Wellness
Begins Within
Current patients: Portal Login




Individualized Treatment



Cassi Heuer
Cassandra (Cassi) Heuer is a board-certified Psychiatric-Mental Health Nurse Practitioner practicing in Pierre, SD. She is the founder of Elevate Wellness & Psychiatry. Cassi obtained her Bachelor of Science degree in Nursing from South Dakota State University, her Bachelor of Science degree in Psychology from the University of South Dakota, and her Master of Science in Nursing degree from the University of Missouri-Kansas City.
Cassi grew up in central South Dakota and has practiced in South Dakota, Minnesota, and Iowa during her career. She was able to work with a psychiatrist for three years during her training and is grateful for this opportunity to learn from a provider with vast experience in mental health. She has completed training for adult psychiatry, child/adolescent psychiatry, and geriatric psychiatry in both the inpatient and outpatient setting. She has had the opportunity to work in a variety of group homes as well as long-term care facilities.
Cassi has a passion for providing care to those in rural areas and includes an integrative and personalized approach with each patient. She has completed the Psychiatry Redefined program for individuals looking for an integrative/functional approach to psychiatry.

Cassi Heuer
Bridgett Smith is a board-certified Psychiatric-Mental Health Nurse Practitioner practicing in Pierre, SD. Originally from a small rural community in Georgia, she moved to Pierre, South Dakota, in 2015. She obtained her Bachelor of Science in Exercise Science at Columbus State University, then pursued a Bachelor of Science in Nursing from the University of South Dakota and finished her Master of Science in Psychiatry at Clarkson College. As a mother of 3 young children and personal experience with mental health, she understands the impact and importance of addressing mental health concerns. Her experience encompasses assisting individuals with dual diagnoses, including personality disorders, ADHD, mood disorders, bipolar disorder, schizophrenia, schizoaffective disorder, insomnia, and those struggling with suicidal ideations. Bridgett offers services to clients aged 8 and older. Her strong background in assessing, identifying, and managing a range of psychiatric conditions equips her well for addressing complex mental health issues. Her understanding of clinical practices, combined with empathy, enables her to create treatment plans that address the psychological and behavioral health needs of the community. Her treatment plans prioritize functionality, ensuring that the root causes of symptoms or conditions are addressed. Bridgett is committed to aiding recovery and reducing stigma, with the goal of making a meaningful difference in the lives of individuals she assists.
Cassi has a passion for providing care to those in rural areas and includes an integrative and personalized approach with each patient. She has completed the Psychiatry Redefined program for individuals looking for an integrative/functional approach to psychiatry.
Services provided
Medication management
Spravato
depressive symptoms in adults with major depressive disorder (MDD) with suicidal thoughts or actions. Individuals interested in Spravato must be taking an oral antidepressant in addition to this medication. For more information, please visit their website.
Conditions we treat
Anxiety
Schizophrenia
Bipolar Disorder
ADHD
Depression
Obsessive Compulsive Disorder
Eating Disorders
Insomnia and Sleep Disorders
Substance Use Disorders
Panic Disorder
Conditions we treat
Acute Stress Disorder
Adjustment Disorder
Anxiety
Attention Deficit Hyperactivity disorder (ADHD)
Bipolar Disorder
Dissociative Disorder
Insomnia
Major Depressive Disorder/ Treatment Resistant Depression
Obsessive Compulsive Disorder (OCD)
Panic Disorder
Personality Disorders
Postpartum Depression
Post Traumatic Stress Disorder (PTSD)
Premenstrual Dysphoric Disorder (PMDD)
Schizophrenia
Kind words from other clinicians
Frequently Asked Questions
Telehealth is available, but you must check with your insurance to make sure there are no restrictions. There are clinical circumstances where an in-person appointment is preferred and we work with patients and families around these decisions. Please note that we are only able to conduct telehealth sessions in states where we are licensed.
At Elevate Wellness & Psychiatry, we recognize that most of life happens outside sessions and so are able to communicate via secure messaging or phone calls regarding urgent and logistical matters. We also recognize that accessing emergency services and psychiatric hospitalizations, while life-saving in some circumstances, can be life-destroying when turned to in a reflexive, knee-jerk fashion. That is why we prioritize being available when crises arise to work collaboratively around getting the help that is actually helpful.
At this time, we accept Wellmark Blue Cross Blue Shield, Avera Health Plans and Sanford Health. If your insurance is not listed, we hope to in the future to be able to work in a more aligned way with all stakeholders. Meanwhile, we do provide “superbills” for out-of-network reimbursement for covered services if your plan has this benefit (e.g. a PPO plan) and are happy to provide guidance regarding plan selection. Our technology partner, Osmind, can also submit these superbills to insurance companies on your behalf if your prefer.
We accept all major credit cards, HSA/FSA cards, checks, cash, and wire transfers/ACH payments.
The first appointment consists of a comprehensive history of medical and psychiatric history. A treatment plan will be established and may include medication or therapy recommendations. A follow-up appointment is usually scheduled within two to four weeks to assess the progress of the treatment plan.