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Therapy Index US · federal registry

Therapists & Counselors in South Dakota

Psychologists, clinical social workers, counselors, marriage and family therapists and psychiatrists registered with a practice address in this area.

2,906
Registered providers
136
Places with providers
51st
National rank
of 56
12
Licence types

How density varies inside South Dakota

Each bar is the number of places at that level of provider density. A long right tail means a few places carry far more providers per resident than the rest of the state.

median 13.3 0 64.5 providers per 10,000 residents · 107 places in South Dakota
Distribution across 107 places in South Dakota.

South Dakota has 2,906 licensed providers with a registered practice address, across 12 licence types.

South Dakota ranks 51st of 56 states and territories by the number of registered providers in this field.

By licence type the breakdown is mental health counselor (756), clinical social worker (567), counselor (279), professional counselor (245), with 8 further types making up the remainder.

No single licence type dominates here — mental health counselor and clinical social worker are within reach of each other. For most common reasons to seek therapy, the distinction between those licences matters less than availability and cost.

The three largest concentrations are Sioux Falls (1,538), Rapid City (808), Aberdeen (268).

One caveat on reading these numbers: the registry records where a provider registered an address, not where they see clients day to day, and addresses are not always kept current. It also says nothing about whether someone is taking new clients.

How South Dakota got here

new registrations per year

Each registration carries the year it was issued, so the registry doubles as a record of when this workforce grew in South Dakota. A rising line means the constraint is easing; a flat one means today's shortage is likely to be next year's too.

093185200820172026
New registrations per year. licensed providers in South Dakota. Annual registrations in 2025 were 74% higher than in 2008. The final bar is faded because 2026 is still in progress. Starts at 2008 on purpose. The NPI system launched in 2006– 2007 and the whole profession registered at once, so those two years are an artefact of the rollout rather than a measure of anything. Including them would make the following year look like a collapse.

Who they are

self-reported to CMS

78.5% of registered licensed providers in South Dakota are women. Nationally the figure varies a great deal by licence type — occupational therapy at one end, psychiatry at the other. See the national breakdown.

You can filter any city list on this site by gender. We show it because it is one of the most common things people search for and, for some kinds of work, a real need — but it is only ever a filter here, never a ranking.

Where they are registered

circle size = providers in that ZIP code
The highest-count ZIP codes for licensed providers in South Dakota. Circle position is the ZIP code centroid, not a street address.

By licence type

Places in South Dakota

96 of 96 have their own page so far
Place Providers Population Per 10k
Sioux Falls 997 213,748 46.6
Rapid City 543 80,589 67.4
Yankton 198 15,816
Aberdeen 186 27,961 66.5
Watertown 126 23,736 53.1
Sturgis 113 6,922
Spearfish 88 14,154 62.2
Brookings 77 25,355 30.4
Huron 56 14,607 38.3
Pierre 55 13,848 39.7
Hot Springs 55 3,670 149.9
Mitchell 43 15,756 27.3
Winner 22 2,969 74.1
Vermillion 22 11,720 18.8
Madison 21 6,065 34.6
Ashland Heights 21
Brandon 19 11,306 16.8
Sisseton 13 2,413 53.9
Chamberlain 11 2,453 44.8
Belle Fourche 11 5,791 19.0
Tea 9 8,019 11.2
Mobridge 9 3,192 28.2
Harrisburg 9 10,405 8.6
Flandreau 9 2,396 37.6
Dakota Dunes 9
Canton 9 3,001
Pine Ridge 8
Wagner 7 1,422 49.2
Platte 7 1,230 56.9
Mission 7 1,101 63.6
Lemmon 7 1,158 60.4
Custer 7 1,803 38.8
Fort Thompson 6
Beresford 6 2,105 28.5
Summerset 5 3,030 16.5
Rosebud 5
Redfield 5 2,114 23.7
Oahe Acres 5
Lennox 5 2,657 18.8
Milbank 4 3,512 11.4
Kyle 4
Eagle Butte 4 1,269 31.5
Dell Rapids 4 3,852 10.4
Box Elder 4 13,936 2.9
Valley Springs 3 889 33.7
Piedmont 3 1,245 24.1
McLaughlin 3 551 54.4
Lower Brule 3
Wanblee 2
Plankinton 2 777 25.7
Parkston 2 1,540 13.0
North Sioux City 2 3,036 6.6
Lead 2 3,064 6.5
Hill City 2 938 21.3
Hartford 2 3,635 5.5
Groton 2 1,337 15.0
Elk Point 2 2,080 9.6
Deadwood 2 1,360 14.7
Corsica 2 564 35.5
Burke 2 590 33.9
Wessington Springs 1 753 13.3
Webster 1 1,681 5.9
Wall 1 668 15.0
Volga 1 2,458 4.1
Viborg 1 853 11.7
Vale 1
Tulare 1 206 48.5
Summit 1 276 36.2
Springfield 1 1,926 5.2
Sherman 1 77
Salem 1 1,357 7.4
Porcupine 1
Pollock 1 226 44.2
Newell 1 570 17.5
Mount Vernon 1 462 21.6
Menno 1 622
Mellette 1 194
Lesterville 1 110
Kennebec 1 282 35.5
Kadoka 1 518 19.3
Jefferson 1 448 22.3
Hudson 1 342 29.2
Gregory 1 1,250 8.0
Gettysburg 1 1,049 9.5
Garretson 1 1,174 8.5
Fort Pierre 1 2,166 4.6
De Smet 1 1,032 9.7
Colton 1 687 14.6
Colman 1 696 14.4
Clear Lake 1 1,220 8.2
Chancellor 1 322
Buffalo Gap 1 155 64.5
Blunt 1 330 30.3
Baltic 1 1,344 7.4
Aurora 1 1,286 7.8
Artesian 1 133 75.2

8 places have no per-resident figure. Those are office districts inside a larger urban area, rural towns whose practices serve a whole region, or places where most registrations share one employer's address — dividing by the resident population there produces a number that looks precise and describes nothing. The provider counts are unaffected; the test is described in the methodology.