MRS. MONA GAY BRENNEMAN BS IN PSYCHOLOGY
NPI 1669506416
Counselor - Professional in Ponca City, OK
About Mrs. Mona Gay Brenneman Bs In Psychology NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. MONA GAY BRENNEMAN BS IN PSYCHOLOGY (NPI 1669506416) is an individual professional provider in Ponca City, Oklahoma, licensed in Oklahoma (05910) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2010).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mrs. Mona Gay Brenneman Bs In Psychology is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Mona Brenneman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Ponca City, OK 74601
- Reassigned Medicare billing, Oklahoma enrollment
- 333 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PONCA CITY, OK 74601
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Mona Brenneman's NPI number?
The NPI number for Mona Brenneman is 1669506416. It was assigned to this individual provider in the NPPES registry on March 15, 2007.
Where is Mona Brenneman located?
Mona Brenneman practices at 407 W South Ave, Ponca City, OK 74601. The listed phone number is (580) 749-5056.
What is Mona Brenneman's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Mona Brenneman enrolled in Medicare?
Yes. Mona Brenneman is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Mona Brenneman's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mona Brenneman reassigns Medicare benefits to Grand Lake Mental Health Center Inc (Ponca City, OK). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mona Brenneman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Mona Brenneman was last updated on August 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mrs. Mona Gay Brenneman, BS IN PSYCHOLOGY · NPI 1669506416
Professional provider in Ponca City, Oklahoma. Individual provider, active in the CMS NPPES registry since March 15, 2007.
## Identity
- **NPI:** 1669506416 (Entity type: Individual)
- **Enumerated:** March 15, 2007
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 05910 (Oklahoma)
- **Sole proprietor:** No
## Practice location
- **Address:** 407 W SOUTH AVE, Ponca City, OK 74601-6133
- **Phone:** (580) 749-5056 · **Fax:** (580) 215-5756
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Grand Lake Mental Health Center Inc (NPI 1356981138, Ponca City, OK), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2010
## Record status
- **NPPES last updated:** August 5, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1669506416) · Data from the CMS NPPES public registry.