About First Step Counseling Services
First Step Counseling Services in Sioux Falls, South Dakota is a locally owned outpatient addiction treatment provider serving the community since 1983.
The practice offers diagnostic evaluations, individualized counseling, intervention and education programs, outpatient drug and alcohol treatment and aftercare.
Their philosophy treats addiction as a health issue rather than a moral failing, with programming grounded in 12 step principles.
Key Features
- Levels of care: Intensive outpatient and regular outpatient treatment, along with chemical dependency evaluations and weekly aftercare programs
- Populations served: Adults, young adults, men, women and clients referred for DUI/DWI concerns
- Evidence based approaches: CBT, motivational interviewing, rational emotive behavior therapy, contingency management, trauma related counseling and relapse prevention planning
- 12 step facilitation: Programming rooted in 12 step philosophy alongside substance use education and brief intervention.
- Additional services: Group, family and couples counseling, peer support, case management, discharge planning, urine screening and treatment for gambling disorders
- Flexible scheduling: Saturday and evening classes help clients in Sioux Falls maintain work and family responsibilities while in treatment
- Referral pathways: Accepts self, court, probation/parole, case management, detention center and employer referrals
- Local roots: First Step Counseling Services has operated in Sioux Falls for more than 40 years as an independent, community based practice
- Payment options: Low cost fees based on level of care, self pay accepted, case by case payment plans and some private and military insurance options





