Organization Active NPI

Progressive Inspirations, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Apple Valley, MN
National Provider Identifier
1548812969
Registry record updated Dec 2, 2024
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
PROGRESSIVE INSPIRATIONS, INC.
Practice address
14843 Energy Way
Apple Valley, MN 55124-5757
Phone
(612) 385-4566
NPI assigned
Jul 15, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2024

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

Authorized official

Name
Cynthia Peterson, MA, LPNPI 1972696102
Title
Owner
Phone
(612) 385-4566

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

14843 Energy Way
Apple Valley, MN 55124-5757

Mailing address

14843 Energy Way
Apple Valley, MN 55124-5757
Phone (952) 209-1644

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240919001119 MN Part B Supplier - Clinic/Group Practice 6406397348 Receives reassigned benefits from 3 practitioners
Practice locations: Apple Valley, MN

National Provider Directory

National Provider Directory

Locations

14843 Energy Way
Saint Paul, MN 55124
Phone (952) 209-1644

Practitioners & affiliated clinicians

Practitioners 5

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": "1563148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733097600000",
    "number": "1548812969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14843 ENERGY WAY",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551245757",
            "telephone_number": "952-209-1644",
            "fax_number": "952-423-0365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14843 ENERGY WAY",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551245757",
            "telephone_number": "612-385-4566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE INSPIRATIONS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-15",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-385-4566",
        "authorized_official_credential": "MA, LP"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "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 Apple Valley, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.