Collective for Empowered Mental Wellness

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

COLLECTIVE FOR EMPOWERED MENTAL WELLNESS

Practice address

2540 Ohio Avenue
Altamonte Springs, FL 32714

Phone

(321) 515-4914

NPI assigned

Jun 16, 2026

Organization subpart

No

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

Authorized official

Name

Alexandria Victoria Ketchersid, LCSWNPI 1881484921

Title

Owner

Phone

(321) 515-4914

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alexandria Victoria Ketchersid, LCSW

  • Clinical Social Worker
  • St Petersburg, FL
  • NPI 1881484921
  NPD Authorized official

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

{
    "created_epoch": "1781568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784160000000",
    "number": "1134054497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7901 4TH ST N STE 300",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337024399",
            "telephone_number": "321-515-4914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2540 OHIO AVENUE",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "32714",
            "telephone_number": "321-515-4914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLECTIVE FOR EMPOWERED MENTAL WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-16",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A",
        "authorized_official_last_name": "KETCHERSID",
        "authorized_official_first_name": "ALEXANDRIA",
        "authorized_official_middle_name": "VICTORIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-515-4914",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debora Lee Cole
• Addea Coleman
• Lakimberly Michelle Coleman, CRNA
• Amanda Colf
• Joan Ivette Collazo-Torres
• Kenna Victoria Colley, LMT
• Robyn Colley, OT
• Richard C. Collier
• Heidi Lyn Collins, MH24634 , CAP100128
• Bartolome E Colom, LMHC

• Clinical Social Worker in Altamonte Springs, FL
• Providers in Altamonte Springs, 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 Jul 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.