Maria Katia Vine, MS,GC

Primary specialty

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

License

GCP-T-10245495 Issued in OR

Practice address

532 W Prairie St
Columbus, WI 53925-1350

Phone

(608) 690-8655

NPI assigned

Jul 24, 2024

Last updated

Jan 2, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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.

• Genetics Support Foundation, Inc.

  dba Genetic Support Foundation

  • Genetic Counselor (M.S.)
  • Olympia, WA
  • NPI 1023475845

  Genetic Counselor, Ms

  NPD (past)
• Peacehealth

  dba St. John Medical Center - Outpatient Therapy

  • Physical Therapist
  • Longview, WA
  • NPI 1275501538
  NPD (past)
• Peacehealth

  dba PeaceHealth Medical Group

  • Internal Medicine Physician
  • Bellingham, WA
  • NPI 1356309553
  NPD (past)
• Peacehealth

  dba PeaceHealth Medical Group

  • Surgery Physician
  • Vancouver, WA
  • NPI 1609061969
  NPD (past)

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

{
    "created_epoch": "1721779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735776000000",
    "number": "1730917378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "532 W PRAIRIE ST",
            "city": "COLUMBUS",
            "state": "WI",
            "postal_code": "539251350",
            "telephone_number": "608-217-1030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "532 W PRAIRIE ST",
            "city": "COLUMBUS",
            "state": "WI",
            "postal_code": "539251350",
            "telephone_number": "608-690-8655"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1615 Delaware St",
            "address_purpose": "LOCATION",
            "city": "Longview",
            "state": "WA",
            "postal_code": "986322367",
            "country_code": "US",
            "telephone_number": "360-414-7878",
            "fax_number": "360-414-7876",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "505 NE 87th Ave Ste 320",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986641965",
            "country_code": "US",
            "telephone_number": "360-514-2550",
            "fax_number": "360-514-1927",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "505 NE 87th Ave Ste 160",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986641965",
            "country_code": "US",
            "telephone_number": "360-514-1060",
            "fax_number": "360-514-1065",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3301 Squalicum Pkwy",
            "address_purpose": "LOCATION",
            "city": "Bellingham",
            "state": "WA",
            "postal_code": "982251919",
            "country_code": "US",
            "telephone_number": "360-788-8222",
            "fax_number": "360-788-7759",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VINE",
        "first_name": "MARIA",
        "middle_name": "KATIA",
        "credential": "MS,GC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-24",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": "WI",
            "license": "1519-61",
            "primary": false
        },
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": "WA",
            "license": "GP61602945",
            "primary": false
        },
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": "OR",
            "license": "GCP-T-10245495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Tollakson
• Brianne Trevorrow, DPT
• University of Wisconsin Medical Foundation Inc
• Varsity and Company Chiropractic LLC
• Janna Sue Vice, MS CCC SLP
• Ashley C Vogel, LCSW
• Kevin R Wait, PT
• Walgreen Co (Walgreens #10396)
• John E. Walz, MD
• Jean Weigand, DNP, CRNA

• Genetic Counselor (M.S.) in Columbus, WI
• Providers in Columbus, WI by specialty
• Genetic Counselor (M.S.) in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2025; 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.