Buprenorphine Treatment Centers in Kentucky
Medically reviewed by NWVCIL Editorial TeamLast reviewed: May 2026
Our directory lists 254 buprenorphine providers across Kentucky, with the largest concentrations in Lexington (24), Louisville (24) and Elizabethtown (13).
Kentucky recorded 2,077 drug overdose deaths in 2023 — a 48.0-per-100,000 age-adjusted rate that placed the state among the top ten for mortality. Kentucky was an early adopter of statewide MAT expansion, and it now operates a robust network of Office-Based Opioid Treatment (OBOT) providers alongside its 22 SAMHSA-certified OTPs. NWVCIL's directory tracks 245 buprenorphine providers in Kentucky, with 24 in Lexington, 24 in Louisville, and 13 in Elizabethtown — a notably even distribution across the state's two largest metros plus a third concentration along the I-65 corridor. Kentucky Medicaid covers MAT without prior authorization and reimburses for peer-support services delivered alongside medication — a benefit that increases retention in early recovery. 385 of the 437 verified facilities in our directory accept Medicaid, and 386 offer telehealth (88%), both above-median figures nationally. The Kentucky Office of Drug Control Policy coordinates statewide opioid-response funding and supports navigation services. For a Kentuckian starting buprenorphine, common pathways include: a private MAT clinic in Lexington or Louisville for insured patients, a Comprehensive Care Center in one of the state's 14 regions, a Federally Qualified Health Center for Medicaid and uninsured patients, or a telehealth visit with a Kentucky-licensed prescriber. Most providers can prescribe Suboxone, Subutex, Zubsolv, or the long-acting Sublocade injection. The KY HELP Statewide Call Center (1-833-859-4357), SAMHSA's national helpline (1-800-662-4357), and the 988 Suicide and Crisis Lifeline are available 24/7.
Treatment landscape in Kentucky:
- Kentucky reported 2,077 drug overdose deaths in 2023 at 48.0 per 100,000 (CDC NCHS) — among the highest U.S. rates.
- 245 buprenorphine providers and 22 methadone Opioid Treatment Programs serve the state; Lexington and Louisville each host 24 buprenorphine providers.
- Kentucky Medicaid covers MAT without prior authorization and reimburses for peer-support services delivered alongside medication.
- Kentucky was an early adopter of statewide MAT expansion and operates a network of Office-Based Opioid Treatment (OBOT) providers in addition to OTPs.
Buprenorphine in Kentucky — By the Numbers
48.0
per 100,000 drug overdose mortality (CDC 2023)
2,077
total overdose deaths in Kentucky (2023)
245
buprenorphine providers in our directory
386 / 437
facilities offering telehealth
385
accept Medicaid for treatment
22
SAMHSA-certified Opioid Treatment Programs
Top cities by buprenorphine provider density
Lexington (24) · Louisville (24) · Elizabethtown (13)
Sources: CDC NCHS Drug Overdose Mortality (2023) · SAMHSA Treatment Locator · NWVCIL directory snapshot, May 2026
Kentucky Medicaid
Kentucky Medicaid covers MAT without prior authorization and reimburses for peer-support services delivered alongside medication.
State regulations
Kentucky was an early adopter of statewide MAT expansion and operates a network of Office-Based Opioid Treatment (OBOT) providers in addition to OTPs.
- Medicaid240
- Cash or self-payment236
- Private health insurance217
- Medicare173
- State-financed health insurance plan other than Medicaid137
- Federal military insurance (e.g., TRICARE)130
- Outpatient205
- Regular outpatient treatment187
- Outpatient methadone/buprenorphine or naltrexone treatment164
- Intensive outpatient treatment128
- Residential/24-hour residential91
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Buprenorphine Treatment Providers in Kentucky
Buprenorphine providers in Kentucky
Lexington · 24 centers

Altruism Counseling Services
Lexington, KY
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Changed Lives Mental Health and
Lexington, KY
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DeNova
Lexington, KY
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JourneyPure
Lexington, KY
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New Vista
Lexington, KY
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PATHways Program UK Healthcare
Lexington, KY
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Roaring Brook Recovery
Lexington, KY
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Cleanse Clinic
Lexington, KY
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Alteri LLC
Lexington, KY
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New Vista
Lexington, KY
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BHG Lexington Treatment Center
Lexington, KY
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Chrysalis House Inc
Lexington, KY
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Chrysalis House Inc
Lexington, KY
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CleanSlate Centers
Lexington, KY
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DJG LLC
Lexington, KY
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DJG LLC
Lexington, KY
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DJG LLC
Lexington, KY
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DJG LLC
Lexington, KY
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DJG LLC
Lexington, KY
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DJG LLC
Lexington, KY
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DJG LLC
Lexington, KY
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DJG LLC
Lexington, KY
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Louisville · 24 centers

CleanSlate Centers
Louisville, KY
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Creative Spirits Behav Service Network
Louisville, KY
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JourneyPure
Louisville, KY
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Landmark Recovery of Louisville
Louisville, KY
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Medmark Treatment Centers
Louisville, KY
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ReMind Health Group
Louisville, KY
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UofL Health
Louisville, KY
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Veterans Affairs Medical Center
Louisville, KY
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VOA Recovery
Louisville, KY
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VOA Recovery
Louisville, KY
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Volunteers of America Mid States
Louisville, KY
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Volunteers of America Mid States
Louisville, KY
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VOA Addiction Recovery Services
Louisville, KY
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Seven Counties Services
Louisville, KY
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Seven Counties Services
Louisville, KY
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Brook Hospital
Louisville, KY
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Dave Harmon and Associates Inc
Louisville, KY
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Recovery Now LLC
Louisville, KY
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Recovery Now LLC
Louisville, KY
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Seven Counties Services
Louisville, KY
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Elizabethtown · 13 centers

JourneyPure Bowling Green
Elizabethtown, KY
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Recovery Works
Elizabethtown, KY
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Recovery Works
Elizabethtown, KY
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Stepworks of Elizabethtown
Elizabethtown, KY
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Stepworks Crowne Pointe
Elizabethtown, KY
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Stepworks Crowne Pointe
Elizabethtown, KY
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Astra Behavioral Health
Elizabethtown, KY
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Behavioral Health Group (BHG)
Elizabethtown, KY
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Commitment House LLC
Elizabethtown, KY
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Communicare Inc
Elizabethtown, KY
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Communicare Inc
Elizabethtown, KY
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Communicare Inc
Elizabethtown, KY
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Ashland · 10 centers

Ultimate Treatment Center
Ashland, KY
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Crossroads Treatment Centers
Ashland, KY
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Infinity Center LLC
Ashland, KY
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Pathways Inc
Ashland, KY
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Pathways Inc
Ashland, KY
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Pathways Inc
Ashland, KY
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Pathways Inc
Ashland, KY
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Louisa · 10 centers

Addiction Recovery Care (ARC)
Louisa, KY
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Pathways Inc
Louisa, KY
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Bowling Green · 9 centers

CleanSlate Medical Group of Kentucky
Bowling Green, KY
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JourneyPure
Bowling Green, KY
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Stepworks of Bowling Green
Bowling Green, KY
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LifeSkills Inc
Bowling Green, KY
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Center for Behavioral Health LLC
Bowling Green, KY
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LifeSkills Inc
Bowling Green, KY
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Rivendell Behavioral Health Services
Bowling Green, KY
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Morehead · 9 centers

New Journey
Morehead, KY
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Edgewater Mens Campus
Morehead, KY
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Pathways Inc
Morehead, KY
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Revived Essence Recovery
Morehead, KY
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Revived Essence Recovery
Morehead, KY
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Revived Recovery
Morehead, KY
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Revived Recovery Transitional Care
Morehead, KY
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Covington · 6 centers

Childrens Home of Northern Kentucky
Covington, KY
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NorthKey Community Care
Covington, KY
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Recovery Works Covington
Covington, KY
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Metro Treatment of Kentucky LP
Covington, KY
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NorthKey Community Care
Covington, KY
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Saint Elizabeth Physicians
Covington, KY
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Owensboro · 6 centers

TrueNorth Treatment Center
Owensboro, KY
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CleanSlate Centers
Owensboro, KY
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RiverValley Behavioral Health
Owensboro, KY
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RiverValley Behavioral Health
Owensboro, KY
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RiverValley Behavioral Health
Owensboro, KY
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Hazard · 5 centers

Kentucky River Community Care
Hazard, KY
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Beacons of Hope
Hazard, KY
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Paducah · 5 centers

Emerald Therapy Center LLC
Paducah, KY
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Four Rivers Behavioral Health
Paducah, KY
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Groups Recover Together
Paducah, KY
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Kentucky Addiction Centers LLC
Paducah, KY
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Prestonsburg · 5 centers

Commonwealth Counseling Centers
Prestonsburg, KY
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East Kentucky Rehabilitation Center
Prestonsburg, KY
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Mountain Center for Recovery and Hope
Prestonsburg, KY
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Mountain Comprehensive Care Center
Prestonsburg, KY
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Mountain Center for Recovery and Hope
Prestonsburg, KY
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Frankfort · 4 centers

CommonHealth Recovery
Frankfort, KY
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Behavioral Health Group (BHG)
Frankfort, KY
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London · 4 centers

Recovery Works
London, KY
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Stepworks Recovery Centers
London, KY
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Cumberland River Behavioral Health
London, KY
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Nicholasville · 4 centers

Revive Ministries Inc
Nicholasville, KY
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Stepworks of Nicholasville
Nicholasville, KY
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Stepworks of Nicholasville
Nicholasville, KY
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Saint Catharine · 4 centers

Addiction Recovery Care Crown Recovery
Saint Catharine, KY
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Danville · 3 centers

Central Kentucky Addiction Treatment
Danville, KY
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Fort Mitchell · 3 centers

Transitions Inc
Fort Mitchell, KY
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Grayson · 3 centers

Grayson Integrated Clinic
Grayson, KY
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Pathways Inc
Grayson, KY
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Pathways Inc
Grayson, KY
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Mount Sterling · 3 centers

Shepherds Shelter/Ross Rehab
Mount Sterling, KY
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Pathways Inc
Mount Sterling, KY
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Pathways Inc
Mount Sterling, KY
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Pikeville · 3 centers

BHG Pikeville Treatment Center
Pikeville, KY
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Shelbyville · 3 centers

Shelbyville Comprehensive Trt Center
Shelbyville, KY
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Seven Counties Services
Shelbyville, KY
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Seven Counties Services
Shelbyville, KY
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Somerset · 3 centers
Winchester · 3 centers

New Leaf Recovery and Wellness
Winchester, KY
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New Vista
Winchester, KY
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Mountain Comprehensive Care Center
Winchester, KY
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Bardstown · 2 centers

Astra Recovery Centers LLC
Bardstown, KY
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Communicare Inc
Bardstown, KY
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Chaplin · 2 centers

Isaiah House
Chaplin, KY
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Isaiah House
Chaplin, KY
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Corbin · 2 centers

Cumberland River Behavioral Health
Corbin, KY
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Jaynes Family Practice
Corbin, KY
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Erlanger · 2 centers

BrightView Health
Erlanger, KY
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Georgetown · 2 centers

BrightView Health
Georgetown, KY
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Greenup · 2 centers

Pathways Inc
Greenup, KY
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Pathways Inc
Greenup, KY
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Henderson · 2 centers

BrightView Health
Henderson, KY
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RiverValley Behavioral Health
Henderson, KY
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Hopkinsville · 2 centers

Cumberland Hall Hospital
Hopkinsville, KY
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Inez · 2 centers

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La Grange · 2 centers

North Clark Medical Group LLC
La Grange, KY
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Seven Counties Services
La Grange, KY
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Lancaster · 2 centers

Mountain Comprehensive Care
Lancaster, KY
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Monticello · 2 centers

Foothills Academy Inc
Monticello, KY
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Murray · 2 centers

Emerald Therapy Center LLC
Murray, KY
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Owenton · 2 centers

NorthKey Community Care
Owenton, KY
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Owingsville · 2 centers

Pathways Inc
Owingsville, KY
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Richmond · 2 centers

Ethan Health
Richmond, KY
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Behavioral Health Group (BHG)
Richmond, KY
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Willisburg · 2 centers

Isaiah House
Willisburg, KY
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Isaiah House
Willisburg, KY
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Barbourville · 1 center
Beaver Dam · 1 center

RiverValley Behavioral Health
Beaver Dam, KY
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Benham · 1 center
Berea · 1 center
Booneville · 1 center
Burlington · 1 center

Ethan Health
Burlington, KY
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Carrollton · 1 center

NorthKey Community Care
Carrollton, KY
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Catlettsburg · 1 center
Central City · 1 center

A New Start II LLC
Central City, KY
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Columbia · 1 center
Falmouth · 1 center

NorthKey Community Care
Falmouth, KY
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Florence · 1 center

NorthKey Community Care
Florence, KY
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Frenchburg · 1 center

Pathways Inc
Frenchburg, KY
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Harrodsburg · 1 center

Isaiah House
Harrodsburg, KY
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Hindman · 1 center

Mountain Comprehensive Care Center
Hindman, KY
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Independence · 1 center

Cross Roads Treatment Centers
Independence, KY
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Irvine · 1 center

New Vista
Irvine, KY
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Lebanon · 1 center

Communicare Inc
Lebanon, KY
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Lewisport · 1 center

RiverValley Behavioral Health
Lewisport, KY
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Madisonville · 1 center
Manchester · 1 center

Volunteers of America Mid States
Manchester, KY
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Middlesboro · 1 center
Morganfield · 1 center

RiverValley Behavioral Health
Morganfield, KY
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Morgantown · 1 center
Neon · 1 center
Newport · 1 center

NorthKey Community Care
Newport, KY
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Paintsville · 1 center
Paris · 1 center

BrightView Health
Paris, KY
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Pippa Passes · 1 center
Providence · 1 center

RiverValley Behavioral Health
Providence, KY
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Rush · 1 center

Ramey Estep Homes
Rush, KY
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Sandy Hook · 1 center

Pathways Inc
Sandy Hook, KY
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Scottsville · 1 center

LifeSkills Inc
Scottsville, KY
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Shepherdsville · 1 center

Seven Counties Services
Shepherdsville, KY
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South Shore · 1 center

Recovery Works
South Shore, KY
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South Williamson · 1 center
Springfield · 1 center

Communicare Inc
Springfield, KY
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Stanton · 1 center

New Vista
Stanton, KY
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Taylorsville · 1 center

Seven Counties Services
Taylorsville, KY
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Tyner · 1 center
Versailles · 1 center

Isaiah House
Versailles, KY
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Warsaw · 1 center

NorthKey Community Care
Warsaw, KY
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West Liberty · 1 center

Pathways Inc
West Liberty, KY
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Whitesburg · 1 center

Mountain Comprehensive Care Center
Whitesburg, KY
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Williamstown · 1 center

NorthKey Community Care
Williamstown, KY
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Showing 245 of 254 buprenorphine providers in Kentucky. Browse all centers in Kentucky
Frequently Asked Questions About Buprenorphine in Kentucky
Do I need a formal OUD diagnosis before starting buprenorphine?
Yes. Providers in Kentucky must document a current OUD diagnosis to prescribe buprenorphine as part of medication-assisted treatment. The intake assessment typically takes 60–90 minutes and includes a physical exam, drug screen, and psychiatric history — results are used to confirm eligibility.
Can I get grant-funded buprenorphine treatment in Kentucky?
Yes. Kentucky receives federal State Opioid Response (SOR) funding that subsidizes MAT for uninsured patients at participating agencies. The national SAMHSA helpline (1-800-662-4357) can refer you to SOR-funded buprenorphine providers in your area.
How do I enroll in Kentucky Medicaid to pay for buprenorphine?
You can apply to Kentucky Medicaid online at the Kentucky state website, in person at a county office, or through buprenorphine providers that offer enrollment assistance. Most applications are decided within 45 days; emergency Medicaid may be available sooner for urgent care.
Does Blue Cross Blue Shield cover buprenorphine in Kentucky?
Yes. Blue Cross Blue Shield plans in Kentucky cover all three FDA-approved MAT medications. BCBS typically requires the provider to be in-network; most major buprenorphine providers in Lexington and across Kentucky accept BCBS.
What documentation does a Kentucky buprenorphine clinic keep about me?
Clinics maintain a confidential medical record covering diagnosis, treatment plan, drug screens, counseling notes, and dose history. Records are protected by 42 CFR Part 2 — stricter than HIPAA — and cannot be released without your written consent or a specific court order.
What is the shortest effective course of buprenorphine?
Evidence supports a minimum of 6–12 months of continuous MAT for most patients. Courses shorter than 3 months are associated with high relapse and overdose rates. Your Kentucky clinician will set an individualized duration target after the first month of treatment.
What happens if no buprenorphine providers have immediate openings in my area?
Kentucky’s opioid-response infrastructure funds bridge clinics, emergency-department induction, and telehealth buprenorphine specifically to fill same-day gaps. If the closest clinic has a waitlist, your intake counselor will refer you to the next nearest opening.
Do I need to fast before my first buprenorphine appointment?
No fasting is required for routine MAT labs in Kentucky. Eating a light meal before the visit is recommended to reduce nausea risk with the first medication dose. Hydration is helpful, especially for urine drug-screen collection.
Will buprenorphine show on a standard drug test?
Buprenorphine and methadone do not test positive on standard 5-panel drug tests — specialty panels are needed. Naltrexone and its metabolites are not screened on standard panels. Share an MAT provider letter with any employer or court drug-testing program to avoid confusion.
Does Kentucky have perinatal-MAT programs?
Yes. Most Kentucky regions have perinatal-addiction programs coordinating OB care, MAT, and social support. Call 988 or SAMHSA 1-800-662-4357 for Kentucky-specific referral. Lexington-area hospitals typically have dedicated perinatal-addiction coordinators.
Do I need a separate therapist if I already have one?
Not always. If your existing therapist can coordinate with your MAT prescriber, the arrangement is usually fine. Kentucky MAT teams can integrate with outside therapists via signed records-release; doubling up on counseling isn’t required.
What about life insurance applications — do they ask about buprenorphine?
Life-insurance applications typically ask about current medications and substance-use history. Failing to disclose can void a policy. Some insurers rate MAT neutrally for stable long-term patients; shop among carriers and consider no-medical-exam policies if rates are unfavorable.
Other Treatment Options in Kentucky
Buprenorphine Treatment in Other States
Need immediate help? Call SAMHSA: 1-800-662-4357 (24/7, free)















