NPIMap

Organization Active NPI

Progress Valley, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bloomington, MN
National Provider Identifier
1356117964
Registry record updated May 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
PROGRESS VALLEY, INC.
Practice address
1100 E 80TH St
Bloomington, MN 55420-1426
Phone
(952) 956-3100
Fax
(612) 869-3225
NPI assigned
Nov 27, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2026

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

Authorized official

Name
Dr. Jared Bostrom, DMFT,LMFT, LADC
Title
Chief Executive Officer
Phone
(952) 956-3101

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

1100 E 80TH St
Bloomington, MN 55420-1426

Mailing address

1100 E 80TH St
Bloomington, MN 55420-1426
Phone (952) 956-3100

National Provider Directory

National Provider Directory
Tax ID family
Progress Valley Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1701043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777939200000",
    "number": "1356117964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 E 80TH ST",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554201426",
            "telephone_number": "952-956-3100",
            "fax_number": "612-869-3225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 E 80TH ST",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554201426",
            "telephone_number": "952-956-3100",
            "fax_number": "612-869-3225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESS VALLEY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-27",
        "last_updated": "2026-05-05",
        "certification_date": "2026-05-05",
        "status": "A",
        "authorized_official_last_name": "BOSTROM",
        "authorized_official_first_name": "JARED",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "952-956-3101",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMFT,LMFT, LADC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.

Verify at the official NPI Registry.