Arch
516 West 12th Street, Sioux Falls, SD 57104
First Step Counseling
Address: 4320 South Louise Avenue, Suite 105, Sioux Falls, SD 57106 · Map
Phone: (605) 361-1505
Website: takeyourfirststep.com
About First Step Counseling
First Step Counseling Services, which is fully approved by the State Board of Addiction and Prevention Professionals and the Department of Social Services, offers a complete program aimed at long-term recovery from alcohol and drug addiction. The center delivers personalized outpatient treatment designed to help clients recognize and change the thinking patterns and behaviors associated with addiction, with services tailored to each person’s circumstances. At First Step Counseling Services, addiction is treated as a health issue rather than a personal weakness. First Step Counseling Services provides a broad selection of support, such as individual and group counseling, assistance with 12-Step programs, educational sessions, and diagnostic assessments. To strengthen progress after treatment, the center also offers aftercare services that help clients adjust as they return to everyday life. Their overall approach combines evidence-based behavioral change methods with life skills development to support sustainable recovery. First Step Counseling Services assists people working through substance use recovery while still being able to manage their regular responsibilities. The center offers individualized counseling along with intervention and educational programs through experienced counselors. Clients may continue working, remain in their homes with their families, and follow their typical routines as they move forward in treatment.
Services reported to SAMHSA
- Levels of care
- Intensive outpatient treatment · Regular outpatient treatment
- Treatment focus
- Substance use treatment
- Opioid treatment
- Does not use MAT for opioid use disorders
- Treatment approaches
- Anger management · Brief intervention · Relapse prevention · Substance use disorder counseling · 12-step facilitation
- Education and counseling
- Substance use disorder education · Individual counseling · Group counseling
- Exclusive programs
- Specially designed program for DUI/DWI clients
- Ages accepted
- Young Adults · Adults · Seniors
- Genders accepted
- Female · Male
- Payment accepted
- Medicaid · Cash or self-payment
- Licensing and accreditation
- State substance use treatment agency
- Ownership
- Private for-profit organization
- Transitional services
- Aftercare/continuing care · Discharge Planning
- Other services
- Case management service
Facility-provided information
- Care offered
- Outpatient
- Substances treated
- Benzodiazepines · Cocaine · Drug Addiction · Ecstasy · Heroin · Methamphetamine · Opioids · Prescription Drugs · Synthetic Drugs
- Therapies
- 1-on-1 Counseling · Group Therapy · Life Skills · Psychoeducation · Relapse Prevention Counseling · Twelve Step Facilitation
- Approaches
- Evidence-Based · Individual Treatment · Strengths-Based · Twelve Step
- Who it serves
- Men · Men and Women · Women
- Aftercare
- Continuing Care · Discharge Planning · Family Follow-up Counseling · Follow-up Sessions (in-person)
- Languages
- English
Questions to ask First Step Counseling
- Is my specific plan in network, and do you need prior authorization before admission?
- How many hours a week is the outpatient or IOP schedule, and are evening groups available?
- If I need medication for opioid or alcohol use disorder, do you prescribe it or refer out?
- Is there a waitlist, and how soon can you do an assessment?
- What happens after the program ends: aftercare, alumni groups or step-down care?
Also confirm the facility is licensed by South Dakota. If you are withdrawing from alcohol or benzodiazepines, ask about medical detox; do not stop suddenly on your own.
Paying for treatment at First Step Counseling
First Step Counseling reports accepting Medicaid, Self-pay. With South Dakota Medicaid, treatment is usually covered at little or no cost, though some levels of care need prior authorization. Most private plans must cover substance use treatment on terms comparable to other medical care under federal parity law.
Distance to specialized care from Sioux Falls
Measured from the population center of Minnehaha County, using SAMHSA locator data mapped by FindRehabMap:
- Nearest medical detox: Canton, about 19 miles
- Nearest methadone clinic (OTP): Sioux Falls, about 1.6 miles (1 within 25 miles)
- Nearest buprenorphine (Suboxone) provider: Sioux Falls, about 1.6 miles (3 within 25 miles)
See the Minnehaha County treatment map, methadone clinics near Minnehaha County and Suboxone doctors near Minnehaha County.
Frequently asked questions
What services does First Step Counseling offer?
First Step Counseling reports these levels of care to SAMHSA: Outpatient, Intensive outpatient. Call to confirm current services and openings.
Does First Step Counseling accept insurance?
It reports accepting Medicaid, Self-pay. Ask whether your specific plan is in network before admission.
Where is First Step Counseling located?
4320 South Louise Avenue, Sioux Falls, SD 57106.
How far is the nearest medical detox from Sioux Falls?
From the center of Minnehaha County, the closest program offering medical detox is in Canton, about 19 miles away (straight-line), based on SAMHSA locator data mapped by FindRehabMap.
Other treatment facilities in Sioux Falls
Arch Residential Treatment Center
516 West 12th Street, Sioux Falls, SD 57104
Aspirations Sober Living Homes
2601 South Minnesota Avenue, Sioux Falls, SD 57105
Avera Addiction Care Center
6140 South Curae Lane, Sioux Falls, SD 57108
Avera McKennan Behavioral Health Ctr
4400 West 69th Street, Sioux Falls, SD 57108
Avera McKennan Hospital (BHS)
Avera Professional Plaza, Sioux Falls, SD 57105
See all 34 facilities in Sioux Falls · Residential · Outpatient · Intensive outpatient · MAT · Accepts Medicaid · Accepts Medicare
Last reviewed 2026-10-06. Facility details come from SAMHSA's FindTreatment.gov locator and facility-provided information. Confirm services, availability and payment directly with the facility.