Active NPI
Sacred Roots Healing & Support Center
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Toms River, NJ
National Provider Identifier
1588575377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- SACRED ROOTS HEALING & SUPPORT CENTER
- Practice address
- 679 Batchelor St # a
Toms River, NJ 08753-6885 - Phone
- (908) 839-5507
- NPI assigned
- Sep 14, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mary Previte, LPC, NCC
- Title
- Owner
- Phone
- (908) 839-5507
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
679 Batchelor St # a
Toms River, NJ 08753-6885
Mailing address
729 Forecastle Ave
Beachwood, NJ 08722-2515
Phone (908) 839-5507
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789344000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1789344000000",
"number": "1588575377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "729 FORECASTLE AVE",
"city": "BEACHWOOD",
"state": "NJ",
"postal_code": "087222515",
"telephone_number": "908-839-5507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "679 BATCHELOR ST # A",
"city": "TOMS RIVER",
"state": "NJ",
"postal_code": "087536885",
"telephone_number": "908-839-5507"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SACRED ROOTS HEALING & SUPPORT CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-14",
"last_updated": "2026-09-14",
"certification_date": "2026-09-13",
"status": "A",
"authorized_official_last_name": "PREVITE",
"authorized_official_first_name": "MARY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "908-839-5507",
"authorized_official_credential": "LPC, NCC"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Toms River, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.