Larae Kelley, MS-SLP-CCC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

111556 Issued in TX

Practice address

4208 Retama Cir
Victoria, TX 77901-2765

Phone

(361) 578-2257

Fax

(361) 578-2260

NPI assigned

Aug 5, 2015

Last updated

Jul 3, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Larae Wieland Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Building Kid Steps, LLC

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Victoria, TX
  • NPI 1811327109

  Speech-Language Pathologist

  NPD

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

{
    "created_epoch": "1438732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751500800000",
    "number": "1790161461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4208 RETAMA CIR",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779012765",
            "telephone_number": "361-578-2257",
            "fax_number": "361-578-2260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4208 RETAMA CIR",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779012765",
            "telephone_number": "361-578-2257",
            "fax_number": "361-578-2260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "LARAE",
        "credential": "MS-SLP-CCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-05",
        "last_updated": "2025-07-03",
        "certification_date": "2025-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "111556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LARAE",
            "last_name": "WIELAND",
            "credential": "MS-SLP-CCC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kalpesh P Bhesaniya MD PA
• Kapil Kashyap, M.D.
• Harneet Kaur, MD
• KDS Industries Inc. (Coastal Builders Associates)
• Josephine Elizabeth Kee-Rees, D.MIN, LMFT
• Ashton Kelly, DPT
• Bonnie Kelly
• Linda Ruth Kelly, LPC
• Mark Ryan Kelly, LPC, LCDC
• Brenda Ann Kelsey, RN

• Speech-Language Pathologist in Victoria, TX
• Providers in Victoria, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2025; 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.