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Liesl Jade Jacobs, MD

Psychiatry Physician in Moraine, OH · enumerated 2007.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1063611853

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Registry record

Entity type Individual (Type 1)
Name Liesl Jade Jacobs
Credential MD
Sex Female
Practice address 5350 Lamme Rd, Moraine, OH, 45439
Phone (937) 534-4651
Fax (937) 534-4669
Enumeration date Jul 12, 2007
Last updated in NPPES May 7, 2015

Taxonomy & licenses

2084P0800X Psychiatry Physician Allopathic & Osteopathic Physicians · License 35.097603 (OH) Primary
MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier Type State Issuer
0067987 Medicaid OH -
QMP000004762758 Other OH MOLINA
000000915098 Other OH ANTHEM

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Is NPI 1063611853 active?
Yes, as of the latest NPPES snapshot, NPI 1063611853 is active (record last updated 2015-05-07).
How do I verify Liesl Jacobs's NPI record?
Cross-check NPI 1063611853 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-05-07.