Where We Practice

Dr. Diane Mueller, ND, LAc, DAOM, treats Lyme disease, chronic Lyme, co-infections and mold-related illness by telehealth for residents of six states: Colorado, Wyoming, New Jersey, Pennsylvania, Texas and Wisconsin. If you live in one of those six, you can become a patient. If you do not, she is not able to take you on, and this page says so plainly rather than leaving you to find out later.

States where we practice

 Key Takeaways

  • Dr. Mueller is licensed in six states only. Care is delivered by telehealth in all six.
  • Colorado is the only state with a physical office. Everywhere else is virtual, and that is not a lesser version of care.
  • Each state has its own page covering the ticks that actually live there, the diseases they carry, and why local doctors so often miss the diagnosis.
  • Being licensed somewhere is a legal requirement, not a formality. A doctor who offers to treat you in a state they are not licensed in is a warning sign.

The six states where you can become a patient

Pick your state below. Each page covers the tick species active in that state, the tick-borne diseases reported there, and the specific reasons Lyme gets missed locally.

StateHow care is deliveredWhat that state’s page covers
ColoradoTelehealth plus a physical office in CentennialWhy Colorado doctors often say Lyme does not exist here, travel-acquired infection, Rocky Mountain wood tick, Colorado tick fever
WyomingTelehealthRural access, long distances to any specialist, Rocky Mountain wood tick, tick paralysis
New JerseyTelehealthHigh incidence, suburban and backyard exposure rather than wilderness, blacklegged tick
PennsylvaniaTelehealthAmong the highest case counts in the country, blacklegged tick saturation, the size of the undiagnosed population
TexasTelehealthA different tick profile entirely, lone star tick, alpha-gal syndrome, STARI, Lyme under-recognized locally
WisconsinTelehealthUpper-Midwest endemic hotspot, blacklegged tick, Babesia and Anaplasma co-infection region

Why a doctor can only treat you in certain states

Medical licensure is granted state by state. A clinician licensed in Colorado is not automatically permitted to diagnose or treat someone sitting in Ohio, even over video. This is why the list above is short and specific.

It is worth knowing because the chronic Lyme world has a real problem with practitioners who blur this line. If someone offers to treat your Lyme disease regardless of where you live, without ever asking your state, that tells you something about how they handle rules generally. Ask any prospective provider which states they hold a license in. A straight answer is a good sign.

What telehealth care actually looks like

Five of the six states are telehealth only. That deserves an honest description rather than reassurance.

What works well over video. Chronic Lyme and mold illness are diagnosed largely through history, symptom pattern, timeline, exposure history and laboratory testing. A long conversation and a careful review of your records is most of the work, and none of that requires being in the same room. Lab orders are sent to a draw site near you. Prescriptions go to your pharmacy.

What telehealth cannot do. A virtual visit cannot include a hands-on physical examination. If something in your case requires one, Dr. Mueller will say so and coordinate with a local clinician rather than working around it.

What you need. A private space, a reliable internet connection, and a physical address in one of the six states listed above.

Patient at home during a telehealth appointment

How the first visit works

The initial visit is $300 and runs long on purpose. Most people arriving here have seen roughly twenty specialists and have a stack of test results nobody has read together in one sitting. That review is the first appointment.

After the initial visit, ongoing care runs as an all-inclusive membership between $400 and $1,100 per month depending on the level of support your case needs. There is a full description of how to start on the booking page.

If you want to understand the clinical approach before committing to anything, the Lyme disease specialist page covers the method in detail, and types of ticks covers identification if you are still trying to work out what bit you.

Common questions

No. Dr. Mueller can only accept patients who reside in Colorado, Wyoming, New Jersey, Pennsylvania, Texas or Wisconsin. If you live elsewhere, the honest answer is that you need a Lyme-literate clinician licensed in your own state.

Where you live. Licensure follows the patient’s physical location at the time of the appointment. Plenty of patients were bitten on a trip somewhere else, and that history matters clinically, but it does not change which license applies.

No. Colorado patients can be seen virtually like everyone else. The Centennial office exists as an option, not an obligation.

Tell the practice. If you move to another of the six states, care continues without interruption. If you move outside them, you still have an option. Licensure follows where you physically are at the time of your appointment, so patients who travel into one of the six states for a visit at least once a year can continue care on that basis. If travelling is not workable for you, care transfers to a clinician licensed where you now live.

For this category of illness, the diagnostic work is history, pattern recognition and laboratory interpretation. That translates well to video. Where a physical examination genuinely matters, that gets coordinated locally rather than skipped.

State health department resources

Official sources for tick-borne disease information in each state we serve.

About the author

Written and medically reviewed by Dr. Diane Mueller, ND, LAc, DAOM. Dr. Mueller is a naturopathic doctor and licensed acupuncturist who has worked with more than 1,000 patients across the six states where she is licensed. Read more about Dr. Mueller.

Last reviewed: August 10, 2026

Medical disclaimer

This page is for general educational purposes and is not medical advice. It does not create a doctor and patient relationship, and it is not a substitute for diagnosis or treatment from your own clinician. Always talk with a qualified healthcare provider before starting, stopping, or changing any treatment. If you are experiencing a medical emergency, call 911 or go to the nearest emergency room.

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