Michael Gallese

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

22226 Issued in CA

Practice address

101 S Kraemer Blvd Ste 220
Placentia, CA 92870-6110

Phone

(949) 257-2249

NPI assigned

Jan 17, 2018

Last updated

Mar 13, 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 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Evolution Healthcare Professional Counseling and Family Therapy Inc.

  dba Evolution Healthcare

  • Professional Counselor
  • Placentia, CA
  • NPI 1538014386

  Addiction (Substance Use Disorder)

  NPD Authorized official

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

{
    "created_epoch": "1516147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773360000000",
    "number": "1720596323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32158 CAMINO CAPISTRANO STE 104-802",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926753720",
            "telephone_number": "424-257-0746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S KRAEMER BLVD STE 220",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928706110",
            "telephone_number": "949-257-2249"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "32158 Camino Capistrano Ste 104-802",
            "address_purpose": "LOCATION",
            "city": "San Juan Capistrano",
            "state": "CA",
            "postal_code": "926753720",
            "country_code": "US",
            "telephone_number": "424-257-0746",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "38882 Mentor Ave",
            "address_purpose": "LOCATION",
            "city": "Willoughby",
            "state": "OH",
            "postal_code": "440947875",
            "country_code": "US",
            "telephone_number": "440-953-9999",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1207 E Fruit St",
            "address_purpose": "LOCATION",
            "city": "Santa Ana",
            "state": "CA",
            "postal_code": "927014206",
            "country_code": "US",
            "telephone_number": "516-427-0206",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GALLESE",
        "first_name": "MICHAEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-01-17",
        "last_updated": "2026-03-13",
        "certification_date": "2026-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "R1454740122",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "22226",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "22226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Chilton Gaines, PSY.D.
• Korina Gahol Galaraga, DPT
• Lilia Rose Galindo
• Jamie Gallardo
• Maria Gallardo
• Angella Kristen Galvan
• Kimberly Erin Agoncillo Galvez
• John Gambol, M.D.
• Elizabeth Garcia Luna
• Jessica Veronica Garcia Rios

• Professional Counselor in Placentia, CA
• Providers in Placentia, CA by specialty
• Professional Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 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.