KELLY CABRAL HAGERSTROM MA
NPI 1871068304
Counselor - Mental Health in Portsmouth, RI

Active since October 11, 2018PECOS EnrolledAccepts Medicare Assignment
3047 E MAIN RD STE 4, PORTSMOUTH, RI 02871(401) 684-1787 Get Directions Write a Review

NPPES record last updated: October 15, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1871068304
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKELLY CABRAL HAGERSTROMCredential: MA
Location Address3047 E MAIN RD STE 4Portsmouth, RI 02871-4263
Mailing Address3047 E Main Rd Ste 4Portsmouth, RI 02871-4263 · (401) 684-1787
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateOctober 11, 2018
Last NPPES UpdateOctober 15, 2025
NPPES CertifiedOctober 15, 2025
NPI 1871068304 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
3047 E MAIN RD STE 4, Portsmouth, RI 02871

Other Names 1

Former Name (1)Kelly Ann Cabral

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID547752792
PECOS Enrollment IDI20251125000862
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

Social Worker (Clinical)
3047 E MAIN RD STE 4
PORTSMOUTH, RI 02871
Social Worker (Clinical)
3047 E MAIN RD STE 4
PORTSMOUTH, RI 02871
Counselor (Mental Health)
3047 E MAIN RD STE 4
PORTSMOUTH, RI 02871
Social Worker (Clinical)
3047 E MAIN RD STE 4
PORTSMOUTH, RI 02871

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.

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 9 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.