NPIMap

Organization Active NPI

Functional Skills Group

  • Behavior Technician
  • Palos Heights, IL
National Provider Identifier
1932741733
Registry record updated Mar 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Legal business name
FUNCTIONAL SKILLS GROUP
Practice address
7808 W College Dr Ste 1NE
Palos Heights, IL 60463-1097
Phone
(773) 449-0859
Fax
(708) 398-8155
NPI assigned
Oct 13, 2019
Last updated
Mar 23, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2025

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

Authorized official

Name
Tinesha Denise JohnsonNPI 1467085753
Title
Owner
Phone
(773) 449-0859

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 9

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X
Adolescent and Children Mental Health Clinic/Center 261QM0855X
Home Health Aide 374U00000X
Community Health Worker 172V00000X
Early Intervention Provider Agency 252Y00000X
Behavior Analyst 103K00000X
In Home Supportive Care Agency 253Z00000X
Community/Behavioral Health Agency 251S00000X
Behavior Technician 106S00000X Primary

Addresses

Primary practice location

7808 W College Dr Ste 1NE
Palos Heights, IL 60463-1097

Mailing address

7808 W College Dr Ste 1NE
Palos Heights, IL 60463-1097
Phone (773) 449-0859

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 38

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 38

NPI Registry JSON

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

{
    "created_epoch": "1570924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742688000000",
    "number": "1932741733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7808 W COLLEGE DR STE 1NE",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631097",
            "telephone_number": "773-449-0859",
            "fax_number": "708-398-8155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7808 W COLLEGE DR STE 1NE",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631097",
            "telephone_number": "773-449-0859",
            "fax_number": "708-398-8155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUNCTIONAL SKILLS GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-13",
        "last_updated": "2025-03-23",
        "certification_date": "2025-03-23",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "TINESHA",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-449-0859"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palos Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 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.