Mona Gay Brenneman, BS IN PSYCHOLOGY
NPI 1669506416ActiveIndividual· Counselor, Professional· Ponca City, OK
Counselor, Professional (BS IN PSYCHOLOGY) with Grand Lake Mental Health Center, Inc., practicing in Ponca City, Oklahoma. Enrolled in Medicare as practitioner - mental health counselor.
Overview
| NPI | 1669506416 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | BS IN PSYCHOLOGY |
| Sole proprietor | No |
| NPI issued | Mar 15, 2007 |
| Last updated in NPPES | Aug 5, 2025 |
| Certified by provider | Aug 5, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | 05910 | OK |
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | 00815 | KS |
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | 1028 | OK |
| Counselor, Professional | 101YP2500X | 03353 | KS |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Mental Health Counselor (OK) |
|---|
Education and affiliations
| Graduation year | 2010 |
|---|---|
| Medicare specialty | Mental Health Counselor |
Medical group
- Grand Lake Mental Health Center, Inc.Tulsa, OK · 127 clinicians
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