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ACTIVE WELLNESS GROUP LLC
NPI 1336737675
Social Worker - Clinical in Trenton, FL

Active since January 04, 2021
605 S MAIN ST, TRENTON, FL 32693(386) 961-9616 Get Directions Write a Review

NPPES record last updated: December 16, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 16, 2025, Jan 4, 2021 (2 updates tracked since 2021).

About Active Wellness Group Llc NPPES

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

ACTIVE WELLNESS GROUP LLC (NPI 1336737675) is a healthcare organization registered as a clinical in Trenton, Florida and active in the NPI registry since January 2021. The organization maintains a secondary practice location in Lake City and lists Kimberly Carpenter Herring, Owner, as its authorized official.

NPPES Registry Identity

NPI1336737675
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameACTIVE WELLNESS GROUP LLC
Location Address605 S MAIN STTrenton, FL 32693-3236
Mailing Address605 S Main StTrenton, FL 32693-3236 · (386) 961-9616
Phone(386) 961-9616
Organization SubpartNo
Authorized OfficialKimberly Carpenter HerringOwner · (386) 397-0696
Enumeration DateJanuary 4, 2021
Last NPPES UpdateDecember 16, 20252 updates tracked since enumeration
NPPES CertifiedDecember 16, 2025
✔ NPI 1336737675 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
605 S MAIN ST, Trenton, FL 32693
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Secondary Practice Location 1

Location 1871 SW State Road 47Lake City, FL 32025-0433 · Phone (386) 961-9616

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Cigna HealthCare of Florida, Inc., Florida Blue (BlueCross BlueShield FL) and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Active Wellness Group Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Active Wellness Group LLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Kimberly Herring, M.S.W., L.C.S.W.
Clinical Social Worker
NPI 1508170838
605 S MAIN ST
Trenton, FL 32693
(386) 961-9616
✔ PECOS✔ Accepts Medicare0.5 mi
Ashley Watson, LCSW
Clinical Social Worker
NPI 1649789645
410 N MAIN ST STE 1-2
Chiefland, FL 32626
(352) 493-7274
✔ PECOS9.6 mi
Yvonne Anderson
Mental Health Counselor
NPI 1194968792
4300 SW 13TH ST
Gainesville, FL 32608
(352) 374-5600
✔ PECOS29 mi
Crystal Riviere, LCSW
Clinical Social Worker
NPI 1730043498
3292 COUNTY ROAD 220
Middleburg, FL 32068
(904) 291-5561
✔ PECOS68 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Active Wellness Group LLC's NPI number?

The NPI number for Active Wellness Group LLC is 1336737675. It was assigned to this organization in the NPPES registry on January 4, 2021.

Where is Active Wellness Group LLC located?

Active Wellness Group LLC is located at 605 S Main St, Trenton, FL 32693. The listed phone number is (386) 961-9616.

What is Active Wellness Group LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Active Wellness Group LLC enrolled in Medicare?

Yes. Active Wellness Group LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Active Wellness Group LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Active Wellness Group LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Clinical Social Worker (3) and Mental Health Counselor (1). Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Active Wellness Group LLC accept?

Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Active Wellness Group LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Active Wellness Group LLC was last updated on December 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.