Individual provider · Type 1 NPI

Brett Sharockman

Professional Counselor · Eden Prairie, MN

NPI number 1104414515 Active

Practice location

11010 Prairie Lakes Dr Ste 350
Eden Prairie, MN 55344-3801

Call (952) 746-2522 Map

Mailing address

8044 Belair Ln
Eden Prairie, MN 55347-1103

Other practice locations

  • 5275 Edina Industrial Blvd Ste 124, Edina, MN 55439-2903 · (507) 400-8635

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X305850 (MN)
Professional Counselor Primary 101YP2500X4208 (MN)
Mental Health Counselor 101YM0800X11496-125 (WI)

Professional Counselor: Definition to come...

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About NPI 1104414515

Brett Sharockman's National Provider Identifier is 1104414515, issued on Jan 3, 2021. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Eden Prairie, MN. The record was last updated on Feb 6, 2026.