NPIMap

Organization Active NPI

Progress Valley, Inc.

  • Substance Abuse Rehabilitation Facility
  • Richfield, MN
National Provider Identifier
1518326800
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
PROGRESS VALLEY, INC.
Practice address
308 E 78TH St
Richfield, MN 55423-4315
Phone
(612) 827-2517
Fax
(612) 827-8112
NPI assigned
Feb 16, 2016
Last updated
May 6, 2026By the provider in NPPES
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, LADCNPI 1427329143
Title
Chief Executive Officer
Phone
(952) 956-3101

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X MN Primary

Addresses

Primary practice location

308 E 78TH St
Richfield, MN 55423-4315

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.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1455580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778025600000",
    "number": "1518326800",
    "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": "308 E 78TH ST",
            "city": "RICHFIELD",
            "state": "MN",
            "postal_code": "554234315",
            "telephone_number": "612-827-2517",
            "fax_number": "612-827-8112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESS VALLEY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-16",
        "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": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richfield, 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.