MS. JESSICA DEE MAITRI LCSW
NPI 1003185745
Counselor - Mental Health in Boise, ID

Q: What is Jessica Maitri's NPI number?

The NPI number for Jessica Maitri is 1003185745. It was assigned to this individual provider in the NPPES registry on December 27, 2011.

Q: What is Jessica Maitri's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: Is Jessica Maitri enrolled in Medicare?

No. Jessica Maitri has opted out of Medicare through April 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Jessica Maitri was last updated on July 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 27, 2011Opted out of Medicare · through Apr 1, 2027

500 W IDAHO ST STE 250, BOISE, ID 83702(208) 863-8210 Get Directions Write a Review

NPPES record last updated: July 16, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Ms. Jessica Dee Maitri Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. JESSICA DEE MAITRI LCSW (NPI 1003185745) is an individual mental health provider in Boise, Idaho, licensed in Idaho (LCSW-32437) and active in the NPI registry since December 2011. She has opted out of Medicare through April 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1003185745

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameMS. JESSICA DEE MAITRICredential: LCSW

Location Address500 W IDAHO ST STE 250Boise, ID 83702-5756

Mailing AddressPo Box 1533Boise, ID 83701-1533 · (208) 863-8210

Phone(208) 863-8210

Sole ProprietorYes

Enumeration DateDecember 27, 2011

Last NPPES UpdateJuly 16, 2022

NPPES CertifiedJuly 16, 2022

✔ NPI 1003185745 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in ID · LCSW-32437

Also ListedSocial WorkerTaxonomy 104100000X · License LMSW-30582 (ID)

500 W IDAHO ST STE 250, Boise, ID 83702

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Ms. Jessica Dee Maitri Lcsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2017 through April 1, 2027.

Opt-Out Effective DateApril 1, 2017

Opt-Out In Effect ThroughApril 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JESSICA MAITRI, LCSW PLLC DBA YOTHERA LLC

Counselor (Mental Health)