Brenda B Vanamburgh, PHD

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

658 Issued in TX

Practice address

3815 Lisbon St Ste 202
Fort Worth, TX 76107-5673

Phone

(817) 738-4660

Fax

(817) 738-4773

NPI assigned

Aug 3, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1134137359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4609 FIELDCREST DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761094613",
            "telephone_number": "817-924-5016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3815 LISBON ST STE 202",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761075673",
            "telephone_number": "817-738-4660",
            "fax_number": "817-738-4773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANAMBURGH",
        "first_name": "BRENDA",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-03",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "658",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "1851",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexis Van Pelt
• Megan McBroom Van Wart, MS, ATC, LAT
• Karen Van Wyk, L.C.S.W.
• William J Van Wyk, MD PA
• Nghi Van
• Vicky Lee Vanburen
• Londa Vance, LPC-I
• Amy Vandegriff, OTR
• Leeanne Vandegriff, MSN, RN, FNP-C
• Jennifer Vandenberg, AGACNP

• Professional Counselor in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 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.

Verify at the official NPI Registry.