Shama Ticshera Winston-Ford, MS,LPC-A

Primary specialty

CounselorTaxonomy code 101Y00000X

License

8130 Issued in SC

Practice address

1917 Snow Goose Cir
Goose Creek, SC 29445-6688

Phone

(843) 437-2836

NPI assigned

Jan 29, 2024

Last updated

Jun 25, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

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  • NPI 1801355482

  SC

  Medicare reassignment NPD
• Disruptive Thinking Counseling LLC

  • Mental Health Counselor
  • Charleston, SC
  • NPI 1568343515
  NPD (past) Authorized official

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

{
    "created_epoch": "1706486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782345600000",
    "number": "1215799721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1917 SNOW GOOSE CIR",
            "city": "GOOSE CREEK",
            "state": "SC",
            "postal_code": "294456688",
            "telephone_number": "843-437-2836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1917 SNOW GOOSE CIR",
            "city": "GOOSE CREEK",
            "state": "SC",
            "postal_code": "294456688",
            "telephone_number": "843-437-2836"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "45 Moultrie St",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "SC",
            "postal_code": "294034132",
            "country_code": "US",
            "telephone_number": "843-437-2836",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WINSTON-FORD",
        "first_name": "SHAMA",
        "middle_name": "TICSHERA",
        "credential": "MS,LPC-A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-29",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "SC",
            "license": "8130",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob F Wilson, RBT
• Leonard Leon Wilson Jr., NP-C
• Melissa Wilson
• Christopher William Wimberly, MD
• Jason Winkler, M.D.
• Andrea Louise Wojnarski, PHARM D
• Jasper Dean Wolfe, PHARMD
• Lisa Sylvester Wong, MS
• Sharon Trevelle Woodrum, PHARM.D.
• Kelly Wooten, PTA

• Counselor in Goose Creek, SC
• Providers in Goose Creek, SC by specialty
• Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.