KELLY CABRAL HAGERSTROM MA
NPI 1871068304
Counselor - Mental Health in Portsmouth, RI
About Kelly Cabral Hagerstrom Ma NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLY CABRAL HAGERSTROM MA (NPI 1871068304) is an individual mental health provider in Portsmouth, Rhode Island and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kelly Cabral Hagerstrom Ma is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Kelly Hagerstrom reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Portsmouth, RI 02871
- Reassigned Medicare billing, Rhode Island enrollment
- 2 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Kelly Hagerstrom's NPI number?
The NPI number for Kelly Hagerstrom is 1871068304. It was assigned to this individual provider in the NPPES registry on October 11, 2018. The provider is also known as Kelly Ann Cabral.
Where is Kelly Hagerstrom located?
Kelly Hagerstrom practices at 3047 E Main Rd Ste 4, Portsmouth, RI 02871. The listed phone number is (401) 684-1787.
What is Kelly Hagerstrom's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Kelly Hagerstrom enrolled in Medicare?
Yes. Kelly Hagerstrom is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Kelly Hagerstrom's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Hagerstrom reassigns Medicare benefits to Lighthouse Counseling Associates (Portsmouth, RI). The 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 Kelly Hagerstrom's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kelly Hagerstrom accept?
Health plans from Harvard Pilgrim Health Care list Kelly Hagerstrom as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Kelly Hagerstrom was last updated on October 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Kelly Cabral Hagerstrom, MA · NPI 1871068304
Mental Health provider in Portsmouth, Rhode Island. Individual provider, active in the CMS NPPES registry since October 11, 2018.
## Identity
- **NPI:** 1871068304 (Entity type: Individual)
- **Enumerated:** October 11, 2018
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Sole proprietor:** No
## Practice location
- **Address:** 3047 E MAIN RD STE 4, Portsmouth, RI 02871-4263
- **Phone:** (401) 684-1787
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Lighthouse Counseling Associates (NPI 1821442070, Portsmouth, RI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** October 15, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1871068304) · Data from the CMS NPPES public registry.