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Active NPI 1477623270 Individual Practitioner Male Practitioner

Michael Vernon Mcentire , LPC

Counselor - Professional • Payson, AZ

✓ Accepts Medicare Assignment
Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Michael Mcentire, LPC is a registered Counselor - Professional practitioner in Payson, AZ. With approximately 8 years of clinical practice since completing medical education in 2018, Michael Mcentire provides healthcare services at the registered practice location at 404 W AERO DR.

Michael Mcentire is affiliated with Ponderosa Family Care Llc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

404 W Aero Dr

Payson, AZ 855415407

Telephone 9284743303
Associated Practice Facility / Clinic
🏢 Southwest Behavioral Health Facility NPI 1427165562

Medicare Profile & Education

Medical School

Other

Graduation Year

2018

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Payson, AZ

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
8 Yrs -4.0 yrs vs City Avg
City Avg: 12.0 Yrs
State Avg: 15.4 Yrs
Regional Practice Density
6 Specialists

Practicing in Payson, AZ (3051 Statewide)

Telehealth Adoption Rate
16.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Mcentire (8 Years) 8 Yrs
Payson Specialty Average (12.0 Years) 12.0 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-08-26
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License AZ LPC24138

Definition to come...

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License AZ D5674

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Hospital & Practice Group Affiliations

Ponderosa Family Care Llc

708 S Coeur D Alene Ln, Payson, AZ 855415662

Phone: 9284688603

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Dr. Jerry Lemler , MD

Psychiatry & Neurology - Psychiatry

NPI 1588743389

Doctor of Medicine (M.D.)

Mary Jackson , LPC

Counselor - Professional

NPI 1881374684

Licensed Professional Counselor

William Neal

Counselor - Professional

NPI 1942945142

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
📍
Updated Practice Location August 26, 2025

Registered at 404 W AERO DR, PAYSON, AZ 855415407 (Tel: 9284743303)

👤
Provider Name / Credentials Updated August 26, 2025

Recorded as MICHAEL MCENTIRE, LPC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 26, 2025

Dentist (License #D5674 in AZ)

📍
Updated Practice Location June 18, 2024

Registered at 418 N BRIARWOOD RD, PAYSON, AZ 855414103 (Tel: 4808258758)

👤
Provider Name / Credentials Updated June 18, 2024

Recorded as MICHAEL MCENTIRE, DDS, LAC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 18, 2024

Counselor (License #22794 in AZ)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 300 W AIRPORT RD, PAYSON, AZ 855413607 (Tel: 9284743216)

📍
Updated Business Mailing Address July 08, 2007

Registered at 418 N BRIARWOOD RD, PAYSON, AZ 855414103 (Tel: 9284727554)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as MICHAEL MCENTIRE, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #D5674 in AZ)

🟢
Initial NPI Registration & Enumeration November 09, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1477623270
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 09, 2006
Last Update: August 26, 2025
Sole Proprietor: No

Mailing Address

418 N Briarwood Rd

Payson, AZ 855414103

Phone: 4808258758

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.