About Nikki Roth.

Nikki holds a Master’s Degree in Counseling and is licensed across multiple states as a Licensed Professional Counselor–Mental Health (LPC-MH) in South Dakota, Licensed Addiction Counselor (LAC), Licensed Professional Clinical Counselor (LPCC) in Minnesota, and Licensed Professional Counselor (LPC) in Wyoming. She is also a Qualified Mental Health Professional (QMHP) and Certified Clinical Trauma Professional (CCTP).

Nikki brings over 26 years of experience working with adolescents and adults across a wide range of behavioral health needs. A significant portion of her career has been spent serving clients within the criminal justice system, providing trauma-informed care, substance use treatment, and dual-diagnosis support. She has worked in all ASAM levels of care and has extensive expertise treating co-occurring mental health and addiction concerns.

Clinical Expertise & Specializations

Nikki holds specialized certification in the assessment and treatment of eating disorders and has advanced training in:

  • EMDR

  • DBT

  • CBT

  • Mindfulness practices

  • Natural health approaches

  • Internet & gaming addiction treatment

  • Life Space Interventions

  • Trauma & personality disorders

  • Emotional dysregulation & chronic stress

  • Co-occurring substance use & mental health needs

Her holistic, person-centered style integrates traditional clinical methods with natural wellness models, honoring the connection between the mind, body, and environment.

Therapeutic Approach

Warm, open, and nonjudgmental, Nikki creates a safe, affirming environment where clients feel supported and empowered. She works collaboratively to build strengths, reduce symptoms, and help clients navigate life transitions, emotional overwhelm, and long-standing patterns with clarity and compassion.

Professional Leadership & Supervision

Nikki provides clinical supervision for professionals pursuing LPC and LPC-MH licensure, and she offers substance use evaluations and professional consultation. Her supervision emphasizes clinician confidence, growth, and skill development.

Philosophy of Care

Nikki believes that no one should have to face difficult experiences alone. She walks alongside clients with honesty and empathy—ensuring they feel seen, heard, and capable of meaningful change.