Active NPI
Fredrick Randal Gillum, PSY.D, LPC
- Professional Counselor
- Houston, TX
National Provider Identifier
1932684487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 76702
- Practice address
- 2656 S Loop W Ste 250
Houston, TX 77054-5645 - Phone
- (713) 337-2457
- Fax
- (713) 337-2858
- NPI assigned
- Oct 1, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 76702 | TX | Primary |
Addresses
Primary practice location
2656 S Loop W Ste 250
Houston, TX 77054-5645
Mailing address
4814 Mill Creek Dr
Baytown, TX 77521-4127
Phone (832) 597-7337
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 76702 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inspirehope Health Counseling Associates PLLC | Professional | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Professional Counselor
- Baytown, TX
- NPI 1003620717
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538352000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775174400000",
"number": "1932684487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4814 MILL CREEK DR",
"city": "BAYTOWN",
"state": "TX",
"postal_code": "775214127",
"telephone_number": "832-597-7337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2656 S LOOP W STE 250",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770545645",
"telephone_number": "713-337-2457",
"fax_number": "713-337-2858"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILLUM",
"first_name": "FREDRICK",
"middle_name": "RANDAL",
"name_prefix": "Dr.",
"credential": "PSY.D, LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-10-01",
"last_updated": "2026-04-03",
"certification_date": "2026-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "76702",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.