MRS. MONA GAY BRENNEMAN BS IN PSYCHOLOGY
NPI 1669506416
Counselor - Professional in Ponca City, OK

Q: 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.

Q: What is Mona Brenneman's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: 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 12 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.

Active since March 15, 2007PECOS EnrolledAccepts Medicare Assignment

407 W SOUTH AVE, PONCA CITY, OK 74601(580) 749-5056(580) 215-5756 Get Directions Write a Review

NPPES record last updated: August 5, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 5, 2025, Jan 11, 2023 (2 updates tracked since 2023).

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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

NPI1669506416

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameMRS. MONA GAY BRENNEMANCredential: BS IN PSYCHOLOGY

Location Address407 W SOUTH AVEPonca City, OK 74601-6133

Mailing Address407 W South AvePonca City, OK 74601-6133 · (580) 749-5056 · Fax (580) 215-5756

Phone(580) 749-5056

Fax(580) 215-5756

Sole ProprietorNo

Medical School CMSOtherGraduated 2010

Enumeration DateMarch 15, 2007

Last NPPES UpdateAugust 5, 20252 updates tracked since enumeration

NPPES CertifiedAugust 5, 2025

✔ NPI 1669506416 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

Licenses✔ Licensed in OK · 05910✔ Licensed in KS · 03353

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 00815 (KS), 1028 (OK)

407 W SOUTH AVE, Ponca City, OK 74601

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID7214468412

PECOS Enrollment IDI20240929000091

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

HEATHER DANIEL

Case Manager/Care Coordinator