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TEN MILE HEALTH & WELLNESS LLC
NPI 1417538281
Psychiatry & Neurology - Psychiatry in Dillon, CO

Active since April 14, 2021CLIA 06D2222537 · Waiver
114 VILLAGE PLACE, ST 207, DILLON, CO 80435(970) 455-9004(949) 577-4247 Get Directions Write a Review

NPPES record last updated: April 14, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ten Mile Health & Wellness Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TEN MILE HEALTH & WELLNESS LLC (NPI 1417538281) is a healthcare organization registered as a psychiatry in Dillon, Colorado and active in the NPI registry since April 2021. The organization holds a CLIA Waiver certificate valid through April 28, 2027 and lists Theresa Larkin Clark, President, as its authorized official.

NPPES Registry Identity

NPI1417538281
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameTEN MILE HEALTH & WELLNESS LLC
Location Address114 VILLAGE PLACE, ST 207Dillon, CO 80435
Mailing AddressPo Box 2098Dillon, CO 80435-2098 · (970) 455-9004 · Fax (949) 577-4247
Phone(970) 455-9004
Fax(949) 577-4247
Organization SubpartNo
Authorized OfficialTheresa Larkin ClarkPresident · (970) 455-9004
Enumeration DateApril 14, 2021
NPPES CertifiedApril 14, 2021
✔ NPI 1417538281 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
114 VILLAGE PLACE, Dillon, CO 80435
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Other Identifiers 1

Medicaid9000169353CO

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 06D2222537

Ten Mile Health & Wellness, LLC · Dillon, CO
Active · expires Apr 28, 2027
CLIA Number06D2222537
Laboratory TypePhysician Office
Certificate Effective DateApril 29, 2025
Certificate Expiration DateApril 28, 2027
Laboratory DirectorDr. Theresa L. Clark
Laboratory Phone(970) 455-9004
Laboratory LocationTen Mile Health & Wellness, LLC114 Village Place, Suite 207, Dillon, CO 80435
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JEFFREY B. AUTH D.C.
Chiropractor
114 VILLAGE PLACE, SUITE 201 A
DILLON, CO 80435
Summit County (970) 262-7929
JOHN M ASTHALTER DC
Chiropractor (Sports Physician)
114 VILLAGE PLACE, #302
DILLON, CO 80435
Summit County (970) 513-9234
DR. NANCY ELIZABETH TURNER D.C.
Chiropractor
114 VILLAGE PLACE, SUITE 201-A
DILLON, CO 80435
Summit County (970) 262-7929
DR. THERESA L CLARK M.D.
Psychiatry & Neurology (Psychiatry)
114 VILLAGE PLACE, ST 207
DILLON, CO 80435
Summit County (970) 455-9004
MARIANNE FITZGERALD RMT
Specialist
114 VILLAGE PLACE, SUITE 302
DILLON, CO 80435
Summit County (970) 513-9234
SUMMIT CHIROPRACTIC & REHABILITATION, P.C.
Chiropractor
114 VILLAGE PLACE, STE 302
DILLON, CO 80435
Summit County (970) 513-9234
AUTH CHIROPRACTIC CENTER INC
Chiropractor
114 VILLAGE PLACE, SUITE 201
DILLON, CO 80435
Summit County (970) 262-7929

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ten Mile Health & Wellness LLC's NPI number?

The NPI number for Ten Mile Health & Wellness LLC is 1417538281. It was assigned to this organization in the NPPES registry on April 14, 2021.

Where is Ten Mile Health & Wellness LLC located?

Ten Mile Health & Wellness LLC is located at 114 Village Place St 207, Dillon, CO 80435. The listed phone number is (970) 455-9004.

What is Ten Mile Health & Wellness LLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Does Ten Mile Health & Wellness LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 06D2222537) is associated with this NPI, valid through April 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Ten Mile Health & Wellness LLC was last updated on April 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.