Brett Sharockman
NPI 1104414515ActiveIndividual· Counselor, Professional· Eden Prairie, MN
Counselor, Professional in Eden Prairie, Minnesota, licensed in MN and WI, with an NPI issued in January 2021. Enrolled in Medicare as practitioner - mental health counselor.
Overview
| NPI | 1104414515 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Jan 3, 2021 |
| Last updated in NPPES | Feb 6, 2026 |
| Certified by provider | Feb 6, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | 4208 | MN |
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | 305850 | MN |
| Counselor, Mental Health | 101YM0800X | 11496-125 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Mental Health Counselor (MN) |
|---|
Education and affiliations
| Graduation year | 2020 |
|---|---|
| Medicare specialty | Mental Health Counselor |
| Telehealth | Offers telehealth |
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All 37 professional counselors in Eden Prairie · All professional counselors in Minnesota