Mario Lavell Mitchell, DSS PROFESSIONAL

Primary specialty

Intellectual & Developmental Disabilities PsychologistTaxonomy code 103TM1800X

License

261QD1600X Issued in NE

Practice address

543 N 86TH St
Omaha, NE 68114-3505

Phone

(402) 813-7110

Fax

(402) 813-7110

NPI assigned

Mar 6, 2025

Last updated

Mar 6, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1741219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772755200000",
    "number": "1417755141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "543 N 86TH ST # 68114",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681143505",
            "telephone_number": "402-813-7110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "543 N 86TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681143505",
            "telephone_number": "402-813-7110",
            "fax_number": "402-813-7110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "MARIO",
        "middle_name": "LAVELL",
        "credential": "DSS PROFESSIONAL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-03-06",
        "last_updated": "2026-03-06",
        "certification_date": "2026-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "NE",
            "license": "261QD1600X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Latrenda Shannell Mitchell
• Lauren Mitchell
• Levonn Dupree Mitchell
• Makayla Mitchell
• Makiya Raylynn Mitchell
• Marques Kamau Mitchell
• Misty M Mitchell, LMT
• Qwanisha Reyana Mitchell
• Rachel Mitchell
• Regina Venissa Mitchell, RDH

• Intellectual & Developmental Disabilities Psychologist in Omaha, NE
• Providers in Omaha, NE by specialty
• Intellectual & Developmental Disabilities Psychologist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2026; 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.