NPIMap

Organization Active NPI

Mypathtoself Inc.

Doing business as Ellie Mental Health

  • Mental Health Counselor
  • Saint Louis, MO
National Provider Identifier
1700596772
Registry record updated May 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
MYPATHTOSELF INC.
Doing business as
Ellie Mental Health
Practice address
12810 Tesson Ferry Rd Ste 103
Saint Louis, MO 63128-2913
Phone
(314) 650-9537
NPI assigned
Dec 1, 2022
Last updated
May 16, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2025

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

Authorized official

Name
Saroni Kundu
Title
Owner
Phone
(314) 650-9537

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

12810 Tesson Ferry Rd Ste 103
Saint Louis, MO 63128-2913

Mailing address

365 Remington Way Dr
Ballwin, MO 63021-6379
Phone (314) 650-9537

Other practice location 1

12818 Tesson Ferry Rd Ste 103
Saint Louis, MO 63128-2945
Phone (314) 650-9537

Other names 1

  • Ellie Mental Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230328000977 MO Part B Supplier - Clinic/Group Practice 4082088323 Receives reassigned benefits from 20 practitioners
Practice locations: Saint Louis, MO

National Provider Directory

National Provider Directory

Locations

12810 Tesson Ferry Rd
Ste 103
Saint Louis, MO 63128
Phone (314) 650-9537

Practitioners & affiliated clinicians

Practitioners 21

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1669852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747353600000",
    "number": "1700596772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 REMINGTON WAY DR",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630216379",
            "telephone_number": "314-650-9537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12810 TESSON FERRY RD STE 103",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631282913",
            "telephone_number": "314-650-9537"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12818 Tesson Ferry Rd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631282945",
            "country_code": "US",
            "telephone_number": "314-650-9537",
            "fax_number": "314-463-0467",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MYPATHTOSELF INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-01",
        "last_updated": "2025-05-16",
        "certification_date": "2025-05-16",
        "status": "A",
        "authorized_official_last_name": "KUNDU",
        "authorized_official_first_name": "SARONI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-650-9537"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ellie Mental Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ellie Mental Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.