Tiaraed Warrior LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

TIARAED WARRIOR LLC

Practice address

2800 E Enterprise Ave Ste 333
Appleton, WI 54913-7889

Phone

(920) 212-8927

NPI assigned

Apr 6, 2026

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Debra L Vandenboom, MAPCC LPCNPI 1043935687

Title

Owner

Phone

(262) 325-7424

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Debra L Vandenboom, MAPCC LPC

  • Mental Health Counselor
  • South Haven, MI
  • NPI 1043935687
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1775433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775433600000",
    "number": "1871434415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 OSHKOSH ST",
            "city": "NEW LONDON",
            "state": "WI",
            "postal_code": "549611633",
            "telephone_number": "262-325-7424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 E ENTERPRISE AVE STE 333",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549137889",
            "telephone_number": "920-212-8927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIARAED WARRIOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-06",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-05",
        "status": "A",
        "authorized_official_last_name": "VANDENBOOM",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "262-325-7424",
        "authorized_official_credential": "MAPCC LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline M Thomson-Ehlers, RN, BSN, MS
• Teddy Thor
• Thong P Thor, PA
• Cassidee B Thorne, MS, LPC
• Sharon Thorson, NP
• Maggie Jo Tienor, M.S., CF-SLP
• Paige Kristine Tierney, DMD
• Leann Tilden, RN,BSN,CDE
• Catherine Tilkens
• Timbercrest Dental Center, S.C.

• Adult Mental Health Clinic/Center in Appleton, WI
• Providers in Appleton, WI by specialty
• Adult Mental Health Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.