Kayla Harretos

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

14477703 Issued in IN

Practice address

1415 Lincolnway W Ste M
Osceola, IN 46561-2061

Phone

(574) 675-7767

Fax

(574) 675-9344

NPI assigned

Jun 9, 2025

Last updated

Jun 15, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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.

• Theracare Inc

  dba Footprints Pediatric Inc

  • Rehabilitation Clinic/Center
  • Osceola, IN
  • NPI 1811165269

  Speech-Language Pathologist

  NPD
• Theracare Inc.

  dba Tots

  • Rehabilitation Clinic/Center
  • Fishers, IN
  • NPI 1023052339

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1749427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749945600000",
    "number": "1902790322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19601 PASADENA AVE",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466145611",
            "telephone_number": "219-742-5294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 LINCOLNWAY W STE M",
            "city": "OSCEOLA",
            "state": "IN",
            "postal_code": "465612061",
            "telephone_number": "574-675-7767",
            "fax_number": "574-675-9344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRETOS",
        "first_name": "KAYLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-09",
        "last_updated": "2025-06-15",
        "certification_date": "2025-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IN",
            "license": "14477703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meaghan F Gilroy
• Fred Goldstein, M.A. CCC-SLP
• John Maitland Graham, D.O.
• Betty Mae Guzman, LMHC
• Shawna Slone Hall, LMHC
• Cheryl Anne Harris, CNA
• Danielle Henderson, IBCLC
• Angelina Marie Hernandez, MS. ED.
• Larissa Hertzberg, LMHCA
• Elizabeth Lorna Ann Hlabse, LMHCA

• Speech-Language Pathologist in Osceola, IN
• Providers in Osceola, IN by specialty
• Speech-Language Pathologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.