Active NPI
Daniel William Thaxton, CRM
- Counselor
- Oregon City, OR
National Provider Identifier
1114887346
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 1010 5TH St
Oregon City, OR 97045-2444 - Phone
- (503) 594-4750
- Fax
- (971) 888-4607
- NPI assigned
- Nov 11, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | |||
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
1010 5TH St
Oregon City, OR 97045-2444
Mailing address
1010 5TH St
Oregon City, OR 97045-2444
Phone (503) 594-4750
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sober Living Oregon Recovery Center | Current | Accepting new patients |
Locations
1010 5th St
Oregon City, OR 97045
Phone (503) 594-4750
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 and National Provider Directory roles.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Oregon City, OR
- NPI 1073081881
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1762819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762819200000",
"number": "1114887346",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1010 5TH ST",
"city": "OREGON CITY",
"state": "OR",
"postal_code": "970452444",
"telephone_number": "503-594-4750",
"fax_number": "971-888-4607"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 5TH ST",
"city": "OREGON CITY",
"state": "OR",
"postal_code": "970452444",
"telephone_number": "503-594-4750",
"fax_number": "971-888-4607"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THAXTON",
"first_name": "DANIEL",
"middle_name": "WILLIAM",
"credential": "CRM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-11-11",
"last_updated": "2025-11-11",
"certification_date": "2025-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": null,
"license": null,
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oregon City, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 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.