JoAnna Prewitt


JoAnna Prewitt


Telehealth Available
Professions: Counselor, Mental Health Counselor, Licensed Professional Counselor
License Status: I'm a licensed professional.
Primary Credential: Licensed Professional Counselor - LPC-MH20378
Secondary Credential: LPC - LPC20304
Billing and Insurance:
I am an in-network provider for:
  • Avera Health Plans
  • Blue Cross Blue Shield (BCBS)
  • Dakota Care
  • Medicaid
  • Optum/United Health Care
  • Sanford Health Plans
Fees: $180 for first 90 min intake session; $150 for regular 60 min sessions


211 Main Street
Suite 104
Spearfish, South Dakota 57783

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My Approach to Helping

I earned a Master's of Science Degree in Community Counseling and a Bachelor's of Science Degree in Psychology. Through various roles in my past, I've gained experience in adoption, parenting training, the child welfare system, doula work, individual therapy, group therapy, family therapy, and marriage therapy.

I specialize in working with adults and teens on a variety of concerns, including couples therapy, grief & loss, trauma, anxiety, depression, general wellness & health, and parenting.

It would be my honor to walk alongside you and support you in counseling as you learn to navigate the road you're on in order to live your best life.

Give me a call so we can get started improving your mental health!

More Info About My Practice

Why Ensō Mental Health?

Ensō, meaning 'circular form' in Japanese, and is a form of art as meditation, symbolizing perfection in imperfection - especially when drawn as an incomplete circle. Usually, a person draws the ensō in one fluid, expressive stroke, and once the ensō is drawn, it isn't changed. It reflects the character of its creator and the context of its creation in a brief period of time - perfectly capturing that moment.

ENSŌ represents my belief that all people are both a work in progress and perfectly imperfect all at once. The ensō captures my approach in therapy to meet you right where you are, even in the midst of where you want to go.

Services I Provide

  • Individual Therapy & Counseling
  • Marriage, Couples, or Relationship Counseling
  • Telehealth

Ages I Work With

  • Teens
  • Adults
  • Elders


  • English

Client Concerns I Treat

  • Adjusting to Change / Life Transitions
  • Anxiety
  • Codependency / Dependency
  • Depression
  • Divorce / Divorce Adjustment
  • Grief, Loss, and Bereavement
  • Panic
  • Posttraumatic Stress / Trauma
  • Relationships and Marriage
  • Self-Care
  • Stress

Types of Therapy

  • Cognitive Behavioral Therapy (CBT)
  • Emotion Focused Couples Therapy
  • Emotional Freedom Technique
  • Eye Movement Desensitization and Reprocessing Therapy (EMDR)
  • Gottman Method
  • Humanistic Psychology (humanism)
  • Internal Family Systems (IFS)
  • Mindfulness-Based Interventions
  • Narrative Therapy
  • Person-Centered Therapy (Rogerian Therapy)
  • Rational Emotive Behavioral Therapy (REBT)
  • Trauma-Focused Cognitive Behavioral Therapy (TF-CBT)
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