First Step Counseling

Sioux Falls, SD

SAMHSA Verified IOP

IOP center · in Sioux Falls, SD.

Free helpline · 24/7

Need help choosing the right program?

Call helpline: +1 (205) 973-2878

Direct line to First Step Counseling: 865-465-7088

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About First Step Counseling

A private outpatient center offering comprehensive care for opioid use disorder clients with medication, therapy, and aftercare support.

Private for-profit organization. Primary focus: substance use treatment.

This listing is sourced from the SAMHSA Behavioral Health Treatment Services Locator. Data last synced: April 2026. Always verify current programs and insurance directly with the facility.

Quick Facts

Programs, populations, and payments verified via SAMHSA.

Level of care: IOP
Service settings: Outpatient, Intensive outpatient treatment, Regular outpatient treatment
Therapy approaches: Anger management, Brief intervention, Cognitive behavioral therapy, Motivational interviewing, Relapse prevention, Substance use disorder counseling, Trauma-related counseling, 12-step facilitation
Age groups: Young Adults, Adults
Facility operation: Private for-profit organization

Insurance & Payment Accepted

Verify coverage

Medicaid

Medicare

Private insurance

TRICARE / VA

Self-pay / Cash

Sliding scale

Full list from SAMHSA: Cash or self-payment

Contact & Location

Address

4320 South Louise Avenue, Sioux Falls, SD 57106

Get directions →

Facility direct line

865-465-7088

Website

www.1stepcounseling.com

Nearby context

All centers in Sioux Falls → All centers in SD →

Frequently Asked Questions

Does First Step Counseling accept Medicaid?

SAMHSA data does not list Medicaid among this facility's accepted payment types. Call 865-465-7088 directly to confirm — coverage may have changed since the last SAMHSA sync. You can also browse other SD centers that accept Medicaid.

What level of care does First Step Counseling offer?

This facility offers: IOP. Service settings include: Outpatient, Intensive outpatient treatment, Regular outpatient treatment. Primary focus: Substance use treatment.

Does First Step Counseling have specialized programs?

SAMHSA data does not list specialized populations. The facility may still offer specialty tracks — confirm directly.

What therapy methods does First Step Counseling use?

Evidence-based approaches listed with SAMHSA: Anger management, Brief intervention, Cognitive behavioral therapy, Motivational interviewing, Relapse prevention, Substance use disorder counseling, Trauma-related counseling, 12-step facilitation.

How do I start treatment at First Step Counseling?

Call the facility directly at 865-465-7088 for an intake assessment. Our free 24/7 helpline (+1 (205) 973-2878) can also help you compare programs, verify insurance, and navigate options. No physician referral is required.

Is treatment confidential?

Yes. Federal law (42 CFR Part 2) provides strict confidentiality protections for substance use treatment records — stricter than HIPAA. Records cannot be disclosed without written consent, even to family, employers, or law enforcement.

What happens when you call? (general intake process)

Most treatment centers follow a 4-step intake: (1) confidential assessment — substance history, mental health, insurance, preferences (protected by 42 CFR Part 2); (2) insurance verification — facility contacts your plan to confirm coverage and out-of-pocket costs; (3) level-of-care recommendation — clinical staff match you to detox, residential, PHP, IOP, or outpatient based on severity; (4) admission typically within 24–48 hours. Timing varies by facility and bed availability.

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Sources & References

SAMHSA — Behavioral Health Treatment Services Locator. Source of facility programs, services, and accepted payments.
SAMHSA — NSDUH, 2023.
CMS — Mental Health Parity and Addiction Equity Act (MHPAEA).
42 CFR Part 2 — Confidentiality of SUD Patient Records.

Facility data last synced: April 2026. Editorial policy.

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