Individual provider Active NPI

Shamico Winger

  • Addiction (Substance Use Disorder) Counselor
  • Cordova, TN
National Provider Identifier
1366354425
Registry record updated Sep 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
16905 Issued in TN
Practice address
330 Freedom Woods CV
Cordova, TN 38018-1015
Phone
(901) 201-8227
NPI assigned
Sep 22, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 16905 TN Primary

Addresses

Primary practice location

330 Freedom Woods CV
Cordova, TN 38018-1015

Mailing address

330 Freedom Woods CV
Cordova, TN 38018-1015
Phone (901) 201-8227

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1790035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790035200000",
    "number": "1366354425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 FREEDOM WOODS CV",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380181015",
            "telephone_number": "901-201-8227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 FREEDOM WOODS CV",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380181015",
            "telephone_number": "901-201-8227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINGER",
        "first_name": "SHAMICO",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-22",
        "last_updated": "2026-09-22",
        "certification_date": "2026-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TN",
            "license": "16905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cordova, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.