Individual provider Active NPI

Patrick Troy Gremillion, MA, LMFT, LPC, NCC

  • Marriage & Family Therapist
  • Houston, TX
National Provider Identifier
1235390014
Registry record updated Nov 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
201427 Issued in TX
Practice address
8831 Long Point Rd Ste 202
Houston, TX 77055-3010
Phone
(713) 492-5420
Fax
(832) 582-6071
NPI assigned
Jun 24, 2008
Last updated
Nov 19, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2018

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 63922 TX
Mental Health Counselor 101YM0800X 63922 TX
Professional Counselor 101YP2500X 63922 TX
Marriage & Family Therapist 106H00000X 201427 TX Primary

Addresses

Primary practice location

8831 Long Point Rd Ste 202
Houston, TX 77055-3010

Mailing address

2206 Hilshire Trail Dr
Houston, TX 77080-6040
Phone (713) 492-5420

Other practice location 1

1458 Campbell Rd
Ste. 250A
Houston, TX 77055-4669
Phone (713) 492-5420

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jul 23, 2024 through Jul 23, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
201427TXMDMarriage & Family Therapist
63922TXMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1214265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542585600000",
    "number": "1235390014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2206 HILSHIRE TRAIL DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770806040",
            "telephone_number": "713-492-5420",
            "fax_number": "832-582-6071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8831 LONG POINT RD STE 202",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770553010",
            "telephone_number": "713-492-5420",
            "fax_number": "832-582-6071"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1458 Campbell Rd",
            "address_2": "Ste. 250A",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770554669",
            "country_code": "US",
            "telephone_number": "713-492-5420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREMILLION",
        "first_name": "PATRICK",
        "middle_name": "TROY",
        "credential": "MA, LMFT, LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-24",
        "last_updated": "2018-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "63922",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "63922",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "63922",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "201427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.