MRS. KRYSTAL MARIE BOOTHE LCSW
NPI 1043488414
Social Worker - Clinical in Pasadena, CA

Active since February 19, 2008PECOS EnrolledAccepts Medicare Assignment
117 E COLORADO BLVD, PASADENA, CA 91105(661) 402-1545(661) 727-0006 Get Directions Write a Review

NPPES record last updated: April 4, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 4, 2025, Feb 25, 2020, Jun 16, 2018 and 2 more (5 updates tracked since 2016).

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 a secondary practice location in West Covina, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1043488414
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. KRYSTAL MARIE BOOTHECredential: LCSW
Location Address117 E COLORADO BLVDPasadena, CA 91105-1938
Mailing Address1308 Island Vista DrArlington, TX 76005-1375 · (310) 621-0150 · Fax (661) 727-0006
Fax(661) 727-0006
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateFebruary 19, 2008
Last NPPES UpdateApril 4, 20255 updates tracked since enumeration
NPPES CertifiedApril 4, 2025
NPI 1043488414 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in CA · LCSW71811
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
117 E COLORADO BLVD, Pasadena, CA 91105

Secondary Practice Location 1

Location 11050 LAKES DRWEST COVINA, CA 91790-2924 · Phone (310) 621-0150 · Fax (661) 727-0006

Other Identifiers 2

Other9999999999CA · Blue Cross
Medicaid99999999999999CA

Accepted Insurance

Medicare Participation & PECOS CMS

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

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.

PECOS PAC ID5991086571
PECOS Enrollment IDI20161220001977, I20250607000199
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.

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.

New Patient
$0.00 typical visit price
range $62.96 – $187.60
Typical copayment $0.00 (range $15.74 – $46.90)
Most-billed visit code NA
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

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

Counselor (Mental Health)
117 E COLORADO BLVD
PASADENA, CA 91105
Internal Medicine (Hospice and Palliative Medicine)
117 E COLORADO BLVD, SUITE 600
PASADENA, CA 91105
Marriage & Family Therapist
117 E COLORADO BLVD
PASADENA, CA 91105
Marriage & Family Therapist
117 E COLORADO BLVD
PASADENA, CA 91105
Social Worker (Clinical)
117 E COLORADO BLVD
PASADENA, CA 91105
Social Worker (Clinical)
117 E COLORADO BLVD
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.

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 4 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 April 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.