Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

DR NICOLES ONLINE THERAPY, INC
NPI 1033029491
Psychologist in West Bend, WI

Active since September 09, 2026
2208 SKYLINE DR, WEST BEND, WI 53090(414) 232-7277 Get Directions Write a Review

NPPES record added: September 9, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Dr Nicoles Online Therapy, Inc NPPES

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

DR NICOLES ONLINE THERAPY, INC (NPI 1033029491), doing business as Mommas Pedestal, is a healthcare organization registered as a psychologist in West Bend, Wisconsin and active in the NPI registry since September 2026. The organization lists Nicole Smith, Owner, as its authorized official.

NPPES Registry Identity

NPI1033029491
Entity TypeOrganization
Primary Taxonomy103T00000X
Legal Business NameDR NICOLES ONLINE THERAPY, INC
Location Address2208 SKYLINE DRWest Bend, WI 53090-1143
Mailing AddressPo Box 434Slinger, WI 53086-0434 · (414) 232-7277
Organization SubpartNo
Authorized OfficialNicole SmithOwner · (414) 232-7277
Enumeration DateSeptember 9, 2026
NPPES CertifiedSeptember 9, 2026
NPI 1033029491 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
2208 SKYLINE DR, West Bend, WI 53090

Other Names 1

Doing Business AsMommas Pedestal

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

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 Dr Nicoles Online Therapy, Inc's NPI number?

The NPI number for Dr Nicoles Online Therapy, Inc is 1033029491. It was assigned to this organization in the NPPES registry on September 9, 2026. The provider is doing business as Mommas Pedestal.

Where is Dr Nicoles Online Therapy, Inc located?

Dr Nicoles Online Therapy, Inc is located at 2208 Skyline Dr, West Bend, WI 53090. The listed phone number is (414) 232-7277.

What is Dr Nicoles Online Therapy, Inc's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for Dr Nicoles Online Therapy, Inc was last updated on September 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days 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.