MRS. KRYSTAL MARIE BOOTHE LCSW
NPI 1043488414
Social Worker - Clinical in Pasadena, CA
About Mrs. Krystal Marie Boothe Lcsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. KRYSTAL MARIE BOOTHE LCSW (NPI 1043488414) is an individual clinical provider in Pasadena, California, licensed in California (LCSW71811) and active in the NPI registry since February 2008. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2011).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mrs. Krystal Marie Boothe Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Krystal Boothe reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Dallas, TX 75201
- Reassigned Medicare billing, California and Texas enrollments
- 3 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 91105 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PASADENA, CA 91105
PASADENA, CA 91105
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 Krystal Boothe's NPI number?
The NPI number for Krystal Boothe is 1043488414. It was assigned to this individual provider in the NPPES registry on February 19, 2008.
Where is Krystal Boothe located?
Krystal Boothe practices at 117 E Colorado Blvd, Pasadena, CA 91105. The listed phone number is (661) 402-1545.
What is Krystal Boothe's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Krystal Boothe enrolled in Medicare?
Yes. Krystal Boothe is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Krystal Boothe's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Krystal Boothe reassigns Medicare benefits to Wings Of The Future, Nfp (Dallas, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Krystal Boothe's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Krystal Boothe accept?
Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 6 other insurers list Krystal Boothe as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Krystal Boothe was last updated on September 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 45 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.
# Mrs. Krystal Marie Boothe, LCSW · NPI 1043488414
Clinical provider in Pasadena, California. Individual provider, active in the CMS NPPES registry since February 19, 2008.
## Identity
- **NPI:** 1043488414 (Entity type: Individual)
- **Enumerated:** February 19, 2008
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** LCSW71811 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 117 E COLORADO BLVD, Pasadena, CA 91105-1938
- **Phone:** (661) 402-1545 · **Fax:** (661) 727-0006
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Wings Of The Future, Nfp (NPI 1194481556, Dallas, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2011
## Record status
- **NPPES last updated:** September 16, 2026
- **Other identifiers:** Other 9999999999 (CA); Medicaid 99999999999999 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1043488414) · Data from the CMS NPPES public registry.