Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Mona Gay Brenneman, BSINPSYCHOLOGY

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1669506416

Mrs. Mona Gay Brenneman, BSINPSYCHOLOGY is a Mental Health Counselor in Ponca City, Oklahoma. Qualified in 2010, 16 years ago. Practices with Grand Lake Mental Health Center, Inc, a 120-clinician group and accepts Medicare assignment. Licensed in Kansas and Oklahoma.

Years since qualifying
16
Licensed in
KS, OK
In the registry since
2007
Specialties on file
4
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

407 W South Ave
Ponca City, OK 74601-6133
Phone: (580) 749-5056
Fax: (580) 215-5756
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 05910 (OK)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 00815 (KS)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 1028 (OK)
Professional Counselor Taxonomy 101YP2500X · Licence 03353 (KS)

Record details

NPI number1669506416
Entity typeIndividual (Type 1)
GenderFemale
Credentials BSINPSYCHOLOGY
Sole proprietorNo
NPI enumeratedMarch 15, 2007
Last updated in NPPESAugust 5, 2025
Certification dateAugust 5, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Grand Lake Mental Health Center, Inc. — 120 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Ponca City