COLLECTIVE FOR EMPOWERED MENTAL WELLNESS
NPI 1134054497
Social Worker - Clinical in Altamonte Springs, FL

Q: What is Collective For Empowered Mental Wellness's specialty?

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

Active since June 16, 2026

2540 OHIO AVENUE, ALTAMONTE SPRINGS, FL 32714(321) 515-4914 Get Directions Write a Review

NPPES record last updated: July 16, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Collective For Empowered Mental Wellness NPPES

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

COLLECTIVE FOR EMPOWERED MENTAL WELLNESS (NPI 1134054497) is a healthcare organization registered as a clinical in Altamonte Springs, Florida and active in the NPI registry since June 2026. The organization lists Alexandria Victoria Ketchersid, Owner, as its authorized official.

NPPES Registry Identity

NPI1134054497

Entity TypeOrganization

Primary Taxonomy1041C0700X

Legal Business NameCOLLECTIVE FOR EMPOWERED MENTAL WELLNESS

Location Address2540 OHIO AVENUEAltamonte Springs, FL 32714

Mailing Address7901 4th St N Ste 300St Petersburg, FL 33702-4399 · (321) 515-4914

Phone(321) 515-4914

Organization SubpartNo

Authorized OfficialAlexandria Victoria KetchersidOwner · (321) 515-4914

Enumeration DateJune 16, 2026

Last NPPES UpdateJuly 16, 2026

NPPES CertifiedJuly 16, 2026

✔ NPI 1134054497 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.

2540 OHIO AVENUE, Altamonte Springs, FL 32714

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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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Collective For Empowered Mental Wellness is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Collective For Empowered Mental Wellness, which bills Medicare for the services this clinician delivers.

Clinician (1)

Alexandria Ketchersid, LCSW

Clinical Social Worker

NPI 1881484921

7901 4TH ST N STE 300
St Petersburg, FL 33702

(321) 515-4914

✔ PECOS✔ Accepts Medicare93 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 Collective For Empowered Mental Wellness's NPI number?

The NPI number for Collective For Empowered Mental Wellness is 1134054497. It was assigned to this organization in the NPPES registry on June 16, 2026.

Where is Collective For Empowered Mental Wellness located?

Collective For Empowered Mental Wellness is located at 2540 Ohio Avenue, Altamonte Springs, FL 32714. The listed phone number is (321) 515-4914.

What is Collective For Empowered Mental Wellness's specialty?

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

Is Collective For Empowered Mental Wellness enrolled in Medicare?

Yes. Collective For Empowered Mental Wellness is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Collective For Empowered Mental Wellness?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Collective For Empowered Mental Wellness. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Collective For Empowered Mental Wellness was last updated on July 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.