Organization Active NPI

Progressive Individual Resources Inc

  • Community/Behavioral Health Agency
  • Saint Paul, MN
National Provider Identifier
1801743612
Registry record updated Mar 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
PROGRESSIVE INDIVIDUAL RESOURCES INC
Practice address
220 Robert St S Ste 206
Saint Paul, MN 55107-1692
Phone
(612) 749-3309
Fax
(612) 749-3309
NPI assigned
Mar 11, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2026

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

Authorized official

Name
Dr. Richard Bolade OniNPI 1720304256
Title
Director of Services
Phone
(612) 749-3309

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

220 Robert St S Ste 206
Saint Paul, MN 55107-1692

Mailing address

2147 University Ave W Ste 206
Saint Paul, MN 55114-1327
Phone (612) 749-3309

Other practice location 1

2147 University Ave W Ste 206
Saint Paul, MN 55114-1327
Phone (612) 749-3309

National Provider Directory

National Provider Directory

Locations

2147 University Ave W
Ste 206
Saint Paul, MN 55114
Phone (612) 749-3309

Practitioners & affiliated clinicians

Practitioners 3

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": "1773187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773187200000",
    "number": "1801743612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2147 UNIVERSITY AVE W STE 206",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551141327",
            "telephone_number": "612-749-3309",
            "fax_number": "612-749-3309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 ROBERT ST S STE 206",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551071692",
            "telephone_number": "612-749-3309",
            "fax_number": "612-749-3309"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2147 University Ave W Ste 206",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "551141327",
            "country_code": "US",
            "telephone_number": "612-749-3309",
            "fax_number": "612-749-3309",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PROGRESSIVE INDIVIDUAL RESOURCES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-11",
        "last_updated": "2026-03-11",
        "certification_date": "2026-02-20",
        "status": "A",
        "authorized_official_last_name": "ONI",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "BOLADE",
        "authorized_official_title_or_position": "DIRECTOR OF SERVICES",
        "authorized_official_telephone_number": "612-749-3309",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.