Healthcare Provider Details

I. General information

NPI: 1366358376
Provider Name (Legal Business Name): JWK COUNSELING SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/20/2026
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4284 WILLIAM FLYNN HWY STE 202
ALLISON PARK PA
15101-1440
US

IV. Provider business mailing address

4284 WILLIAM FLYNN HWY STE 202
ALLISON PARK PA
15101-1440
US

V. Phone/Fax

Practice location:
  • Phone: 412-897-2926
  • Fax:
Mailing address:
  • Phone: 412-897-2926
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: JENNIFER WEST KETLER
Title or Position: THERAPIST
Credential: LPC
Phone: 412-897-2926