Nicole Roth is a Licensed Professional Counselor-Mental Health (LPC-MH) with 26 years of experience.
01About Nicole
Nicole Roth is a Licensed Professional Counselor-Mental Health (LPC-MH) with 26 years of experience. She practices in South Dakota and works with adults on a wide range of concerns. She brings a calm, direct style and focuses on practical steps clients can use right away.
Nicole draws on person-centered care to help people feel heard and understood. She also uses Cognitive Behavioral Therapy to identify unhelpful thoughts and behaviors. Dialectical Behavior Therapy skills support emotion regulation and coping when feelings feel overwhelming.
Background and approach
Her background includes long experience in behavioral health and addiction services. Over her career she has worked in criminal justice-related settings and across levels of care for substance use and co-occurring mental health challenges. That history informs an approach that pays attention to both recovery and daily functioning.
In sessions she aims to tailor work to each person’s needs. She helps clients set small, achievable goals and practices skills between meetings. Nicole also uses mindfulness and motivational techniques to boost engagement and sustain progress.
Clients come for help with anxiety, depression, stress, trauma and abuse, addiction, eating concerns, sleep problems, and relationship issues among other struggles. She supports those navigating life changes, grief, parenting strain, and workplace or career stress. Her manner is warm and nonjudgmental while remaining focused on practical change.
Nicole helps people find clearer routines, healthier coping strategies, and better ways to communicate so everyday life becomes more manageable.
02Credentials
- LPC (Wyoming)
- License LPC-1403 · expires November 2026
- LPCC (Minnesota)
- License 2548 · expires July 2026
- LPC-MH (South Dakota)
- License 20354 · expires November 2026
- NPI
- 1073944849 · national provider identifier
Both are public records. A state board register will confirm a license and its standing, and the national registry will confirm an NPI. This directory copies what the counselor lists and checks neither.
03Focus areas and approaches
Everything Nicole lists on their public professional profile, in their own terms.
- Stress, Anxiety
- Addictions
- Eating disorders
- Coping with life changes
- ADHD
- Relationship issues
- Family conflicts
- Trauma and abuse
- Grief
- Intimacy-related issues
- Sleeping disorders
- Parenting issues
- Self esteem
- Career difficulties
- Bipolar disorder
- Depression
- Coaching
- Abandonment
- Antisocial personality
- Attachment issues
- Avoidant personality
- Blended family issues
- Body image
- Caregiver issues and stress
- Codependency
- Commitment issues
- Communication problems
- Control issues
- Coping with natural or human-caused disaster
- Disruptive Mood Dysregulation Disorder (DMDD)
- Divorce and separation
- Domestic violence
- Drug and alcohol addiction
- Eating and food-related issues
- Emptiness
- Family of origin issues
- Family problems
- Forgiveness
- Guilt and shame
- Impulsivity
- Infidelity
- Isolation / loneliness
- Jealousy
- Life purpose
- Midlife crisis
- Money and financial issues
- Mood disorders
- Narcissism
- Panic disorder and panic attacks
- Paranoia
- Personality disorders
- Phobias
- Post-traumatic stress
- Process addiction (porn, exercise, gambling)
- Seasonal Affective Disorder (SAD)
- Self-harm
- Self-love
- Smoking / vaping cessation
- Social anxiety and phobia
- Women's issues
Methods Nicole names
- Client-Centered Therapy
- Cognitive Behavioral Therapy (CBT)
- Dialectical Behavior Therapy (DBT)
- Mindfulness Therapy
- Motivational Interviewing
- Narrative Therapy
- Solution-Focused Therapy
- Somatic Therapy
- Trauma-Focused Therapy
These are the methods Nicole names on their own professional profile. Naming an approach is not evidence of training or certification in it, and this directory checks no training records. Ask directly if it matters to you.
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04Online support
How her approaches work online
Nicole commonly blends client-centered work with Cognitive Behavioral Therapy and Dialectical Behavior Therapy skills. Client-centered work focuses on listening and understanding each person so goals come from the client. CBT helps identify unhelpful thoughts and change behaviors that keep problems going, useful for anxiety, depression, and many day-to-day struggles. DBT skills teach practical tools for managing strong emotions, improving distress tolerance, and handling intense moments more safely.Choosing an approach is collaborative. Nicole will talk with each person about current needs, goals, and preferences and then recommend methods to try. That process may change as work progresses, and she checks in regularly to make sure the plan fits the client’s life and rhythm.
Online sessions are offered by video call, phone, live chat, or text-based messaging to make therapy more flexible. Video calls allow face-to-face conversation for deeper skill practice, phone can work for people with lower bandwidth or who prefer not to be on camera, chat and text provide shorter check-ins and day-to-day coaching between sessions. These options help therapy fit into work, family time, or other commitments while keeping focus on practical skills and steady progress.
05Questions people ask
What kinds of problems does she help with?
Nicole works with a broad range of concerns including stress, anxiety, depression, addictions, eating issues, trauma and abuse, sleep problems, and relationship and intimacy-related issues.
How would you describe her therapy style?
She uses a person-centered approach combined with practical methods like CBT and DBT skills. Sessions focus on understanding your needs and trying useful strategies that fit daily life.
What is her professional background?
She has 26 years of experience working in behavioral health and addiction services, including work connected to the criminal justice system and co-occurring mental health and substance use care.
Where is she licensed and based?
Nicole practices in South Dakota and holds the credentials LPC-MH and LPC as listed in her profile.
Can I work with her if I live outside the United States?
Sessions are offered in English and she is not accepting international clients at this time.
What session formats are available?
She offers video calls, phone sessions, live chat, and text-based messaging to fit different schedules and needs.
How does payment and cost work?
Cost varies with location and therapist availability; sessions use a subscription that can be canceled at any time.
How do I start a first session?
Begin by selecting the Start Therapy button, complete a short matching questionnaire, and then schedule according to therapist availability.
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