Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

ROOT TO VINE THERAPY
NPI 1699507210
Counselor - Professional in Beverly, NJ

Active since August 14, 2024
644 MANOR RD, BEVERLY, NJ 08010(215) 391-6325 Get Directions Write a Review

NPPES record last updated: July 17, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 17, 2026, Aug 14, 2024 (2 updates tracked since 2024).

About Root To Vine Therapy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROOT TO VINE THERAPY (NPI 1699507210) is a healthcare organization registered as a professional in Beverly, New Jersey and active in the NPI registry since August 2024. The organization lists Jennifer Diaz, Provider/owner, as its authorized official.

NPPES Registry Identity

NPI1699507210
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameROOT TO VINE THERAPY
Location Address644 MANOR RDBeverly, NJ 08010-1057
Mailing Address644 Manor RdBeverly, NJ 08010-1057 · (609) 359-3873 · Fax (609) 375-0666
Organization SubpartNo
Authorized OfficialJennifer DiazProvider/owner · (609) 359-3873
Enumeration DateAugust 14, 2024
Last NPPES UpdateJuly 17, 20262 updates tracked since enumeration
NPPES CertifiedJuly 17, 2026
NPI 1699507210 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
644 MANOR RD, Beverly, NJ 08010

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Professional)
644 MANOR RD
BEVERLY, NJ 08010

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Root To Vine Therapy's NPI number?

The NPI number for Root To Vine Therapy is 1699507210. It was assigned to this organization in the NPPES registry on August 14, 2024.

Where is Root To Vine Therapy located?

Root To Vine Therapy is located at 644 Manor Rd, Beverly, NJ 08010. The listed phone number is (215) 391-6325.

What is Root To Vine Therapy's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Root To Vine Therapy was last updated on July 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.