Individual provider Active NPI

Trenyce Folsom-Beck

  • Behavior Technician
  • Oak Park, IL
National Provider Identifier
1104796580
Registry record updated Dec 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
42580903734F Issued in IL
Practice address
6930 Roosevelt Rd
Oak Park, IL 60304-1845
Phone
(708) 358-3000
NPI assigned
Nov 10, 2025
Sex
Female
Sole proprietor
No

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
42580903734FILMDBehavior Technician

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X 42580903734F IL Primary

Addresses

NPPES NPI Registry

Primary practice location

6930 Roosevelt Rd
Oak Park, IL 60304-1845

Mailing address

4145 S Wabash Ave Unit 2S
Chicago, IL 60653-2278
Phone (312) 702-9669

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 10, 2025.

{
    "created_epoch": "1762732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765324800000",
    "number": "1104796580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4145 S WABASH AVE UNIT 2S",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606532278",
            "telephone_number": "312-702-9669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6930 ROOSEVELT RD",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603041845",
            "telephone_number": "708-358-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOLSOM-BECK",
        "first_name": "TRENYCE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-11-10",
        "last_updated": "2025-12-10",
        "certification_date": "2025-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "IL",
            "license": "42580903734F",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.