First Step Counseling

4320 South Louise Avenue, Suite 105, Sioux Falls, South Dakota, 57106

Levels of care
Intensive Outpatient (IOP), Outpatient Rehab, Medication-Assisted Treatment (MAT) +2 more
Accreditation
State Licensed
Languages
English
Contact this center
Call 605-361-1505Visit website

In crisis? Call or text 988 (Suicide & Crisis Lifeline), or 911 for emergencies.

First Step Counseling is a state-licensed treatment provider in Sioux Falls, South Dakota, founded before 1990. It is one of a smaller number of nearby providers offering intervention services, and it uses a 12-Step approach as part of its programming. The center addresses alcohol use as well as gambling addiction, offering a setting for people whose recovery needs extend beyond substance use alone.

Care includes trauma-focused therapy, which may suit individuals whose addiction is connected to past traumatic experiences. The facility permits vaping on its premises, a detail worth noting for anyone considering their options. Together, these features describe a long-standing local counseling practice built around structured, community-based recovery methods for adults facing alcohol or gambling-related concerns.

Conditions treated

Conditions / Mental Health
Gambling Addiction
Substances Treated
Alcohol

Treatment approaches

Therapies Offered
Cognitive Behavioral (CBT)Motivational InterviewingGroup TherapyIndividual TherapyTrauma-Focused
Treatment Approaches
Evidence-Based12-StepTrauma-Informed

Who this facility serves

Who We Support
MenWomenYoung AdultsAdults
Age Groups
Young Adults (18–25)Adults (26–64)Seniors (65+)
Gender Program
Co-Ed
Languages
English

Levels of care

  • Detox
  • Inpatient
  • Residential Rehab
  • PHP / Day Treatment
  • Intensive Outpatient (IOP)
  • Outpatient Rehab
  • Medication-Assisted Treatment (MAT)
  • Dual-Diagnosis / Co-Occurring
  • Sober Living
  • Aftercare / Continuing Care
  • Virtual / Telehealth
  • In-Home Care
  • Interventions
  • Recovery Coaching
  • Concierge Treatment
  • Retreat
  • Recovery School
  • Therapeutic Boarding School

Insurance & payment

Payment options
Self-Pay / Cash

Accreditation and licensing

State Licensed

The facility

Before 1990

Admissions and policies

Smoking PermittedVaping Permitted

How this compares nearby

Among the 18 treatment centers we list within 30 miles of Sioux Falls, this is one of:

  • 4that offer Interventions
  • 6that use 12-Step

Frequently asked questions

What levels of care does First Step Counseling offer?

First Step Counseling offers Intensive Outpatient (IOP), Outpatient Rehab, Medication-Assisted Treatment (MAT), Aftercare / Continuing Care and Interventions.

What conditions does First Step Counseling treat?

First Step Counseling treats Gambling Addiction.

What therapies does First Step Counseling use?

First Step Counseling offers Cognitive Behavioral (CBT), Motivational Interviewing, Group Therapy, Individual Therapy and Trauma-Focused.

Is First Step Counseling accredited?

First Step Counseling lists accreditation from State Licensed.

Who does First Step Counseling serve?

First Step Counseling lists programmes for Men, Women, Young Adults and Adults.

Other treatment centers nearby

C

Counseling Resources

Sioux Falls, South Dakota · 0.3 mi

Aftercare / Continuing CareDual-Diagnosis / Co-OccurringMedication-Assisted Treatment (MAT)Outpatient Rehab
K

Keystone Treatment Center

Sioux Falls, South Dakota · 0.7 mi

Aftercare / Continuing CareIntensive Outpatient (IOP)Medication-Assisted Treatment (MAT)Outpatient Rehab
G

Glory House of Sioux Falls

Sioux Falls, South Dakota · 1.3 mi

Aftercare / Continuing CareDual-Diagnosis / Co-OccurringMedication-Assisted Treatment (MAT)Outpatient Rehab
S

Sands Freedom Center

Sioux Falls, South Dakota · 1.3 mi

Aftercare / Continuing CareDual-Diagnosis / Co-OccurringIntensive Outpatient (IOP)Medication-Assisted Treatment (MAT)
V

Volunteers of America Dakotas

Sioux Falls, South Dakota · 1.5 mi

Aftercare / Continuing CareDual-Diagnosis / Co-OccurringIntensive Outpatient (IOP)Medication-Assisted Treatment (MAT)

Where this information comes from

Listing details for First Step Counseling are compiled from SAMHSA National Directory of Treatment Facilities, findtreatment.gov and the facility's own website.

  • Website checked and reachable 28 July 2026
  • Name confirmed on the facility’s own website 28 July 2026
  • Address confirmed on the facility’s own website 28 July 2026
  • Phone number confirmed on the facility’s own website 28 July 2026

Record last updated 1 August 2026.

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