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **Organization subpart:** No
- **Authorized official:** Tabbatha Litchke Herdman, LPCC
## Practice location
- **Address:** 1833 W US HIGHWAY 2 STE B, Grand Rapids, MN 55744-4733
- **Phone:** (218) 392-5904
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Mental Health Counselor) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 5, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1811613599) · Data from the CMS NPPES public registry.