Active NPI
Miguel Cezares Hernandez, PSS
- Peer Specialist
- Klamath Falls, OR
National Provider Identifier
1952271421
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- License
- 115358
- Practice address
- 905 Main St Ste 200B
Klamath Falls, OR 97601-6066 - Phone
- (541) 887-0751
- NPI assigned
- Nov 10, 2025
- Last updated
- Nov 10, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | 115358 | OR | Primary |
Addresses
Primary practice location
905 Main St Ste 200B
Klamath Falls, OR 97601-6066
Mailing address
3818 Mazama Dr
Klamath Falls, OR 97603-7925
Phone (541) 810-3780
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 115358 | OR | MD | Peer Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healing Minds LLC | Single Specialty | Current | Accepting new patients |
Locations
905 Main St
Ste 200B
Klamath Falls, OR 97601
Phone (541) 887-0751
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1762732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762732800000",
"number": "1952271421",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3818 MAZAMA DR",
"city": "KLAMATH FALLS",
"state": "OR",
"postal_code": "976037925",
"telephone_number": "541-810-3780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "905 MAIN ST STE 200B",
"city": "KLAMATH FALLS",
"state": "OR",
"postal_code": "976016066",
"telephone_number": "541-887-0751"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CEZARES HERNANDEZ",
"first_name": "MIGUEL",
"credential": "PSS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-11-10",
"last_updated": "2025-11-10",
"certification_date": "2025-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "OR",
"license": "115358",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Klamath Falls, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.