Jack Brian Koehrsen, MA, LPC, LPCC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

1056 Issued in WV

Practice address

485 Colliers Way
Suite C
Weirton, WV 26062-5012

Phone

(304) 723-4260

Fax

(304) 723-4264

NPI assigned

May 4, 2006

Last updated

Jul 13, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in WV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 1974

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Prabhjot S Deol, M.D. PLLC

  • Psychiatry Physician
  • Weirton, WV
  • NPI 1659718740
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1417905191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "485 COLLIERS WAY",
            "address_2": "SUITE C",
            "city": "WEIRTON",
            "state": "WV",
            "postal_code": "260625012",
            "telephone_number": "304-723-4260",
            "fax_number": "304-723-4264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "485 COLLIERS WAY",
            "address_2": "SUITE C",
            "city": "WEIRTON",
            "state": "WV",
            "postal_code": "260625012",
            "telephone_number": "304-723-4260",
            "fax_number": "304-723-4264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOEHRSEN",
        "first_name": "JACK",
        "middle_name": "BRIAN",
        "credential": "MA, LPC, LPCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WV",
            "license": "1056",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "E0001217",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "000000218506",
            "identifier": "ANTHEM",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "337925",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "5014701",
            "identifier": "AETNA",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "Y141250A",
            "identifier": "HEALTH PLAN",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Donald M Kissinger, LPCC
• Israel E Klee, RPH
• Paula A Knight, CFNP
• Tara J Kobasko, QMHS
• Brijinder S Kochhar, MD
• Robert Lee Kolb, MASTER OF SOCIAL WOR
• Christopher P Kolibash, MD
• Carol Ann Korzi, D.C.
• Grace Elizabeth Koski, RBT
• Natasha Nicole Kowalczyk

• Counselor in Weirton, WV
• Providers in Weirton, WV by specialty
• Counselor in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.