MATHILDA BULLIMORE
NPI 1053974667
Counselor in Tacoma, WA

Q: What is Mathilda Bullimore's NPI number?

The NPI number for Mathilda Bullimore is 1053974667. It was assigned to this individual provider in the NPPES registry on April 18, 2019.

Q: What is Mathilda Bullimore's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Active since April 18, 2019PECOS Enrolled

5410 N 44TH ST, TACOMA, WA 98407(253) 759-9544 Get Directions Write a Review

NPPES record last updated: August 21, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 21, 2020, Apr 18, 2019 (2 updates tracked since 2019).

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About Mathilda Bullimore NPPES

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

MATHILDA BULLIMORE (NPI 1053974667) is an individual counselor in Tacoma, Washington and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Tukwila, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1053974667

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameMATHILDA BULLIMORE

Location Address5410 N 44TH STTacoma, WA 98407-3799

Mailing Address5410 N 44th StTacoma, WA 98407-3799 · (253) 759-9544

Phone(253) 759-9544

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateApril 18, 2019

Last NPPES UpdateAugust 21, 20202 updates tracked since enumeration

NPPES CertifiedAugust 21, 2020

✔ NPI 1053974667 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X

5410 N 44TH ST, Tacoma, WA 98407

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Secondary Practice Location 1

Location 1631 Strander Blvd Ste ATukwila, WA 98188-2963 · Phone (253) 850-2500

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mathilda Bullimore is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5597266965

PECOS Enrollment IDI20250827005226

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

DAVID ANDREW RYAN

Counselor