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DR. JESSE LEAF MAISTROVICH PSYD
NPI 1972755114
Counselor - Professional in Eden Prairie, MN

Active since October 21, 2008PECOS Enrolled
9531 W 78TH ST STE 220, EDEN PRAIRIE, MN 55344(952) 395-3290(952) 214-7490 Get Directions Write a Review

NPPES record last updated: June 7, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Jesse Leaf Maistrovich Psyd NPPES

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

DR. JESSE LEAF MAISTROVICH PSYD (NPI 1972755114) is an individual professional provider in Eden Prairie, Minnesota, licensed in Minnesota (CC01058) and active in the NPI registry since October 2008. He is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1972755114
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameDR. JESSE LEAF MAISTROVICHCredential: PSYD
Location Address9531 W 78TH ST STE 220Eden Prairie, MN 55344-3863
Mailing Address9531 W 78th St Ste 220Eden Prairie, MN 55344-3863 · (952) 395-3290 · Fax (952) 214-7490
Phone(952) 395-3290
Fax(952) 214-7490
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateOctober 21, 2008
Last NPPES UpdateJune 7, 2026
NPPES CertifiedJune 7, 2026
✔ NPI 1972755114 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MN · CC01058
9531 W 78TH ST STE 220, Eden Prairie, MN 55344
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jesse Leaf Maistrovich Psyd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4789154873
PECOS Enrollment IDI20260529002234
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Jesse Maistrovich reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Becoming Together Therapy And Wellness LLC
Same address
Mental Health
9531 W 78TH ST STE 220
Eden Prairie, MN 55344
  • Reassigned Medicare billing, Minnesota enrollment
  • 8 clinicians in this Medicare group
NPI 1285740217 (952) 395-3290

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 8

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

CLAIRE LOWE
Counselor (Professional)
9531 W 78TH ST STE 220
EDEN PRAIRIE, MN 55344
Hennepin County (952) 395-3290
EMILY NORBERG LPC
Counselor (Professional)
9531 W 78TH ST STE 220
EDEN PRAIRIE, MN 55344
Hennepin County (952) 395-3290
BECOMING TOGETHER THERAPY AND WELLNESS LLC
Counselor (Mental Health)
9531 W 78TH ST STE 220
EDEN PRAIRIE, MN 55344
Hennepin County (952) 395-3290
ANDREW GARBERS LMFT, LADC
Marriage & Family Therapist
9531 W 78TH ST STE 220
EDEN PRAIRIE, MN 55344
Hennepin County (612) 234-1242
ROBIN MELVILLE
Counselor (Professional)
9531 W 78TH ST STE 220
EDEN PRAIRIE, MN 55344
Hennepin County (952) 395-3290
JORDAN ANN CARLSON
Social Worker (Clinical)
9531 W 78TH ST STE 220
EDEN PRAIRIE, MN 55344
Hennepin County (612) 399-6020
KRISTEN MARY SCHMIDT-SHAY LICSW
Social Worker (Clinical)
9531 W 78TH ST STE 220
EDEN PRAIRIE, MN 55344
Hennepin County (952) 395-3290
REBEKAH A MCNATTIN LICSW
Social Worker (Clinical)
9531 W 78TH ST STE 220
EDEN PRAIRIE, MN 55344
Hennepin County (952) 395-3290

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jesse Maistrovich's NPI number?

The NPI number for Jesse Maistrovich is 1972755114. It was assigned to this individual provider in the NPPES registry on October 21, 2008.

Where is Jesse Maistrovich located?

Jesse Maistrovich practices at 9531 W 78th St Ste 220, Eden Prairie, MN 55344. The listed phone number is (952) 395-3290.

What is Jesse Maistrovich's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Jesse Maistrovich enrolled in Medicare?

Yes. Jesse Maistrovich is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jesse Maistrovich's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jesse Maistrovich reassigns Medicare benefits to Becoming Together Therapy And Wellness LLC (Eden Prairie, MN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jesse Maistrovich's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jesse Maistrovich accept?

Health plans from HealthPartners list Jesse Maistrovich as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jesse Maistrovich was last updated on June 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.