Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jack Brian Koehrsen, MA, LPC, LPCC

Individual provider Counselor · NPI 1417905191

Jack Brian Koehrsen, MA, LPC, LPCC is a Mental Health Counselor in Weirton, West Virginia. Qualified in 1974, 52 years ago. Accepts Medicare assignment. Licensed in Ohio and West Virginia.

Years since qualifying
52
Licensed in
OH, WV
In the registry since
2006
Specialties on file
2
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
LPC — Licensed Professional Counselor
A licensed mental health counsellor.
LPCC — Licensed Professional Clinical Counselor
The title some states use for a licensed clinical counsellor.

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Practice location Address checks out

485 Colliers Way Ste C
Weirton, WV 26062-5012
Phone: (304) 723-4260
Fax: (304) 723-4264
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence 1056 (WV)
Counselor Taxonomy 101Y00000X · Licence E0001217 (OH)

Record details

NPI number1417905191
Entity typeIndividual (Type 1)
GenderMale
Credentials MA , LPC , LPCC
Sole proprietorNo
NPI enumeratedMay 4, 2006
Last updated in NPPESJuly 13, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 1974 (52 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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