Meet Our Staff - Mental Health Therapists

JoAnna Prewitt, MS, LPC-MH, QMHP, NCC/Owner

I earned a Master's of Science Degree in Community Counseling  in 1999 and a Bachelor's of Science Degree in Psychology in 1995.  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.  I've been providing counseling in the Black Hills since 2015, and prior to that, in Colorado.

I am married and we have 3 children, who keep us busy when we are not working!  I enjoy running with our golden retriever, yoga, spending time with friends, and reading - and believe self care is critically important for any balanced, healthy life.

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! 

(605) 519-5850


What's an Ensō?

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.

Therapy at Ensō Mental Health


Relationship counseling can be beneficial to couples who are looking to strengthen their emotional connection, manage conflict, and improve communication skills, in all stages of their relationship. Therapy sessions are held with both partners together and therapy at Ensō Mental Health is a 

supportive place to discuss issues and find solutions to strengthen your relationship and heal past hurts.     


Trauma & PTSD

Many individuals can experience symptoms associated with painful and traumatic circumstances. In fact, trauma is beginning to be recognized as so common that it is the number one public health threat.  Anxiety, fear, and hopelessness are a few emotions that can linger post traumatic events. I can help you overcome these symptoms and guide you 

through the process of grief and healing. 


Depression & Anxiety

Depression, fear, and anxiety are some of the most common and uncomfortable emotions that we can experience at some point in our lives. Through counseling and treatment, I am able to help you recover motivation, perspective, peace, and joy that you once had in your life. 

Important Client Forms:

To View Our Notice of Privacy Practices and Download Client Paperwork to prepare for your first session,  please click here

Contact Us

Send Message

Ensō Mental Health, LLC

211 Main Street, Suit 104 Spearfish, SD 57783

p: 605.519.5850 f: 605.699.8373



By Appointment

Mon-Thurs: 9:00 am - 5:00 pm By Appointment Only
Closed Friday - Sunday

If you need to reach me after hours, please call my cell number (605)519-5850 and leave a message

 - I'll return your call as soon as I'm able.

If you have an emergency, please call 911