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5 Best Sober Living Homes in Lexington, KY (2026)

We list 24 sober living homes in Lexington, KY, based on SAMHSA's FindTreatment.gov data. Compare services, insurance accepted and accreditation, or call for free help choosing.

  • 24Treatment facilities
  • 0Offer detox
  • 0Inpatient / residential
  • 8Accept Medicaid

Sober Living / Transitional Housing: the basics

A sober living home, also called a recovery residence, is a shared, substance-free house where people in recovery live together and support each other. Residents pay rent, follow house rules and often attend outpatient treatment or support meetings. Sober living is not treatment itself, but it gives you a stable place to practice recovery skills. Search below to find sober living homes near you. Read the full guide →

2026 rankings

Top 5 sober living homes 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. Shepherds House Inc

    Lexington, KY

    7.0Very goodStartDrugRehab Score 7.0 out of 10
    4.4Google37 reviews

    Best for: Intensive outpatient careCOA

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

    View details
  2. Changed Lives Mental Health and – Substance Abuse Counseling LLC

    Lexington, KY

    6.8GoodStartDrugRehab Score 6.8 out of 10
    4.6Google28 reviews

    Best for: Intensive outpatient care

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

    View details
  3. Changed Lives Substance – Abuse Counseling LLC

    Lexington, KY

    6.8GoodStartDrugRehab Score 6.8 out of 10
    4.6Google28 reviews

    Best for: Intensive outpatient care

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

    View details
  4. Altruism Counseling Services

    Lexington, KY

    6.4GoodStartDrugRehab Score 6.4 out of 10
    4.5Google48 reviews

    Best for: Intensive outpatient care

    Why it made our list: Offers IOP, outpatient care, and dual diagnosis care; accepts private insurance, Medicaid, and self-pay.

    View details
  5. DJG LLC – Primary Purpose Behavioral Health

    Lexington, KY

    6.0GoodStartDrugRehab Score 6.0 out of 10
    3.9Google15 reviews

    Best for: Intensive outpatient care

    Why it made our list: Offers IOP, outpatient care, and MAT; accepts Medicaid, Medicare, and self-pay.

    View details

See the best rehab centers in Lexington, KY →

All sober living homes in Lexington, KY

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.

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.

Oxford House Brown Ave

Lexington, KY 40505

Setting
—
Operator
Nonprofit
MAT
Not listed

Levels of care

  • Sober Living / Transitional Housing

Payment accepted

Self-pay

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

Oxford House Fayette

Lexington, KY 40516

Setting
—
Operator
Nonprofit
MAT
Not listed

Levels of care

  • Sober Living / Transitional Housing

Payment accepted

Self-pay

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

Oxford House Frederica

Lexington, KY 40517

Setting
—
Operator
Nonprofit
MAT
Not listed

Levels of care

  • Sober Living / Transitional Housing

Payment accepted

Self-pay

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

Oxford House Kaya

Lexington, KY 40517

Setting
—
Operator
Nonprofit
MAT
Not listed

Levels of care

  • Sober Living / Transitional Housing

Payment accepted

Self-pay

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

Oxford House Marco

Lexington, KY 40509

Setting
—
Operator
Nonprofit
MAT
Not listed

Levels of care

  • Sober Living / Transitional Housing

Payment accepted

Self-pay

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

Oxford House Market Garden

Lexington, KY 40509

Setting
—
Operator
Nonprofit
MAT
Not listed

Levels of care

  • Sober Living / Transitional Housing

Payment accepted

Self-pay

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

Oxford House Masterson Station

Lexington, KY 40511

Setting
—
Operator
Nonprofit
MAT
Not listed

Levels of care

  • Sober Living / Transitional Housing

Payment accepted

Self-pay

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

Oxford House Norah

Lexington, KY 40503

Setting
—
Operator
Nonprofit
MAT
Not listed

Levels of care

  • Sober Living / Transitional Housing

Payment accepted

Self-pay

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

Oxford House Pacem

Lexington, KY 40511

Setting
—
Operator
Nonprofit
MAT
Not listed

Levels of care

  • Sober Living / Transitional Housing

Payment accepted

Self-pay

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

Oxford House Raegan

Lexington, KY 40511

Setting
—
Operator
Nonprofit
MAT
Not listed

Levels of care

  • Sober Living / Transitional Housing

Payment accepted

Self-pay

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

Oxford House Revered

Lexington, KY 40511

Setting
—
Operator
Nonprofit
MAT
Not listed

Levels of care

  • Sober Living / Transitional Housing

Payment accepted

Self-pay

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

Oxford House Riverwood

Lexington, KY 40517

Setting
—
Operator
Nonprofit
MAT
Not listed

Levels of care

  • Sober Living / Transitional Housing

Payment accepted

Self-pay

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

Oxford House Robert

Lexington, KY 40505

Setting
—
Operator
Nonprofit
MAT
Not listed

Levels of care

  • Sober Living / Transitional Housing

Payment accepted

Self-pay

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

Oxford House Springs Life

Lexington, KY 40511

Setting
—
Operator
Nonprofit
MAT
Not listed

Levels of care

  • Sober Living / Transitional Housing

Payment accepted

Self-pay

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

Oxford House Vivianna

Lexington, KY 40511

Setting
—
Operator
Nonprofit
MAT
Not listed

Levels of care

  • Sober Living / Transitional Housing

Payment accepted

Self-pay

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

Oxford House Wildcat Lane

Lexington, KY 40503

Setting
—
Operator
Nonprofit
MAT
Not listed

Levels of care

  • Sober Living / Transitional Housing

Payment accepted

Self-pay

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

More options in Lexington, KY

Sober Living Homes in other Kentucky cities

Frequently asked questions

How many sober living homes are in Lexington, KY?

We list 24 sober living homes in Lexington, KY, based on SAMHSA's FindTreatment.gov data (updated October 2026).

How do I choose the right program?

Look for state licensing and accreditation (The Joint Commission or CARF), the right level of care for your needs, evidence-based therapies, and insurance compatibility. Read our guide to choosing a rehab or call (833) 589-6933 to talk it through.

Will my insurance cover treatment?

Most private plans and Medicaid cover substance use treatment when it's medically necessary, but benefits vary by plan and network. Call (833) 589-6933 for a free, confidential benefits check.

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