4320 South Louise Avenue Suite 105, Sioux Falls, SD 57106
Our 10-point score combines licensing and accreditation, the levels of care and payment options this facility reports, and patient ratings from Google and StartDrugRehab.com reviewers. Paid or claimed listings never change a score. Read full methodology
Patient ratings use 6 Google reviews (4.3★), weighted toward a 4.0 average until there are enough reviews to be reliable.
First Step Counseling is a private substance use treatment provider in Sioux Falls, South Dakota, located at 4320 South Louise Avenue.
Levels of care offered here include intensive outpatient (IOP) and standard outpatient counseling. Clinicians use approaches such as anger management, brief intervention, relapse prevention, substance use disorder counseling, and 12-step facilitation.
Payment options include Medicaid and cash or self-payment. Coverage depends on your specific plan, so verify benefits before admission.
The program accepts young adults, adults, and seniors.
First Step Counseling is licensed or certified by the state substance use treatment agency.
Based on SAMHSA-listed programs in our directory. Rankings use the StartDrugRehab Score; facilities can't pay to change them. Distances are straight-line.
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| Licensing & accreditation | State substance use treatment agency |
|---|---|
| Ages accepted | Young Adults, Adults, Seniors |
| Operated by | Private for-profit organization |
| Exclusive services | Specially designed program for DUI/DWI clients |
Minnehaha County, SD has 11 SAMHSA-listed addiction treatment facilities for 208,639 residents. No facility in the county lists detox services, so people who need medically supervised withdrawal usually have to travel to another county first. 38 people died of a drug overdose in the county in the 12 months to March 2026 (CDC provisional data): 18.2 per 100,000 residents, compared with 9.9 statewide.
Source: StartDrugRehab Treatment Deserts 2026, built from SAMHSA FindTreatment.gov, U.S. Census 2024 population estimates and CDC overdose data. Counts are SAMHSA-listed facilities only.
First Step Counseling lists the following levels of care: intensive outpatient (IOP) and outpatient. Services can change, so confirm current programs before admission.
According to SAMHSA data, First Step Counseling accepts medicaid and cash or self-payment. Your exact coverage depends on your plan and network status. You can check your benefits with your insurer, or call (833) 589-6933 for a free benefits check.
First Step Counseling does not list detox services. If you need medically supervised withdrawal first, see detox programs or call (833) 589-6933 for help finding one.
First Step Counseling reports licensing or certification from: State substance use treatment agency.
First Step Counseling accepts young adults, adults, and seniors.
Minnehaha County, SD has 11 SAMHSA-listed treatment facilities for about 208,639 residents: 0 list detox services, 2 offer buprenorphine or methadone treatment and 3 offer 24-hour care (2026 data).
First Step Counseling is #8 of 10 ranked programs in Sioux Falls in our 2026 ranking, based on the StartDrugRehab Score (accreditation, levels of care, payment options, data completeness and patient ratings). Facilities cannot pay to change their rank.
The nearest other SAMHSA-listed programs are Counseling Resources (Sioux Falls, under 1 miles), Oxford House Oxbow (Sioux Falls, 1.3 miles), and Volunteers of America Dakotas (Sioux Falls, 1.4 miles). Distances are straight-line.
First Step Counseling has a 4.3-star rating from 6 Google reviews (as of November 2026). Ratings reflect individual experiences and are not a measure of clinical quality.
Admission usually starts with a phone screening and insurance check, followed by an assessment. You can contact First Step Counseling directly at 605-361-1505. Our admissions helpline at (833) 589-6933 can connect you with a licensed treatment provider, which may not be First Step Counseling. Our helpline is not affiliated with First Step Counseling.
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Sioux Falls, SD 57104
CARF accredited
Levels of care
Payment accepted
Medicaid · Self-pay · State-funded
“Get help” calls our free helpline, not this facility.
Sioux Falls, SD 57104
CARF accredited
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +2 more
“Get help” calls our free helpline, not this facility.
Source: SAMHSA FindTreatment.gov, data updated October 2026. Facilities report this information to SAMHSA, and it can change, so confirm details before admission. Logo courtesy of takeyourfirststep.com. A listing is not an endorsement. StartDrugRehab.com is not affiliated with First Step Counseling.
