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

Brett Sharockman

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1104414515

Brett Sharockman is a Mental Health Counselor in Eden Prairie, Minnesota. Qualified in 2020, 6 years ago. Practices with Nystrom and Associates Ltd, a 617-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Minnesota and Wisconsin.

Years since qualifying
6
Licensed in
MN, WI
In the registry since
2021
Specialties on file
3
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Practice location Address checks out

11010 Prairie Lakes Dr Ste 350
Eden Prairie, MN 55344-3801
Phone: (952) 746-2522
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

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

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 4208 (MN)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 305850 (MN)
Mental Health Counselor Taxonomy 101YM0800X · Licence 11496-125 (WI)

Record details

NPI number1104414515
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 3, 2021
Last updated in NPPESFebruary 6, 2026
Certification dateFebruary 6, 2026
Mailing address8044 Belair Ln, Eden Prairie, MN 55347-1103

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Nystrom And Associates Ltd — 617 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Eden Prairie