Wings of the Future Consulting Private Practice

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

WINGS OF THE FUTURE CONSULTING PRIVATE PRACTICE

Practice address

117 E Colorado Blvd
Pasadena, CA 91105-1938

Phone

(661) 402-1545

Fax

(661) 727-0006

NPI assigned

Aug 4, 2021

Organization subpart

No

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

Authorized official

Name

Mrs. Krystal Marie Boothe, LCSWNPI 1043488414

Title

Ceo/Executive Director

Phone

(661) 402-1545

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 2

• Wings of the Future Consulting Private Practice Doing business as
• Wings of the Future Consulting Private Pratice Doing business as

Tax ID family

Wings of the Future Consulting Private Practice2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Wings of the Future Private Practice LCSW PC

  • Clinical Social Worker
  • Pasadena, CA
  • NPI 1144705724
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Krystal Marie Boothe, LCSW

  • Clinical Social Worker
  • Pasadena, CA
  • NPI 1043488414
  NPD Authorized official

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

{
    "created_epoch": "1628035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743724800000",
    "number": "1649944430",
    "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": "661-402-1545",
            "fax_number": "661-727-0006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 E COLORADO BLVD",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911051938",
            "telephone_number": "661-402-1545",
            "fax_number": "661-727-0006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINGS OF THE FUTURE CONSULTING PRIVATE PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-04",
        "last_updated": "2025-04-04",
        "certification_date": "2025-04-04",
        "status": "A",
        "authorized_official_last_name": "BOOTHE",
        "authorized_official_first_name": "KRYSTAL",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CEO/EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "661-402-1545",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IRS",
            "identifier": "83-2422898",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wings of the Future Consulting Private Practice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Wings of the Future Consulting Private Pratice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anna Wimsatt, CADC-CAS
• Andrea Winbush
• Eric Winegar, L.V.N
• Jason Thomas Frasier Wing
• Diann Michele Wingert, LCSW, BCD
• Wings of the Future Private Practice LCSW PC
• Tabitha Winkey
• Erika Winkler, MS, RD, CNSC, CSO
• Ashley Winter, M.D.
• Jaime Winterrose

• Clinical Social Worker in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 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.