Substance Use Treatment in Sioux Falls, SD

First Step Counseling

What Does First Step Counseling Offer?

First Step Counseling is a substance use treatment facility at 4320 South Louise Avenue, Suite 105, Sioux Falls, South Dakota, offering intensive outpatient and outpatient treatment. It accepts Medicaid and self-pay.

Reviewed by Michael Rupe ·October 2, 2026

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

Listed in SAMHSA's FindTreatment.gov, checked October 2026. A listing is not an endorsement. Call to confirm services, openings and costs before you go.

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Treatment facility (SAMHSA listing)This facility

Types of Care at First Step Counseling

Outpatient
Intensive outpatient treatment
Regular outpatient treatment

Payment, Insurance and Help Paying

Medicaid
Cash or self-payment

Medication Treatment

Does not use MAT for opioid use disorders

Who the Program Serves

Ages: Young Adults
Ages: Adults
Ages: Seniors
Accepts: Female
Accepts: Male
Specially designed program for DUI/DWI clients

Licensing and Accreditation

State substance use treatment agency

Treatment Approaches

Anger management
Brief intervention
Relapse prevention
Substance use disorder counseling
12-step facilitation

Assessment, Recovery Support and Other Services

Comprehensive substance use assessment
Screening for substance use
Professional interventionist/educational consultant
Aftercare/continuing care
Discharge Planning
Case management service
Breathalyzer or blood alcohol testing
Drug or alcohol urine screening
TB screening
Treatment for gambling disorder
Treatment for other addiction disorder

Before you commit, confirm openings, costs and the program's state license. How to choose a rehab you can trust lists the questions to ask when you call, and addiction treatment in South Dakota lists the state's treatment agency.