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IndividualActiveMedicare EnrolledCan Order/Refer

Jack Brian Koehrsen

MA, LPC, LPCC

Counselor

NPI: 1417905191Weirton, West Virginia, 26062(304) 723-4260Male

About Jack Brian Koehrsen

Jack Brian Koehrsen, MA, LPC, LPCC, is a male healthcare professional specializing in Counselor, registered under National Provider Identifier (NPI) number 1417905191. Jack Brian Koehrsen received his medical education at OTHER, graduating in 1974.

Their primary practice is located at 485 COLLIERS WAY, Weirton, West Virginia 26062. Patients can reach the office at (304) 723-4260. In addition to the primary location, Jack Brian Koehrsen maintains 1 additional practice location.

Jack Brian Koehrsen is enrolled in Medicare and accepts Medicare patients, is authorized to order and refer Medicare services. Jack Brian Koehrsen has been NPI-registered since 2006.

Key Metrics

Practice Locations

2

Doctor Details

Identity & Credentials

NPI Number
1417905191
Entity Type
Individual
First Name
Jack
Last Name
Koehrsen
Credential
MA, LPC, LPCC
Gender
Male
Medical School
OTHER
Graduation Year
1974
Status
active

Primary Practice Location

Address
485 COLLIERS WAY
City
Weirton
State
West Virginia
ZIP
26062-5012
Country
United States
Phone
(304) 723-4260
Fax
(304) 723-4264

Specialty & Taxonomy

Primary Specialty
Counselor
Classification
Counselor
Taxonomy Code
101Y00000X

NPI Registration

Enumeration Date
Last Updated
Certification Date

Mailing Address

Address
485 COLLIERS WAY
City
WEIRTON
State
WV
ZIP
260625012

Medicare Enrollment

Medicare Enrolled
Yes
Can Order/Refer
Yes
Telehealth
No
Excluded
No

Frequently Asked Questions

What is Jack Brian Koehrsen's NPI number?
Jack Brian Koehrsen's National Provider Identifier (NPI) is 1417905191. An NPI is a unique 10-digit identification number issued by the Centers for Medicare & Medicaid Services (CMS) to healthcare providers in the United States.
What does Jack Brian Koehrsen specialize in?
Jack Brian Koehrsen specializes in Counselor. They received their medical education at OTHER (class of 1974).
Where is Jack Brian Koehrsen located?
Jack Brian Koehrsen practices at 485 COLLIERS WAY, Weirton, West Virginia 26062. You can reach them by phone at (304) 723-4260. They also have 1 additional practice location.
Does Jack Brian Koehrsen accept Medicare?
Yes, Jack Brian Koehrsen is enrolled in the Medicare program and accepts Medicare patients. They are also authorized to order and refer services under Medicare.
Does Jack Brian Koehrsen offer telehealth or virtual visits?
Jack Brian Koehrsen does not currently offer telehealth services. In-person visits are required at their practice location.

What is an NPI Number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to healthcare providers in the United States by the Centers for Medicare & Medicaid Services (CMS). Required under HIPAA, every healthcare provider who transmits health information electronically must have an NPI. The NPI for Jack Brian Koehrsen is 1417905191.