Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kelly Cabral Hagerstrom, MA

Individual provider Mental Health Counselor · NPI 1871068304

Kelly Cabral Hagerstrom, MA is a Mental Health Counselor in Portsmouth, Rhode Island. Qualified in 2019, 7 years ago. Practices with Lighthouse Counseling Associates, a 2-clinician group and accepts Medicare assignment.

Years since qualifying
7
In the registry since
2018
What do these letters mean?
MA — Master of Arts
A graduate arts degree.

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Practice location Address checks out

3047 E Main Rd Ste 4
Portsmouth, RI 02871-4263
Phone: (401) 684-1787
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1871068304
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA
Sole proprietorNo
NPI enumeratedOctober 11, 2018
Last updated in NPPESOctober 15, 2025
Certification dateOctober 15, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Lighthouse Counseling Associates — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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