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

Dr. Michael Vernon McEntire II, LPC

Individual provider General Practice Dentistry · NPI 1477623270

Dr. Michael Vernon McEntire II, LPC is a Mental Health Counselor in Payson, Arizona. Qualified in 2018, 8 years ago. Practices with Ponderosa Family Care LLC, a 12-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
8
Licensed in
AZ
In the registry since
2006
Specialties on file
2
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

404 W Aero Dr
Payson, AZ 85541-5407
Phone: (928) 474-3303
Show map & directions

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

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence LPC24138 (AZ)
General Practice Dentistry Taxonomy 1223G0001X · Licence D5674 (AZ)

Record details

NPI number1477623270
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC
Sole proprietorNo
NPI enumeratedNovember 9, 2006
Last updated in NPPESAugust 26, 2025
Certification dateAugust 26, 2025

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Ponderosa Family Care Llc — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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