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Case study · Healthcare

From 20 indexed pages to 146 in three months.

A multi-location mental health and wellness provider with a large site that Google was mostly ignoring.

~20 → 146Pages indexed by Google
~20 → 146Pages indexed by Google
+29.67%Organic traffic, 7.8K a month
694Keywords in the top 10
1.8MSearch impressions

Client name withheld for confidentiality. SEO program led by John Lester Ingeniero.

Overview

Industry
Mental health and wellness
Market
Multi-location, US
Services
Technical SEO, indexing, E-E-A-T, content
Timeframe
May to August 2026
Data
Google Search Console, rank tracking
Client
Name withheld

In health topics Google needs clear signs of expertise and trust before it ranks a page. The provider had the content, but most of it was invisible in search.

The challenge

Starting point. Only about 20 pages were indexed in mid-May. Around 720 URLs sat in Search Console as not indexed, mostly "Crawled - currently not indexed", so most pages had no chance to rank.

Google was crawling the pages but choosing not to index them. Blog bylines did not show clinical credentials, and the sitemap still needed to be submitted in Search Console.

What we did

  1. Technical and Core Web Vitals audit

    Full technical and Core Web Vitals audits, a plugin audit, and QA of lead routing and tracking before changes went live.

  2. Sitemap and Search Console

    Connected the XML sitemap, submitted it in Search Console and tracked the indexing report as fixes went live.

  3. Clinical author signals

    Blog bylines updated to the provider's licensed clinical lead, so every article shows who reviewed it and their credentials.

  4. Keyword research and content plan

    A blog strategy built around the provider's integrative approach to care, targeting the questions people search before booking.

  5. Clearing indexing failures

    Worked through the pages that failed validation as "Crawled - currently not indexed" until they passed.

Results

Google Search Console and rank tracking, May to August 2026.

  • Pages indexed by Google~20 → 146
  • Rolling 30-day impressions~500K → ~700K
  • Keywords in the top 10~580 → 694
  • Keywords in the top 50~1,000 → 1,321

Organic traffic grew 29.67% to about 7.8K visits a month. Unindexed URLs fell from about 720 toward 600, and technical errors stepped down in late July.

Rankings

Keyword tier (filtered)Keywords
Top 3192
Top 5290
Top 10694
Top 251,159
Top 501,321

Takeaway

Key lessonMore content would not have helped while Google was refusing to index what already existed. Fixing indexing and trust signals first unlocked the pages the provider already had.

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