Kelly Cabral Hagerstrom, MA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

3047 E Main Rd Ste 4
Portsmouth, RI 02871-4263

Phone

(401) 684-1787

NPI assigned

Oct 11, 2018

Last updated

Oct 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

Other names 1

• Kelly Ann Cabral Former name

Medicare fee-for-service enrollment

Enrolled in RI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lighthouse Counseling AssociatesGroup PAC ID 0941791644, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

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.

• Lighthouse Counseling Associates

  • Clinical Social Worker
  • Portsmouth, RI
  • NPI 1821442070
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1539216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760486400000",
    "number": "1871068304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3047 E MAIN RD STE 4",
            "city": "PORTSMOUTH",
            "state": "RI",
            "postal_code": "028714263",
            "telephone_number": "401-684-1787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3047 E MAIN RD STE 4",
            "city": "PORTSMOUTH",
            "state": "RI",
            "postal_code": "028714263",
            "telephone_number": "401-684-1787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGERSTROM",
        "first_name": "KELLY",
        "middle_name": "CABRAL",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-11",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "CABRAL",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Patrick Golden
• Nicole Graves, OT
• Olivia Gay Gullison, MED
• Aimee Halm
• Kirsten Hanrahan, LICSW
• Michaela Hanrahan, M.S. CCC-SLP
• Krista Haskell, LICSW
• Janice Ruth Hawthorne, MPH OTR/L

• Mental Health Counselor in Portsmouth, RI
• Providers in Portsmouth, RI by specialty
• Mental Health Counselor in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.