Active NPI
Thomas William Solem, LPCC, LAC
- Professional Counselor
- Grand Forks, ND
National Provider Identifier
1295372001
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 693-7-15-277
- Practice address
- 1615 17TH Ave S
Grand Forks, ND 58201-5372 - Phone
- (701) 795-8550
- NPI assigned
- Dec 1, 2019
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | CC03258 | MN | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1662 | ND | |
| Professional Counselor | 101YP2500X | 693-7-15-277 | ND | Primary |
Addresses
Primary practice location
1615 17TH Ave S
Grand Forks, ND 58201-5372
Mailing address
1615 17TH Ave S
Grand Forks, ND 58201-5372
Phone (701) 795-8550
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Apr 1, 2024 through Apr 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CC03258 | MN | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1575158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767312000000",
"number": "1295372001",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1615 17TH AVE S",
"city": "GRAND FORKS",
"state": "ND",
"postal_code": "582015372",
"telephone_number": "701-795-8550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1615 17TH AVE S",
"city": "GRAND FORKS",
"state": "ND",
"postal_code": "582015372",
"telephone_number": "701-795-8550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOLEM",
"first_name": "THOMAS",
"middle_name": "WILLIAM",
"credential": "LPCC, LAC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-12-01",
"last_updated": "2026-01-02",
"certification_date": "2026-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MN",
"license": "CC03258",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "ND",
"license": "1662",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "ND",
"license": "693-7-15-277",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Forks, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.