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Lexington, Kentucky · 31 licensed programs

10 Best Rehab Centers in Lexington, KY (2026)

Lexington, KY has 31 licensed drug and alcohol treatment facilities listed in SAMHSA's FindTreatment.gov data: 2 offer detox, 3 provide residential (inpatient) care, 24 offer medication-assisted treatment, and 27 accept Kentucky Medicaid. Compare levels of care, insurance accepted and accreditation below.

  • 31Treatment facilities
  • 2Offer detox
  • 3Inpatient / residential
  • 27Accept Medicaid

2026 rankings

Top 10 rehab centers in Lexington, KY

Ranked by the StartDrugRehab Score: accreditation, levels of care, patient ratings and payment options. Featured or claimed status never affects rank. How we rank

  1. Roaring Brook Recovery

    Lexington, KY

    8.8ExcellentStartDrugRehab Score 8.8 out of 10
    5.0Google218 reviews

    Best for: Intensive outpatient careCARF

    Why it made our list: CARF accredited; offers PHP, IOP, outpatient care, and MAT; accepts private insurance, Medicaid, and Medicare.

    View details
  2. Lexington Addiction Center

    Lexington, KY

    8.3ExcellentStartDrugRehab Score 8.3 out of 10
    4.8Google131 reviews

    Best for: Intensive outpatient careJoint Commission

    Why it made our list: Joint Commission accredited; offers PHP, IOP, outpatient care, and MAT; accepts private insurance, TRICARE, and self-pay.

    View details
  3. JourneyPure – Lexington

    Lexington, KY

    8.3ExcellentStartDrugRehab Score 8.3 out of 10
    4.7Google31 reviews

    Best for: Intensive outpatient careCARF

    Why it made our list: CARF accredited; offers PHP, IOP, outpatient care, and MAT; accepts private insurance, Medicaid, and TRICARE.

    View details
  4. Spero Health

    Lexington, KY

    7.8Very goodStartDrugRehab Score 7.8 out of 10
    4.7Google45 reviews

    Best for: Outpatient care with MATCARF

    Why it made our list: CARF accredited; offers outpatient care, MAT, and dual diagnosis care; accepts private insurance, Medicaid, and Medicare.

    View details
  5. Alteri Behavioral Health – Lexington

    Lexington, KY

    7.7Very goodStartDrugRehab Score 7.7 out of 10
    5.0Google9 reviews

    Best for: Outpatient care with MATCARF

    Why it made our list: CARF accredited; offers outpatient care, MAT, and dual diagnosis care; accepts private insurance, Medicaid, and Medicare.

    View details
  6. New Vista – Schwartz Center

    Lexington, KY

    7.7Very goodStartDrugRehab Score 7.7 out of 10

    Best for: Residential treatmentJoint CommissionCARF

    Why it made our list: Joint Commission and CARF accredited; offers residential care, IOP, MAT, and dual diagnosis care; accepts Medicaid and self-pay.

    View details
  7. Addiction Recovery Care (ARC) – Lexington Outpatient Center

    Lexington, KY

    7.7Very goodStartDrugRehab Score 7.7 out of 10

    Best for: Intensive outpatient careCARF

    Why it made our list: CARF accredited; offers PHP, IOP, outpatient care, and MAT; accepts private insurance, Medicaid, and Medicare.

    View details
  8. KVC Behavioral Healthcare Kentucky

    Lexington, KY

    7.5Very goodStartDrugRehab Score 7.5 out of 10
    1.5Google2 reviews

    Best for: Intensive outpatient careJoint Commission

    Why it made our list: Joint Commission accredited; offers IOP, outpatient care, MAT, and dual diagnosis care; accepts private insurance, Medicaid, and Medicare.

    View details
  9. 2nd Chance

    Lexington, KY

    7.5Very goodStartDrugRehab Score 7.5 out of 10
    4.1Google44 reviews

    Best for: Intensive outpatient careCARF

    Why it made our list: CARF accredited; offers IOP, outpatient care, and MAT; accepts private insurance, Medicaid, and Medicare.

    View details
  10. UK Healthcare PATHways Program

    Lexington, KY

    7.5Very goodStartDrugRehab Score 7.5 out of 10

    Best for: Outpatient care with MATJoint Commission

    Why it made our list: Joint Commission accredited; offers outpatient care, MAT, and dual diagnosis care; accepts private insurance, Medicaid, and Medicare.

    View details

See the best rehab centers in Kentucky →

All treatment centers in Lexington

7.4Very goodStartDrugRehab Score 7.4 out of 10
4.2Google21 reviews

CARF accredited

Setting
Inpatient
Operator
Nonprofit
MAT
Offered

Levels of care

  • Detox
  • Inpatient / Residential
  • Medication-Assisted Treatment
  • +1 more

Payment accepted

Medicaid

“Get help” calls our free helpline, not this facility.

7.3Very goodStartDrugRehab Score 7.3 out of 10
4.5Google105 reviews

CARF accredited

Setting
In/Outpatient
Operator
Nonprofit
MAT
Offered

Levels of care

  • Inpatient / Residential
  • Medication-Assisted Treatment
  • Dual Diagnosis
  • +1 more

Payment accepted

State-funded

“Get help” calls our free helpline, not this facility.

JourneyPure – Lexington

Lexington, KY 40503

8.3ExcellentStartDrugRehab Score 8.3 out of 10
4.7Google31 reviews

CARF accredited

Setting
Outpatient
Operator
Private
MAT
Offered

Levels of care

  • Partial Hospitalization
  • Intensive Outpatient
  • Outpatient
  • +3 more

Payment accepted

Medicaid · Private insurance · TRICARE +1 more

“Get help” calls our free helpline, not this facility.

Lexington Addiction Center

Lexington, KY 40503

8.3ExcellentStartDrugRehab Score 8.3 out of 10
4.8Google131 reviews

Joint Commission accredited

Setting
Outpatient
Operator
Private
MAT
Offered

Levels of care

  • Partial Hospitalization
  • Intensive Outpatient
  • Outpatient
  • +3 more

Payment accepted

Private insurance · TRICARE · Self-pay

“Get help” calls our free helpline, not this facility.

7.7Very goodStartDrugRehab Score 7.7 out of 10
3.8Google16 reviews

Joint Commission accredited

Setting
Outpatient
Operator
Nonprofit
MAT
Offered

Levels of care

  • Intensive Outpatient
  • Outpatient
  • Medication-Assisted Treatment
  • +3 more

Payment accepted

Medicaid · Medicare · Private insurance +3 more

“Get help” calls our free helpline, not this facility.

New Vista – Schwartz Center

Lexington, KY 40515

7.7Very goodStartDrugRehab Score 7.7 out of 10

Joint Commission · CARF accredited

Setting
In/Outpatient
Operator
Nonprofit
MAT
Offered

Levels of care

  • Inpatient / Residential
  • Intensive Outpatient
  • Medication-Assisted Treatment
  • +2 more

Payment accepted

Medicaid · Self-pay · State-funded

“Get help” calls our free helpline, not this facility.

Roaring Brook Recovery

Lexington, KY 40517

8.8ExcellentStartDrugRehab Score 8.8 out of 10
5.0Google218 reviews

CARF accredited

Setting
Outpatient
Operator
Private
MAT
Offered

Levels of care

  • Partial Hospitalization
  • Intensive Outpatient
  • Outpatient
  • +3 more

Payment accepted

Medicaid · Medicare · Private insurance +3 more

“Get help” calls our free helpline, not this facility.

2nd Chance

Lexington, KY 40505

7.5Very goodStartDrugRehab Score 7.5 out of 10
4.1Google44 reviews

CARF accredited

Setting
Outpatient
Operator
Private
MAT
Offered

Levels of care

  • Intensive Outpatient
  • Outpatient
  • Medication-Assisted Treatment
  • +1 more

Payment accepted

Medicaid · Medicare · Private insurance +1 more

“Get help” calls our free helpline, not this facility.

7.7Very goodStartDrugRehab Score 7.7 out of 10

CARF accredited

Setting
Outpatient
Operator
Private
MAT
Offered

Levels of care

  • Partial Hospitalization
  • Intensive Outpatient
  • Outpatient
  • +2 more

Payment accepted

Medicaid · Medicare · Private insurance +1 more

“Get help” calls our free helpline, not this facility.

7.7Very goodStartDrugRehab Score 7.7 out of 10
5.0Google9 reviews

CARF accredited

Setting
Outpatient
Operator
Private
MAT
Offered

Levels of care

  • Outpatient
  • Medication-Assisted Treatment
  • Dual Diagnosis
  • +1 more

Payment accepted

Medicaid · Medicare · Private insurance +2 more

“Get help” calls our free helpline, not this facility.

BHG Lexington Treatment Center

Lexington, KY 40511

7.2Very goodStartDrugRehab Score 7.2 out of 10
3.6Google59 reviews

Joint Commission accredited

Setting
Outpatient
Operator
Private
MAT
Offered

Levels of care

  • Intensive Outpatient
  • Outpatient
  • Medication-Assisted Treatment
  • +2 more

Payment accepted

Medicaid · Medicare · Private insurance +2 more

“Get help” calls our free helpline, not this facility.

7.5Very goodStartDrugRehab Score 7.5 out of 10
1.5Google2 reviews

Joint Commission accredited

Setting
Outpatient
Operator
Nonprofit
MAT
Offered

Levels of care

  • Intensive Outpatient
  • Outpatient
  • Medication-Assisted Treatment
  • +2 more

Payment accepted

Medicaid · Medicare · Private insurance +1 more

“Get help” calls our free helpline, not this facility.

New Season Lexington

Lexington, KY 40505

6.9GoodStartDrugRehab Score 6.9 out of 10
5.0Google2 reviews
Setting
In/Outpatient
Operator
Private
MAT
Offered

Levels of care

  • Detox
  • Intensive Outpatient
  • Outpatient
  • +3 more

Payment accepted

Medicaid · Medicare · Private insurance +1 more

“Get help” calls our free helpline, not this facility.

Spero Health

Lexington, KY 40503

7.8Very goodStartDrugRehab Score 7.8 out of 10
4.7Google45 reviews

CARF accredited

Setting
Outpatient
Operator
Private
MAT
Offered

Levels of care

  • Outpatient
  • Medication-Assisted Treatment
  • Dual Diagnosis
  • +1 more

Payment accepted

Medicaid · Medicare · Private insurance +2 more

“Get help” calls our free helpline, not this facility.

UK Healthcare PATHways Program

Lexington, KY 40507

7.5Very goodStartDrugRehab Score 7.5 out of 10

Joint Commission accredited

Setting
Outpatient
Operator
Public
MAT
Offered

Levels of care

  • Outpatient
  • Medication-Assisted Treatment
  • Dual Diagnosis
  • +1 more

Payment accepted

Medicaid · Medicare · Private insurance +3 more

“Get help” calls our free helpline, not this facility.

CleanSlate Centers – Lexington

Lexington, KY 40511

7.2Very goodStartDrugRehab Score 7.2 out of 10

CARF accredited

Setting
Outpatient
Operator
Private
MAT
Offered

Levels of care

  • Outpatient
  • Medication-Assisted Treatment
  • Telehealth

Payment accepted

Medicaid · Medicare · Private insurance +2 more

“Get help” calls our free helpline, not this facility.

6.5GoodStartDrugRehab Score 6.5 out of 10
2.2Google11 reviews

CARF accredited

Setting
Outpatient
Operator
Nonprofit
MAT
Not listed

Levels of care

  • Outpatient
  • Dual Diagnosis
  • Telehealth

Payment accepted

Medicaid · Medicare · Private insurance +1 more

“Get help” calls our free helpline, not this facility.

Shepherds House Inc

Lexington, KY 40508

7.0Very goodStartDrugRehab Score 7.0 out of 10
4.4Google37 reviews

COA accredited

Setting
Outpatient
Operator
Nonprofit
MAT
Offered

Levels of care

  • Intensive Outpatient
  • Outpatient
  • Medication-Assisted Treatment
  • +3 more

Payment accepted

Medicaid · Private insurance · TRICARE +2 more

“Get help” calls our free helpline, not this facility.

Altruism Counseling Services

Lexington, KY 40511

6.4GoodStartDrugRehab Score 6.4 out of 10
4.5Google48 reviews
Setting
Outpatient
Operator
—
MAT
Not listed

Levels of care

  • Intensive Outpatient
  • Outpatient
  • Dual Diagnosis
  • +2 more

Payment accepted

Medicaid · Private insurance · Self-pay

“Get help” calls our free helpline, not this facility.

6.8GoodStartDrugRehab Score 6.8 out of 10
4.6Google28 reviews
Setting
Outpatient
Operator
Private
MAT
Offered

Levels of care

  • Intensive Outpatient
  • Outpatient
  • Medication-Assisted Treatment
  • +2 more

Payment accepted

Medicaid · Medicare · Private insurance +2 more

“Get help” calls our free helpline, not this facility.

Crossroads Counseling Services

Lexington, KY 40511

6.2GoodStartDrugRehab Score 6.2 out of 10
3.8Google16 reviews
Setting
Outpatient
Operator
Private
MAT
Not listed

Levels of care

  • Intensive Outpatient
  • Outpatient
  • Dual Diagnosis
  • +1 more

Payment accepted

Medicaid · Medicare · Private insurance +3 more

“Get help” calls our free helpline, not this facility.

DeNova

Lexington, KY 40505

7.1Very goodStartDrugRehab Score 7.1 out of 10
4.8Google189 reviews
Setting
Outpatient
Operator
Private
MAT
Offered

Levels of care

  • Intensive Outpatient
  • Outpatient
  • Medication-Assisted Treatment
  • +2 more

Payment accepted

Medicaid · Medicare · Private insurance +2 more

“Get help” calls our free helpline, not this facility.

Grin Grant Inc

Lexington, KY 40508

6.1GoodStartDrugRehab Score 6.1 out of 10
4.5Google2 reviews
Setting
Outpatient
Operator
Nonprofit
MAT
Not listed

Levels of care

  • Intensive Outpatient
  • Outpatient
  • Dual Diagnosis
  • +1 more

Payment accepted

Medicaid · Private insurance · Self-pay +1 more

“Get help” calls our free helpline, not this facility.

6.0GoodStartDrugRehab Score 6.0 out of 10
3.9Google15 reviews
Setting
Outpatient
Operator
Private
MAT
Offered

Levels of care

  • Intensive Outpatient
  • Outpatient
  • Medication-Assisted Treatment
  • +2 more

Payment accepted

Medicaid · Medicare · Self-pay

“Get help” calls our free helpline, not this facility.

6.0GoodStartDrugRehab Score 6.0 out of 10
3.9Google15 reviews
Setting
Outpatient
Operator
Private
MAT
Offered

Levels of care

  • Intensive Outpatient
  • Outpatient
  • Medication-Assisted Treatment
  • +2 more

Payment accepted

Medicaid · Medicare · Self-pay

“Get help” calls our free helpline, not this facility.

6.0GoodStartDrugRehab Score 6.0 out of 10
3.9Google15 reviews
Setting
Outpatient
Operator
Private
MAT
Offered

Levels of care

  • Intensive Outpatient
  • Outpatient
  • Medication-Assisted Treatment
  • +2 more

Payment accepted

Medicaid · Medicare · Self-pay

“Get help” calls our free helpline, not this facility.

6.0GoodStartDrugRehab Score 6.0 out of 10
3.9Google15 reviews
Setting
Outpatient
Operator
Private
MAT
Offered

Levels of care

  • Intensive Outpatient
  • Outpatient
  • Medication-Assisted Treatment
  • +2 more

Payment accepted

Medicaid · Medicare · Self-pay

“Get help” calls our free helpline, not this facility.

New Life Counseling Services

Lexington, KY 40505

5.9FairStartDrugRehab Score 5.9 out of 10
4.6Google69 reviews
Setting
Outpatient
Operator
Private
MAT
Not listed

Levels of care

  • Outpatient
  • Telehealth

Payment accepted

Medicaid · Private insurance · TRICARE +1 more

“Get help” calls our free helpline, not this facility.

5.8FairStartDrugRehab Score 5.8 out of 10
Setting
Outpatient
Operator
Private
MAT
Not listed

Levels of care

  • Intensive Outpatient
  • Outpatient
  • Dual Diagnosis
  • +1 more

Payment accepted

Self-pay

“Get help” calls our free helpline, not this facility.

Levels of care available in Lexington

Level of careFacilities in LexingtonStatewide
Detox250 in KY
Inpatient / Residential3 in Lexington64 in KY
Partial Hospitalization (PHP)4 in Lexington49 in KY
Intensive Outpatient (IOP)22 in Lexington170 in KY
Outpatient28 in Lexington327 in KY
Medication-Assisted Treatment (MAT)24 in Lexington303 in KY
Methadone Clinic (OTP)232 in KY
Dual Diagnosis21 in Lexington308 in KY
Sober Living / Transitional Housing24 in Lexington168 in KY
Telehealth28 in Lexington332 in KY

By insurance in Lexington

Programs for specific groups

Rehab near Lexington

All rehab centers in Kentucky →

Frequently asked questions

How many drug and alcohol rehab centers are in Lexington, KY?

Our directory lists 31 licensed substance use treatment facilities in Lexington, KY, based on SAMHSA's FindTreatment.gov data (updated October 2026). Listings include outpatient, residential, detox and medication-assisted treatment programs.

Are there detox centers in Lexington, KY?

Yes. 2 programs in Lexington, KY offer detoxification (medically supervised withdrawal) services. Alcohol and benzodiazepine withdrawal can be dangerous, so medical supervision is strongly recommended.

Which rehabs in Lexington, KY accept Kentucky Medicaid?

27 facilities in Lexington, KY report accepting Medicaid (Kentucky Medicaid). Coverage depends on your plan and the program's network, so confirm before admission.

Do rehabs in Lexington, KY take private insurance?

22 facilities in Lexington, KY accept private health insurance. Benefits vary by plan (deductibles, prior authorization, in- vs. out-of-network). Call (833) 589-6933 for a free insurance check.

Is there inpatient rehab in Lexington, KY?

3 facilities in Lexington, KY offer residential (inpatient) treatment, where you live on site 24/7 while in care. Learn more about inpatient rehab.

Can I get medication-assisted treatment (MAT) in Lexington, KY?

Yes. 24 programs in Lexington, KY use FDA-approved medications such as buprenorphine, naltrexone or methadone. See our guide to MAT.

Source: SAMHSA FindTreatment.gov, data updated October 2026. Listings are not endorsements.