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On July 31, 2012, in the Our Lady of Vladimir chapel at the [[Patriarchal Residence in Chisty Lane]], he was nominated Bishop of Zaraisk, vicar of the Moscow Oblast Diocese. The nomination ceremony was headed by [[Patriarch Kirill of Moscow]]<ref>{{cite web|title=Предстоятель Русской Церкви возглавил наречение архимандрита Питирима (Творогова) во епископа Душанбинского и Таджикистанского, архимандрита Константина (Островского) во епископа Зарайского и архимандрита Иннокентия (Ветрова) во епископа Мариинского и Юргинского|url=http://www.patriarchia.ru/db/text/2377252.html|website=Патриархия.ru|date=2012-07-31|access-date=2012-08-12|archive-date=2012-08-02|archive-url=https://web.archive.org/web/20120802022250/http://www.patriarchia.ru/db/text/2377252.html|url-status=live}}</ref>.
On August 12, 2012, in the newly consecrated Church of the Three Saints at the Kolomna Theological Seminary, he was consecrated Bishop of Zaraisk, vicar of the Moscow Oblast Diocese. The consecration was performed by: Patriarch Kirill of Moscow and All Russia, Metropolitan Juvenal (Poyarkov) of Krutitsy and Kolomna, Metropolitan [[Barsanuphius Sudakov|Barsanuphius (Sudakov)]] of Saransk and Mordovia, Archbishop [[Gregory (Chirkov)]] of Mozhaisk, Archbishop Eugene (Reshetnikov) of Vereya, Bishop [[Sergius (Chashin)]] of Solnechnogorsk<ref>{{cite web |title=Святейший Патриарх Кирилл совершил Литургию в новоосвященном храме Коломенской духовной семинарии и возглавил хиротонию архимандрита Константина (Островского) во епископа Зарайского |url=http://www.patriarhia.ru/db/text/2398101.html |website=Патриархия.ru |date=2012-08-12}}</ref>.
In December 2012, he was appointed a member of the Diocesan Council of the Moscow Oblast Diocese.
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