Individual provider Active NPI

Traylor Disbrow, LPCA

  • Professional Counselor
  • Columbia, SC
National Provider Identifier
1871353144
Registry record updated Mar 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
8897 Issued in SC
Practice address
1911 Gadsden St Ste 204
Columbia, SC 29201-6400
Phone
(803) 254-9767
NPI assigned
Mar 21, 2024
Last updated
Mar 16, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 16, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 8897 SC Primary

Addresses

Primary practice location

1911 Gadsden St Ste 204
Columbia, SC 29201-6400

Mailing address

237 Tolbert St
Lexington, SC 29072-6621
Phone (803) 767-2120

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

LicenseStateTypeSpecialty
8897SCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Dena McKeown PastSince Mar 24, 2024 Accepting new patients

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": "1710979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773619200000",
    "number": "1871353144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "237 TOLBERT ST",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290726621",
            "telephone_number": "803-767-2120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1911 GADSDEN ST STE 204",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292016400",
            "telephone_number": "803-254-9767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DISBROW",
        "first_name": "TRAYLOR",
        "name_prefix": "Mr.",
        "credential": "LPCA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-03-21",
        "last_updated": "2026-03-16",
        "certification_date": "2026-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "8897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.