Active NPI
Wings of the Future, NFP
- Clinical Social Worker
- Dallas, TX
National Provider Identifier
1194481556
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- WINGS OF THE FUTURE, NFP
- Practice address
- 100 Crescent CT FL 7
Dallas, TX 75201-6900 - Phone
- (214) 427-5694
- NPI assigned
- Nov 10, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Krystal Marie Boothe, LCSW
- Title
- Executive Director
- Phone
- (661) 402-1545
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary | ||
| Case Management Agency | 251B00000X | |||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | |||
| Methadone Clinic | 261QM2800X | |||
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X |
Addresses
Primary practice location
100 Crescent CT FL 7
Dallas, TX 75201-6900
Mailing address
1308 Island Vista Dr
Arlington, TX 76005-1375
Phone (214) 427-5694
Other practice location 1
633 W 5th St
Los Angeles, CA 90071-2005
Phone (661) 402-1545
Other practice location 2
1050 Lakes Dr Ste 225
West Covina, CA 91790-2910
Phone (661) 402-1545
Other practice location 3
155 N Lake Ave Fl 8
Pasadena, CA 91101-1849
Phone (661) 402-1545
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CB394408 | Other | CA | MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, CA
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
633 W 5th St
Los Angeles, CA 90071
Phone (213) 260-1286
21 Miller Aly
Ste 210
Pasadena, CA 91103
Phone (213) 290-4541
3901 Arlington Highlands Blvd
Arlington, TX 76018
Phone (281) 715-3520
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Marriage & Family Therapist
- North Hollywood, CA
- NPI 1285390872
-
- Clinical Social Worker
- Mission, TX
- NPI 1871344473
-
- Clinical Social Worker
- Newport Beach, CA
- NPI 1104343144
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1636502400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1788912000000",
"number": "1194481556",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1308 ISLAND VISTA DR",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760051375",
"telephone_number": "214-427-5694",
"fax_number": "661-727-0006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 CRESCENT CT FL 7",
"city": "DALLAS",
"state": "TX",
"postal_code": "752016900",
"telephone_number": "214-427-5694"
}
],
"practiceLocations": [
{
"address_1": "633 W 5th St",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900712005",
"country_code": "US",
"telephone_number": "661-402-1545",
"fax_number": "661-727-0006",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1050 Lakes Dr Ste 225",
"address_purpose": "LOCATION",
"city": "West Covina",
"state": "CA",
"postal_code": "917902910",
"country_code": "US",
"telephone_number": "661-402-1545",
"fax_number": "661-727-0006",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "155 N Lake Ave Fl 8",
"address_purpose": "LOCATION",
"city": "Pasadena",
"state": "CA",
"postal_code": "911011849",
"country_code": "US",
"telephone_number": "661-402-1545",
"fax_number": "661-727-0006",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "WINGS OF THE FUTURE, NFP",
"organizational_subpart": "NO",
"enumeration_date": "2021-11-10",
"last_updated": "2026-09-09",
"certification_date": "2026-09-09",
"status": "A",
"authorized_official_last_name": "BOOTHE",
"authorized_official_first_name": "KRYSTAL",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "661-402-1545",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
},
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM2800X",
"taxonomy_group": "",
"desc": "Clinic/Center, Methadone",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "CB394408",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.