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About

West River Mental Health is a nonprofit mental health care provider serving the Black Hills region, with headquarters in Rapid City, SD. Key points: - Services: Counseling for individuals and families; broader mental health care including case management and related support. - Scale: Largest, advanced community mental health facility in Western South Dakota; about 31 employees ( grew ~15% year over year) and annual revenue in the $5M–$10M range. - History & Presence: Founded in 1948; operates 7 offices across South Dakota, including Rapid City (HQ) and Spearfish, Hot Springs. - Contact & Access: Main phone lines and multiple local addresses listed for rapid access to services and offices. - Organization: Private nonprofit; aligned with Behavior Management Systems (aliases include BMS Cares); targeted careers in mental health care. If you’re seeking counseling services in Rapid City, West River Mental Health provides individual and family counseling through a regional network of offices.

Clinic Type

Mental Health Counseling

Address

Pivot Point, 308 Quincy Street, Rapid City, SD 57701; 111 North Street, Rapid City, SD 57701; 350 Elk Street, Rapid City, SD 57701; Northern Hills / Spearfish, 623 Dahl Road, Spearfish, SD 57783; Southern Hills / Hot Springs, 647 5th Street, Hot Springs, SD 57747

Phone

605-391-4863; 605-343-0650; 605-343-7262; 605-745-6222

Email

DSSBH@state.sd.us

Opening Hours

Not published — contact the clinic to confirm hours.

Emergency Care

Pivot Point emergency services

Services Offered

  • mental health services
  • substance use disorder services
  • counseling services
  • psychiatric and medication management
  • assertive-community-treatment
  • case management
  • children and family services
  • emergency services
  • inpatient addiction services
  • pivot point emergency services
  • online bill pay

Insurance & Payment

Insurance, Self-pay

Languages Spoken

FAQs

What services does West River Mental Health provide?

Mental health, addiction, and counseling services for adults, children, and families.

Where are the locations?

Pivot Point: 308 Quincy Street, Rapid City; other Rapid City addresses include 111 North Street and 350 Elk Street; Northern Hills/Spearfish: 623 Dahl Road, Spearfish; Southern Hills/Hot Springs: 647 5th Street, Hot Springs.

Photos

What Patients Say

Overall sentiment across review platforms: mixed

  • findmentalhealthfacilities.org: 3.2/5 (21)
  • therapydb.com: 2.8/5 (23)
  • rehab.com: 3.5/5 (13)

Patients praise

  • Some individual therapists are described as caring, compassionate, and effective
  • Helpful and knowledgeable support staff reported by some clients
  • Positive experiences reported at specific locations or programs

Common complaints

  • Long wait times for appointments
  • Concerns regarding medication management and prescribing practices
  • Perception of impersonal or detached care from some therapists
  • High staff turnover and management issues
  • Facility environment complaints

"It’ve been waiting 5... be 6 months by the time i see the doctor, for people struggling with mental health and trying to get help, is extremely discouraging, and makes you want to give up."

findmentalhealthfacilities.org

"My therapist is 10/10 and is helping me reconnect with myself and family. She is by far the best therapist I've had in my years with different therapists."

findmentalhealthfacilities.org

"The type of care they give you is to experiment you on different kinds of medication till on works or makes you worse. They only care about their..."

Yelp

Synthesized from public review platforms as of Jul 11, 2026 — sources: [1][2][3][4].

Information sourced from the clinic's website as of July 11, 2026.

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