Individual provider Active NPI

Thomas William Solem, LPCC, LAC

  • Professional Counselor
  • Grand Forks, ND
National Provider Identifier
1295372001
Registry record updated Jan 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
693-7-15-277 Issued in ND
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

Updated by the provider on Jan 2, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.
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

LicenseStateTypeSpecialty
CC03258MNMDProfessional 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

Verify at the official NPI Registry.