NPIMap

Organization Active NPI

Progress Valley, Inc.

Doing business as Progress Valley Mens

  • Substance Abuse Rehabilitation Facility
  • Minneapolis, MN
National Provider Identifier
1518094937
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
801979-1-CDT Issued in MN
Legal business name
PROGRESS VALLEY, INC.
Doing business as
Progress Valley Mens
Practice address
3033 Garfield Ave
Minneapolis, MN 55408-2924
Phone
(612) 827-2517
NPI assigned
Feb 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 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
Substance Abuse Rehabilitation Facility 324500000X 801979-1-CDT MN Primary

Addresses

Primary practice location

3033 Garfield Ave
Minneapolis, MN 55408-2924

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
855856600OtherMNMHCP PROVIDER NUMBER

Other names 1

  • Progress Valley Mens Doing business as

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.

Locations

3033 Garfield Ave
Minneapolis, MN 55408
Phone (612) 827-2517

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778025600000",
    "number": "1518094937",
    "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": "3033 GARFIELD AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554082924",
            "telephone_number": "612-827-2517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESS VALLEY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "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": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "MN",
            "license": "801979-1-CDT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHCP PROVIDER NUMBER",
            "identifier": "855856600",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Progress Valley Mens",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.