Active Wellness Group LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

ACTIVE WELLNESS GROUP LLC

Practice address

605 S Main St
Trenton, FL 32693-3236

Phone

(386) 961-9616

NPI assigned

Jan 4, 2021

Last updated

Dec 16, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kimberly Carpenter Herring, LCSWNPI 1508170838

Title

Owner

Phone

(386) 397-0696

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ashley B Watson, LCSW

  • Clinical Social Worker
  • Chiefland, FL
  • NPI 1649789645
  Medicare reassignment NPD
• Kimberly Carpenter Herring, M.S.W., L.C.S.W.

  • Clinical Social Worker
  • Trenton, FL
  • NPI 1508170838
  NPD Authorized official
• Crystal Riviere, LCSW

  • Clinical Social Worker
  • Middleburg, FL
  • NPI 1730043498
  Medicare reassignment
• Jamie Lynn Hatfield, LCSW

  • Clinical Social Worker
  • Trenton, FL
  • NPI 1124937644
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1609718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765843200000",
    "number": "1336737675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 S MAIN ST",
            "city": "TRENTON",
            "state": "FL",
            "postal_code": "326933236",
            "telephone_number": "386-961-9616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 S MAIN ST",
            "city": "TRENTON",
            "state": "FL",
            "postal_code": "326933236",
            "telephone_number": "386-961-9616"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "871 SW State Road 47",
            "address_purpose": "LOCATION",
            "city": "Lake City",
            "state": "FL",
            "postal_code": "320250433",
            "country_code": "US",
            "telephone_number": "386-961-9616",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ACTIVE WELLNESS GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-04",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A",
        "authorized_official_last_name": "HERRING",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "CARPENTER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "386-397-0696",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rana Azhan Ahmad, DDS
• Andrew Nguyen MD PA
• Andrews Healthcare Consulting
• Logan Andrews, APRN, FNP-BC
• Rebecca Hope Arrington, LMT

• Clinical Social Worker in Trenton, FL
• Providers in Trenton, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.