Active NPI
Tahentahawi Jodie Leigh Chubb-Smith, LMHC-P
- Mental Health Counselor
- Saranac Lake, NY
National Provider Identifier
1437034675
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- P136464
- Practice address
- 159 Glenwood Dr
Saranac Lake, NY 12983-2385 - Phone
- (518) 557-4769
- NPI assigned
- Aug 7, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | P136464 | NY | Primary |
Addresses
Primary practice location
159 Glenwood Dr
Saranac Lake, NY 12983-2385
Mailing address
110 Vice Rd
Brasher Falls, NY 13613-3139
Phone (518) 651-7538
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P136464 | NY | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1754524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754524800000",
"number": "1437034675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 VICE RD",
"city": "BRASHER FALLS",
"state": "NY",
"postal_code": "136133139",
"telephone_number": "518-651-7538"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "159 GLENWOOD DR",
"city": "SARANAC LAKE",
"state": "NY",
"postal_code": "129832385",
"telephone_number": "518-557-4769"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHUBB-SMITH",
"first_name": "TAHENTAHAWI",
"middle_name": "JODIE LEIGH",
"credential": "LMHC-P",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-08-07",
"last_updated": "2025-08-07",
"certification_date": "2025-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "P136464",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saranac Lake, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.