KENNETH ALLEN HODEM LPCC
NPI 1770173817
Counselor - Professional in Grand Forks, ND

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YP2500X and a focus in Professional.

Active since January 22, 2021PECOS EnrolledAccepts Medicare Assignment

3674 S WASHINGTON ST, GRAND FORKS, ND 58201(701) 205-3000(701) 732-2501 Get Directions Write a Review

NPPES record last updated: January 22, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 22, 2026, Jan 22, 2021 (2 updates tracked since 2021).

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About Kenneth Allen Hodem Lpcc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENNETH ALLEN HODEM LPCC (NPI 1770173817) is an individual professional provider in Grand Forks, North Dakota, licensed in North Dakota (1109-2-15-21-556) and active in the NPI registry since January 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1770173817

Entity TypeIndividualMale

Primary Taxonomy101YP2500X

Provider Legal NameKENNETH ALLEN HODEMCredential: LPCC

Location Address3674 S WASHINGTON STGrand Forks, ND 58201-5766

Mailing AddressPo Box 5210Grand Forks, ND 58206-5210 · (701) 205-3000 · Fax (701) 732-2501

Phone(701) 205-3000

Fax(701) 732-2501

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateJanuary 22, 2021

Last NPPES UpdateJanuary 22, 20262 updates tracked since enumeration

NPPES CertifiedJanuary 22, 2026

✔ NPI 1770173817 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in ND · 1109-2-15-21-556

3674 S WASHINGTON ST, Grand Forks, ND 58201

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross Blue Shield of North Dakota, HealthPartners and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kenneth Allen Hodem Lpcc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1850744418

PECOS Enrollment IDI20240130003416, I20240515000314, I20240604000987, I20250507002489

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.