Organization Active NPI

Sacred Roots Healing & Support Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Toms River, NJ
National Provider Identifier
1588575377
Registry record updated Sep 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
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

Updated by the provider on Sep 14, 2026

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)CodeLicenseStatePrimary
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.

Verify at the official NPI Registry.