MRS. MONA GAY BRENNEMAN BS IN PSYCHOLOGY NPI 1669506416

NPI Information

  • NPI: 1669506416
  • Provider Name: MRS. MONA GAY BRENNEMAN, BS IN PSYCHOLOGY
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 407 W SOUTH AVE
    PONCA CITY, OK
    ZIP 74601
  • Phone: (580) 749-5056

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NPI Details

MRS. Mona Gay Brenneman, BS IN PSYCHOLOGY is a professional counselor in Ponca City, OK with 16 years of experience. MRS. Mona Gay Brenneman, BS IN PSYCHOLOGY NPI is 1669506416. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

407 W SOUTH AVE
PONCA CITY, OK
ZIP 74601-133
Phone: (580) 749-5056
Fax: (580) 215-5756

The NPI 1669506416 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 3/15/2007 and was last updated on 8/5/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)00815KANSASNo
2101YA0400XCounselorAddiction (Substance Use Disorder)1028OKLAHOMANo
3101YP2500XCounselorProfessional03353KANSASNo
4101YP2500XCounselorProfessional05910OKLAHOMAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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