Jesse Leaf Maistrovich, PSYD

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

CC01058 Issued in MN

Practice address

9531 W 78TH St Ste 220
Eden Prairie, MN 55344-3863

Phone

(952) 395-3290

Fax

(952) 214-7490

NPI assigned

Oct 21, 2008

Last updated

Jun 7, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2010

Medicare assignment

May accept Medicare assignment

Group practices

Becoming Together Therapy and Wellness LLCGroup PAC ID 3678588399, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Becoming Together Therapy and Wellness LLC

  • Mental Health Counselor
  • Eden Prairie, MN
  • NPI 1285740217
  Medicare reassignment Care Compare group NPD
• Relate Inc

  dba Relate

  • Community/Behavioral Health Agency
  • Minnetonka, MN
  • NPI 1053486902
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780790400000",
    "number": "1972755114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9531 W 78TH ST STE 220",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553443863",
            "telephone_number": "952-395-3290",
            "fax_number": "952-214-7490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9531 W 78TH ST STE 220",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553443863",
            "telephone_number": "952-395-3290",
            "fax_number": "952-214-7490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAISTROVICH",
        "first_name": "JESSE",
        "middle_name": "LEAF",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-21",
        "last_updated": "2026-06-07",
        "certification_date": "2026-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "CC01058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kirsten Dynea Maher, PHARMD
• Mahlen Psychological Services LLC
• Jason Lee Mahlen, PSY. D.
• Omar Ahmad Mahmood, M.D.
• Calvin Mai, DPT
• Sarah L Mallak, PHARM.D.
• Mam Pca Inc
• Michael L Mancini, DO
• Heidi Elizabeth Mandt, PHARMD
• Viken Manjikian, M.D.

• Professional Counselor in Eden Prairie, MN
• Providers in Eden Prairie, MN by specialty
• Professional Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.