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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

JACK BRIAN KOEHRSEN MA, LPC, LPCC
NPI 1417905191
Counselor in Weirton, WV

Active since May 04, 2006PECOS Enrolled
485 COLLIERS WAY, SUITE C, WEIRTON, WV 26062(304) 723-4260(304) 723-4264 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jack Brian Koehrsen Ma, Lpc, Lpcc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACK BRIAN KOEHRSEN MA, LPC, LPCC (NPI 1417905191) is an individual counselor in Weirton, West Virginia, licensed in West Virginia (1056) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1974).

NPPES Registry Identity

NPI1417905191
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameJACK BRIAN KOEHRSENCredential: MA, LPC, LPCC
Location Address485 COLLIERS WAY, SUITE CWeirton, WV 26062-5012
Mailing Address485 Colliers Way, Suite CWeirton, WV 26062-5012 · (304) 723-4260 · Fax (304) 723-4264
Phone(304) 723-4260
Fax(304) 723-4264
Sole ProprietorNo
Medical School CMSOtherGraduated 1974
Enumeration DateMay 4, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1417905191 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Licenses✔ Licensed in WV · 1056✔ Licensed in OH · E0001217
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
485 COLLIERS WAY, Weirton, WV 26062
Open in Google Maps ↗

Other Identifiers 4

Other337925WV · Value Options
OtherHEALTH PLANOH · Y141250a
OtherANTHEMOH · 000000218506
OtherAETNAWV · 5014701

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Highmark Blue Cross Blue Shield West Virginia.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jack Brian Koehrsen Ma, Lpc, Lpcc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1557895125
PECOS Enrollment IDI20241106000374
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PATRICK G. ROSARIO,MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
485 COLLIERS WAY
WEIRTON, WV 26062
Hancock County (412) 269-9898
AMANDEEP S. PUREWAL, LLC
Internal Medicine (Gastroenterology)
485 COLLIERS WAY, SUITE B
WEIRTON, WV 26062
Hancock County (304) 723-4041
ANTHONY REES FNP-C
Nurse Practitioner (Family)
485 COLLIERS WAY
WEIRTON, WV 26062
Hancock County (304) 723-5400
STANLEY C. MANNINO, M.D., INC.
Internal Medicine (Cardiovascular Disease)
485 COLLIERS WAY, SUITE K
WEIRTON, WV 26062
Hancock County (304) 723-3360
DR. AMAR N KHURANA MD
Internal Medicine
485 COLLIERS WAY, SUITE E
WEIRTON, WV 26062
Hancock County (304) 723-6100
AMRIK SINGH CHATTHA M.D.
Psychiatry & Neurology (Neurology)
485 COLLIERS WAY, SUITE C
WEIRTON, WV 26062
Hancock County (304) 723-4260
GURDEV S PUREWAL MD,INC
Orthopaedic Surgery
485 COLLIERS WAY
WEIRTON, WV 26062
Hancock County (304) 723-5780
JENNIFER CUNNINGHAM FNP-C
Nurse Practitioner (Family)
485 COLLIERS WAY
WEIRTON, WV 26062
Hancock County (304) 723-6100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jack Koehrsen's NPI number?

The NPI number for Jack Koehrsen is 1417905191. It was assigned to this individual provider in the NPPES registry on May 4, 2006.

Where is Jack Koehrsen located?

Jack Koehrsen practices at 485 Colliers Way Suite C, Weirton, WV 26062. The listed phone number is (304) 723-4260.

What is Jack Koehrsen's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Jack Koehrsen enrolled in Medicare?

Yes. Jack Koehrsen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jack Koehrsen accept?

Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list Jack Koehrsen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jack Koehrsen was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.