Active NPIIndividual provider

Kelly C Hagerstrom, MA

Counselor, Mental Health in Portsmouth, Rhode Island

NPI Number1871068304
Practice location
3047 E Main RD Ste 4, Portsmouth, RI 02871-4263
Fax
—
Last updated
October 15, 2025

Kelly Cabral Hagerstrom is a Counselor, Mental Health based in Portsmouth, RI. Kelly Cabral Hagerstrom practices in Portsmouth, RI and has the professional credentials of MA. The NPI Number for Kelly Cabral Hagerstrom is 1871068304. The current practice location address for Kelly Cabral Hagerstrom is 3047 E Main RD Ste 4, Portsmouth, RI 02871-4263 and can be reached out via phone at 401-684-1787.

Provider Profile Details

NPI Number
1871068304
Provider Name
Kelly Cabral Hagerstrom
Credential
MA
Provider Entity Type
Individual
Gender
Female
Address
3047 E Main RD Ste 4, Portsmouth, RI 02871-4263
Phone Number
401-684-1787
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
No
Other Names
Kelly Ann Cabral (Former Name)
Provider Enumeration Date
October 11, 2018
Last Update Date
October 15, 2025
Certification Date
October 15, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
3047 E Main RD Ste 4
Portsmouth, RI 02871-4263
Zip
02871-4263
Phone Number
401-684-1787
Portsmouth, RI 02871Get directions →

Provider Business Mailing Address Details

Address
3047 E Main RD Ste 4
Portsmouth, RI 02871-4263
City
Portsmouth
State
RI
Zip
02871-4263
Phone Number
401-684-1787

License Information

Taxonomy
Counselor, Mental Health · 101YM0800X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kelly C Hagerstrom, MA?

The NPI number of Kelly C Hagerstrom, MA is 1871068304. It was assigned on October 11, 2018 and is currently active in the NPPES registry.

What is the specialty of Kelly C Hagerstrom, MA?

Kelly C Hagerstrom, MA is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X).

Where does Kelly C Hagerstrom, MA practice?

The practice location is 3047 E Main RD Ste 4, Portsmouth, RI 02871-4263. The office can be reached at 401-684-1787 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1871068304 directly on the NPPES registry website.

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