Sharockman Counseling

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

SHAROCKMAN COUNSELING

Practice address

8044 Belair LN
Eden Prairie, MN 55347-1103

Phone

(507) 400-8635

NPI assigned

Sep 19, 2025

Last updated

Oct 27, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Brett Sharockman, LPCC LADC MA CSRTNPI 1104414515

Title

Owner

Phone

(952) 221-5127

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brett Sharockman

  • Professional Counselor
  • Eden Prairie, MN
  • NPI 1104414515

  Mental Health

  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1758240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761523200000",
    "number": "1972475077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8044 BELAIR LN",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553471103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8044 BELAIR LN",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553471103",
            "telephone_number": "507-400-8635"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5275 Edina Industrial Blvd Ste 124",
            "address_purpose": "LOCATION",
            "city": "Edina",
            "state": "MN",
            "postal_code": "554392903",
            "country_code": "US",
            "telephone_number": "507-400-8635",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SHAROCKMAN COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-19",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A",
        "authorized_official_last_name": "SHAROCKMAN",
        "authorized_official_first_name": "BRETT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-221-5127",
        "authorized_official_credential": "LPCC LADC MA CSRT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Eden Prairie, MN
• Providers in Eden Prairie, MN by specialty
• Mental Health Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.