Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1790161461 Individual Practitioner Female Practitioner

Larae Kelley , MS-SLP-CCC

Speech-Language Pathologist • Victoria, TX

Professional Overview & Biography Verified Profile Summary

Larae Kelley, MS-SLP-CCC is a registered healthcare professional specializing in Speech-Language Pathologist in Victoria, TX. Practice services are available at 4208 RETAMA CIR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4208 Retama Cir

Victoria, TX 779012765

Telephone 3615782257
Fax 3615782260
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Victoria, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 20.0 Yrs
State Avg: 14.3 Yrs
Regional Practice Density
55 Specialists

Practicing in Victoria, TX (17210 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-07-03
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License TX 111556

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

9 Associated Practitioners
Melissa Simpson , PT

Physical Therapist

NPI 1033831870

Physical Therapist

NPI 1124782487

BOARDCERTIFIEDBEH

Katlyn Urbanovsky , OTR

Occupational Therapist

NPI 1336533884

Occupational Therapist Registered

Amanda Luddeke

Speech-Language Pathologist

NPI 1558591537
Sofia Morffe , OTR

Occupational Therapist

NPI 1619396058

Occupational Therapist Registered

Kimberly Har Even , OT

Occupational Therapist

NPI 1700143823

Occupational Therapist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
👤
Provider Name / Credentials Updated July 03, 2025

Recorded as LARAE KELLEY, MS-SLP-CCC

NPI Profile Active December 14, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location December 14, 2016

Registered at 4208 RETAMA CIR, VICTORIA, TX 779012765 (Tel: 3615782257)

📍
Updated Business Mailing Address December 14, 2016

Registered at 4208 RETAMA CIR, VICTORIA, TX 779012765 (Tel: 3615782257)

👤
Provider Name / Credentials Updated December 14, 2016

Recorded as LARAE WIELAND, MS-SLP-CCC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 14, 2016

Speech-Language Pathologist (License #111556 in TX)

🟢
Initial NPI Registration & Enumeration August 05, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1790161461
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 05, 2015
Last Update: July 03, 2025
Sole Proprietor: Yes

Mailing Address

4208 Retama Cir

Victoria, TX 779012765

Phone: 3615782257

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.