Jack Brian Koehrsen in Weirton - Counselor
Jack Brian Koehrsen - NPI 1417905191
Jack Brian Koehrsen is a Counselor in Weirton, . Jack Brian Koehrsen practices all healthcare services and medical treatments related to Counselor. The NPI Number for Jack Brian Koehrsen is 1417905191. The last update date is 2007-07-08.
Jack Brian Koehrsen's current location address is 485 Colliers Way, Weirton, . You can contact this provider via phone number 3047234260 and fax number 3047234264. The mailing address for Jack Brian Koehrsen is 485 Colliers Way, Weirton, . To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jack Brian Koehrsen |
|---|---|
| Address | 485 Colliers Way, Weirton, |
| Phone Number | 3047234260 |
| Fax Number | 3047234264 |
| Sole Proprietor | X |
| Credentials | MA, LPC, L |
NPI Number Detail
| NPI Number | 1417905191 |
|---|---|
| Provider Enumeration Date | 2006-05-04 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 485 Colliers Way |
|---|---|
| City | Weirton |
| State | (WV) |
| Post Code | 260625012 |
| Phone Number | 3047234260 |
| Fax Number | 3047234264 |
Provider's Primary Taxonomy Detail
| Speciality | Counselor |
|---|---|
| Taxonomy | 101Y00000X |
| Licence No | 1056 |
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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 supe |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 337925 | WV | VALUE OPTIONS | |
| HEALTH PLAN | OH | Y141250A | |
| ANTHEM | OH | 218506 | |
| AETNA | WV | 5014701 |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Jack Brian Koehrsen by the Centers for Medicare & Medicaid Services?
The Jack Brian Koehrsen has been assigned the NPI (National Provider Identifier) 1417905191 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete physical address where Jack Brian Koehrsen is located?
The Jack Brian Koehrsen is situated at the following address: 485 Colliers Way, Weirton, WV, 260625012.
What is the area of specialization for Jack Brian Koehrsen, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Jack Brian Koehrsen is Counselor, and the corresponding taxonomy code that categorizes this area of expertise is 101Y00000X.
On what date did the Jack Brian Koehrsen receive its 1417905191 assignment from the Centers for Medicare & Medicaid Services?
The Jack Brian Koehrsen was assigned its 1417905191 by the Centers for Medicare & Medicaid Services on 2006-05-04.
When was the information pertaining to Jack Brian Koehrsen most recently updated or revised?
The details related to Jack Brian Koehrsen, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.