Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1750087615 Individual Practitioner Female Practitioner

Brooke Mimmack , MA, LPCC

Counselor - Professional • Baxter, MN

Professional Overview & Biography Verified Profile Summary

Brooke Mimmack, MA, LPCC is a registered healthcare professional specializing in Counselor - Professional in Baxter, MN. Practice services are available at 13045 FALCON DR STE 100 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

13045 Falcon Dr Ste 100

Baxter, MN 564254201

Telephone 2188299207

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Baxter, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 7.0 Yrs
State Avg: 11.4 Yrs
Regional Practice Density
8 Specialists

Practicing in Baxter, MN (2422 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-06-29
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License MN 5644

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1003433921

Master of Social Work, LGSW

Katherine Haberkorn , LICSW

Social Worker - Clinical

NPI 1013401546

Licensed Independent Clinical Social Worker

Kelby Olson-Rodel

Social Worker - Clinical

NPI 1053141895
Dr. Kevin Edwards , PhD

Psychologist - Clinical

NPI 1053435743

Doctor of Philosophy (Ph.D.)

Stephanie Sarazine , PMHNP-BC, CNP

Psychiatry & Neurology - Psychiatry

NPI 1083594402

Psychiatric-Mental Health Nurse Practitioner (Board Certified), Certified Nurse Practitioner

Karli Heller

Social Worker - Clinical

NPI 1093429813

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
👤
Provider Name / Credentials Updated June 29, 2026

Recorded as BROOKE MIMMACK, MA,LPCC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 29, 2026

Counselor (License #5644 in MN)

NPI Profile Active February 02, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location February 02, 2023

Registered at 13045 FALCON DR STE 100, BAXTER, MN 564254201 (Tel: 2188299207)

📍
Updated Business Mailing Address February 02, 2023

Registered at 16300 BIRCHWOOD LN, BRAINERD, MN 564016184 (Tel: 2183302175)

👤
Provider Name / Credentials Updated February 02, 2023

Recorded as BROOKE MIMMACK, MA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 02, 2023

Counselor

🟢
Initial NPI Registration & Enumeration February 02, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1750087615
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 02, 2023
Last Update: June 29, 2026
Sole Proprietor: No

Mailing Address

16300 Birchwood Ln

Brainerd, MN 564016184

Phone: 2183302175

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.