Individual provider · Type 1 NPI

Mackenzie N. Mosera Derby, MAT, MS, MPH, LCGC

Genetic Counselor (M.S.) · Madison, WI

NPI number 1275186090 Active

Practice location

600 Highland Ave
Madison, WI 53792-0005

Specialties and licenses

TaxonomyCodeLicense
Genetic Counselor (M.S.) Primary 170300000X1619-61 (WI)
Genetic Counselor (M.S.) 170300000X313 (TN)
Genetic Counselor (M.S.) 170300000X246.011182 (IL)

Genetic Counselor (M.S.): A masters trained health care provider who collects and interprets genetic family histories; assesses the risk of disease occurrence or recurrence; identifies interventions to manage or ameliorate disease risk; educates about inheritance, testing, management, prevention, ethical issues, resources, and research; and counsels to promote informed choices and adaptation. Certification was established in 1993 by the Amer…

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About NPI 1275186090

Mackenzie N. Mosera Derby, MAT, MS, MPH, LCGC's National Provider Identifier is 1275186090, issued on Jul 21, 2019. The primary taxonomy on file is Genetic Counselor (M.S.) (170300000X), and the practice location is in Madison, WI. The record was last updated on Sep 1, 2026.