Kimberly Moustoukkis

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

321 Susan Dr Ste C
Normal, IL 61761-6285

Phone

(309) 455-5703

NPI assigned

Feb 24, 2016

Last updated

Nov 14, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Kimberly Ann Bielfeldt Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bridge to Hope Counseling, LLC

  • Clinical Social Worker
  • Normal, IL
  • NPI 1467925768
  NPD (past) Authorized official

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

{
    "created_epoch": "1456272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763078400000",
    "number": "1306206008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 SUSAN DR STE C",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "617616285",
            "telephone_number": "309-455-5703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 SUSAN DR STE C",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "617616285",
            "telephone_number": "309-455-5703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOUSTOUKKIS",
        "first_name": "KIMBERLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-24",
        "last_updated": "2025-11-14",
        "certification_date": "2025-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "BIELFELDT",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Coleen Moore
• Linda S Moorhead, MD
• Patrick Moraleda, RPH
• Susan Moreau, CST
• James Moreno, PHARM.D.
• Katie Terese Mueller, MS, CCC-SLP/L
• Yuya Mukaihara, ATC, CSCS
• John Munn III, MS, ATC
• Johnnie Gene Murfin
• Michele R Murray, CST

• Clinical Social Worker in Normal, IL
• Providers in Normal, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2025; 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.