Mackenzie Elizabeth Coston, CGC

Primary specialty

Genetic Counselor (M.S.)Taxonomy code 170300000X

Practice address

501 N Graham St Ste 330B
Portland, OR 97227-2009

Phone

(360) 393-7727

NPI assigned

Dec 30, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1735516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735516800000",
    "number": "1013726561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 S BOUNDARY ST APT 311",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972398507",
            "telephone_number": "360-393-7727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 N GRAHAM ST STE 330B",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972272009",
            "telephone_number": "360-393-7727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSTON",
        "first_name": "MACKENZIE",
        "middle_name": "ELIZABETH",
        "credential": "CGC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-30",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Richard Costello, LAC
• Mae Cecile Costello, L.AC.
• Nicole Costello
• Stephanie Costello, MSW
• Tabitha Rochelle Costigan
• Laurice Tabitha Cota, RDH
• Gregory A Cote, MD, MS
• Krysten Cote, MA
• Kallie Cothern
• Max Giancarlo Cothren

• Genetic Counselor (M.S.) in Portland, OR
• Providers in Portland, OR by specialty
• Genetic Counselor (M.S.) in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.