Jack Koehrsen, MA, LPC, LPCC
NPI 1417905191 · Counselor · Weirton, WV
Enrolled with Medicare as Practitioner - Mental Health Counselor · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jack Koehrsen, MA, LPC, LPCC is a Counselor provider in Weirton, WV (NPI 1417905191).
Provider details
- NPI number
- 1417905191
- Entity type
- Individual
- Primary specialty
- CounselorBehavioral Health & Social Service Providers
- Credential
- MA, LPC, LPCC
- Sex
- Male
- License
- 1056 (WV)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-05-04
- Last updated
- 2007-07-08
Frequently asked questions
- What is Jack Koehrsen's NPI number?
- Jack Koehrsen's National Provider Identifier (NPI) is 1417905191, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jack Koehrsen's specialty?
- Jack Koehrsen is listed in the NPPES registry with a primary specialty of Counselor (Behavioral Health & Social Service Providers).
- Where is Jack Koehrsen located?
- Jack Koehrsen's practice location on file with NPPES is 485 Colliers Way, Weirton, WV 26062-5012.
- What is Jack Koehrsen's phone number?
- The practice phone number listed in the NPPES registry for Jack Koehrsen is (304) 723-4260.
- Does Jack Koehrsen accept Medicare?
- Jack Koehrsen is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jack Koehrsen's NPI active?
- Yes — Jack Koehrsen's NPI (1417905191) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.