Marc Konicov , LMHC
Counselor • Wakefield, MA
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Marc Konicov has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Marc Konicov, LMHC was a registered Counselor practicing in Wakefield, MA. Throughout an active medical career spanning 16 years, Marc Konicov provided care at the practice location at 16 GREEN ST until profile deactivation on 2026-02-19.
Practice Location & Contact Primary Location
16 Green St
Wakefield, MA 018803730
Specialty Benchmarks & Practice Insights
Comparative analytics for Counselor in Wakefield, MA
Practicing in Wakefield, MA (9162 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 101Y00000X
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on February 19, 2026
NPI status registered as active in NPPES database
Registered at 16 GREEN ST, WAKEFIELD, MA 018803730 (Tel: 7812451721)
Registered at 16 GREEN ST, WAKEFIELD, MA 018803730 (Tel: 7812451721)
Recorded as MARC KONICOV, LMHC
Counselor (License #4279 in MA)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
16 Green St
Wakefield, MA 018803730
Phone: 7812451721
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