Sadie Tanner-Pobocik, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

2025077125 Issued in MO

Practice address

12818 Tesson Ferry Rd Ste 103
Saint Louis, MO 63128-2945

Phone

(504) 655-6168

NPI assigned

Jul 17, 2024

Last updated

Sep 22, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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 MO

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

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.

• Mypathtoself Inc.

  dba Ellie Mental Health

  • Mental Health Counselor
  • Saint Louis, MO
  • NPI 1700596772
  Medicare reassignment NPD

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

{
    "created_epoch": "1721174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758499200000",
    "number": "1326886052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "246 CLAYBINE DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631225952",
            "telephone_number": "504-655-6168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12818 TESSON FERRY RD STE 103",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631282945",
            "telephone_number": "504-655-6168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANNER-POBOCIK",
        "first_name": "SADIE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-17",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MO",
            "license": "2025077125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Adele Tankersley, D.C.
• Nedra Lynn Tanksley, MSW, LCSW
• Melvin Avon Tann, ACSW, LCSW
• Deborah L Tannenbaum, MSW, LCSW
• Marilyn Kaye Tanner-Blasiar, RD
• Andrew Tanous
• Lamiya Tanovic
• Catherine Tansey, MSW, LCSW
• Maria Nguyen Tantsits, OD
• Ali Tanvir

• Mental Health Counselor in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Mental Health Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.