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Best Therapists And Counselors in Lexington-Fayette, KY (2026)

198 therapists and counselors ranked by RP ScoreUpdated 0 paid placements in this rankingHow we rank →

The short answer

  1. 1

    Best overall in Lexington-Fayette: Lexington Addiction Center, RP Score 78/100; 4.8★ from 131 Google reviews; open 7 days a week.

  2. 37

    Most-reviewed: LifeStance Therapists & Psychiatrists Lexington, 1,355 Google reviews at 4.6★, the most of 198 ranked; ranked #37.

Rankings can't be bought. Psychologists can't pay to change their rank or score. How we rank

198 Lexington-Fayette therapists and counselors are ranked here by RP Score, from eight published factors. 29 open Saturdays and 11 open Sundays, based on posted hours. The median Google rating is 4.8★ across 198 rated practices.

Top 10 therapists and counselors in Lexington-Fayette at a glance

Ranked by the RP Score from public listing data, not by treatment outcomes; Sponsored placements are shown separately and never change rank.

Top 10 therapists and counselors in Lexington-Fayette at a glance
RankBusinessRP ScoreGoogle ratingBased inHoursBest for
1Lexington Addiction Center784.8★ (131)Lexington, 3 mi awaySat · Sun · EveningsOverall
2New Life Counseling Services, LLC.764.6★ (69)Lexington, 1 mi awaySat · Sun · Evenings—
3Tiffany Bryant LPCC744.8★ (111)Lexington, 4 mi away——
4Kentucky Counseling Center744.5★ (380)Lexington, 4 mi awaySat · Sun · Evenings—
5Resurgence Counseling Center, LLC744.5★ (13)Lexington, 2 mi away——
6Twilight Psychology, PLLC734.5★ (44)Lexington, 3 mi awaySat · Sun · Evenings—
7DeNova724.8★ (189)Lexington, 1 mi away——
8Bluegrass Health Psychology723.0★ (16)Lexington, 2 mi away——
9Ridge Behavioral Health System723.3★ (431)Lexington, 3 mi awaySat · Sun · Evenings—
10Changed Lives Mental Health And Substance Use Counseling714.6★ (28)Lexington, 2 mi awaySat—

The 198 best therapists and counselors in Lexington-Fayette, ranked

Ordered by RP Score, a 0–100 score from eight published factors. Paid placement never changes the order.

Ranked by the RP Score from public listing data, not by treatment outcomes; Sponsored placements are shown separately and never change rank.

  1. Ranked #1 in Lexington-Fayette

    #1 Lexington Addiction Center

    Based in Lexington, 3 mi away

    78/100RP Score

    Ranked #1 because of specialty focus and its Google rating: listed on Google as “Mental health clinic”, 4.8★ from 131 Google reviews.

    Based on 7 of 8 factors; recency not yet collected.

    • 4.8★ from 131 Google reviews
    Hours
    Mon–Sun 12 AM–12 AM
    Address
    351 Burley Ave, Lexington, KY 40503
    View profile for Lexington Addiction Center(859) 636-0779

  3. #3 Tiffany Bryant LPCC

    Based in Lexington, 4 mi away

    74/100RP Score

    Ranked #3 because of specialty focus and its Google rating: listed on Google as “Counselor”, 4.8★ from 111 Google reviews.

    Based on 6 of 8 factors; recency and availability not yet collected.

    • 4.8★ from 111 Google reviews
    Address
    1500 Leestown Rd #304, Lexington, KY 40511
    View profile for Tiffany Bryant LPCC(859) 953-0119

  4. #4 Kentucky Counseling Center

    Based in Lexington, 4 mi away

    74/100RP Score

    Ranked #4 because of specialty focus and its Google rating: listed on Google as “Counselor”, 4.5★ from 380 Google reviews.

    Based on 7 of 8 factors; recency not yet collected.

    • 4.5★ from 380 Google reviews
    Hours
    Mon–Sun 8 AM–8 PM
    Address
    1500 Leestown Rd #232, Lexington, KY 40511
    View profile for Kentucky Counseling Center(855) 591-0092

  6. #6 Twilight Psychology, PLLC

    Based in Lexington, 3 mi away

    73/100RP Score

    Ranked #6 because of specialty focus and its Google rating: listed on Google as “Mental health service”, 4.5★ from 44 Google reviews.

    Based on 7 of 8 factors; recency not yet collected.

    • 4.5★ from 44 Google reviews
    Hours
    Mon–Thu 8:30 AM–7 PM · Fri 8:30 AM–6 PM · Sat–Sun 9 AM–4 PM
    Address
    503 Darby Creek Rd Ste B, Lexington, KY 40509
    View profile for Twilight Psychology, PLLC(859) 687-5843

  7. #7 DeNova

    Based in Lexington, 1 mi away

    72/100RP Score

    Ranked #7 because of specialty focus and its Google rating: listed on Google as “Mental health clinic”, 4.8★ from 189 Google reviews.

    Based on 7 of 8 factors; recency not yet collected.

    • 4.8★ from 189 Google reviews
    Hours
    Mon 9 AM–5 PM · Tue–Fri 8 AM–5 PM · Sat–Sun closed
    Address
    1301 Winchester Rd #147, Lexington, KY 40505
    View profile for DeNova(859) 309-2814

  10. #10 Changed Lives Mental Health And Substance Use Counseling

    Based in Lexington, 2 mi away

    71/100RP Score

    Ranked #10 because of specialty focus and its Google rating: listed on Google as “Counselor”, 4.6★ from 28 Google reviews.

    Based on 7 of 8 factors; recency not yet collected.

    • 4.6★ from 28 Google reviews
    Hours
    Mon–Fri 9 AM–5 PM · Sat 9 AM–2 PM · Sun closed
    Address
    149 Deweese St, Lexington, KY 40507
    View profile for Changed Lives Mental Health And Substance Use Counseling(859) 368-4105

  11. #11 Christy Leaver

    Based in Lexington, 3 mi away

    71/100RP Score

    Ranked #11 because of specialty focus and its Google rating: listed on Google as “Counselor”, 3.7★ from 19 Google reviews.

    Based on 6 of 8 factors; recency and availability not yet collected.

    • 3.7★ from 19 Google reviews
    Address
    501 Darby Creek Rd Ste 1, Lexington, KY 40509
    View profile for Christy Leaver(859) 421-4014

  12. #12 NeuroRestorative

    Based in Lexington, 6 mi away

    71/100RP Score

    Ranked #12 because of specialty focus and its Google rating: listed on Google as “Mental health clinic”, 2.0★ from 3 Google reviews.

    Based on 7 of 8 factors; recency not yet collected.

    • 2.0★ from 3 Google reviews
    Hours
    Mon–Sun 12 AM–12 AM
    Address
    448 Lewis Hargett Cir Unit 150, Lexington, KY 40503
    View profile for NeuroRestorative(859) 313-5250

  15. #15 Roaring Brook Recovery- Addiction Treatment in Kentucky

    Based in Lexington, 4 mi away

    71/100RP Score

    Ranked #15 because of specialty focus and its Google rating: listed on Google as “Mental health clinic”, 5.0★ from 218 Google reviews.

    Based on 7 of 8 factors; recency not yet collected.

    • 5.0★ from 218 Google reviews
    Hours
    Mon–Fri 9 AM–9 PM · Sat–Sun closed
    Address
    600 Perimeter Dr #125, Lexington, KY 40517
    View profile for Roaring Brook Recovery- Addiction Treatment in Kentucky(859) 765-6815

  16. #16 The Champion Therapy Center

    Based in Lexington, 4 mi away

    70/100RP Score

    Ranked #16 because of specialty focus and its Google rating: listed on Google as “Counselor”, 4.2★ from 9 Google reviews.

    Based on 7 of 8 factors; recency not yet collected.

    • 4.2★ from 9 Google reviews
    Hours
    Mon–Thu 9 AM–5 PM · Fri 9 AM–1 PM · Sat 9 AM–12 AM · Sun 9 AM–12 PM
    Address
    2025 Leestown Rd Suite D, Lexington, KY 40511
    View profile for The Champion Therapy Center(859) 359-8352

  17. #17 Affinitas Therapy, LLC

    Based in Lexington, 4 mi away

    70/100RP Score

    Ranked #17 because of specialty focus and its Google rating: listed on Google as “Marriage or relationship counselor”, 5.0★ from 5 Google reviews.

    Based on 6 of 8 factors; recency and availability not yet collected.

    • 5.0★ from 5 Google reviews
    Address
    2035 Regency Rd Ste. 8, Lexington, KY 40503
    View profile for Affinitas Therapy, LLC(859) 568-3696

  18. #18 Wellness Creative

    Based in Lexington, 3 mi away

    70/100RP Score

    Ranked #18 because of specialty focus and its Google rating: listed on Google as “Counselor”, 5.0★ from 72 Google reviews.

    Based on 7 of 8 factors; recency not yet collected.

    • 5.0★ from 72 Google reviews
    Hours
    Mon–Fri 8 AM–8 PM · Sat–Sun closed
    Address
    501 Darby Creek Rd Unit 7, Lexington, KY 40509
    View profile for Wellness Creative(859) 287-4111

  19. #19 Discover You Counseling, LLC

    Based in Lexington, 3 mi away

    70/100RP Score

    Ranked #19 because of specialty focus and its Google rating: listed on Google as “Counselor”, 5.0★ from 22 Google reviews.

    Based on 7 of 8 factors; recency not yet collected.

    • 5.0★ from 22 Google reviews
    Hours
    Mon–Tue 9 AM–5 PM · Wed closed · Thu–Fri 9 AM–5 PM · Sat 9 AM–2 PM · Sun closed
    Address
    501 Darby Creek Rd Unit 40, Lexington, KY 40509
    View profile for Discover You Counseling, LLC(859) 433-0762

  20. #20 Kentucky Services, LLC

    Based in Lexington, 4 mi away

    70/100RP Score

    Ranked #20 because of specialty focus and its Google rating: listed on Google as “Mental health service”, 4.4★ from 120 Google reviews.

    Based on 7 of 8 factors; recency not yet collected.

    • 4.4★ from 120 Google reviews
    Hours
    Mon–Sat 8 AM–8 PM · Sun closed
    Address
    3150 Custer Dr, Lexington, KY 40517
    View profile for Kentucky Services, LLC(502) 219-3488

  21. #21 Va Mental Health Clinic

    Based in Lexington, 5 mi away

    70/100RP Score

    Ranked #21 because of specialty focus and its Google rating: listed on Google as “Mental health clinic”, 5.0★ from 4 Google reviews.

    Based on 6 of 8 factors; recency and availability not yet collected.

    • 5.0★ from 4 Google reviews
    Address
    2250 Leestown Rd, Lexington, KY 40511
    View profile for Va Mental Health Clinic(859) 281-3948

  23. #23 Lexington Counseling & Psychiatry-The Offices of Paul Dalton

    Based in Lexington, 3 mi away

    70/100RP Score

    Ranked #23 because of specialty focus and its Google rating: listed on Google as “Counselor”, 4.8★ from 216 Google reviews.

    Based on 7 of 8 factors; recency not yet collected.

    • 4.8★ from 216 Google reviews
    Hours
    Mon–Fri 8:30 AM–5 PM · Sat–Sun closed
    Address
    501 Darby Creek Rd Unit 11, Lexington, KY 40509
    View profile for Lexington Counseling & Psychiatry-The Offices of Paul Dalton(859) 338-0466

  24. #24 LifeStance Therapists & Psychiatrists Lexington

    Based in Lexington, 4 mi away

    69/100RP Score

    Ranked #24 because of specialty focus and its Google rating: listed on Google as “Counselor”, 4.6★ from 783 Google reviews.

    Based on 7 of 8 factors; recency not yet collected.

    • 4.6★ from 783 Google reviews
    Hours
    Mon–Tue 8 AM–5 PM · Wed 9 AM–5 PM · Thu–Fri 8 AM–5 PM · Sat–Sun closed
    Address
    120 Prosperous Pl Suite 201, Lexington, KY 40509
    View profile for LifeStance Therapists & Psychiatrists Lexington(859) 368-0609

Therapists and counselors ranked #26 to #50

#1 to #25 are shown in full above. Here are #26 to #50, in RP Score order; each links to its profile. We publish the top 50 of 198 ranked therapists and counselors here; the rest are on their profiles.

therapists and counselors in Lexington-Fayette, ranks 26 to 50
RankBusinessRP ScoreGoogle ratingDistance
26LexCounseling694.3★ (11)5 mi
27Adriene Simpson, Psychiatric Nurse Practitioner694.9★ (91)4 mi
28Lauren Wilson, Psychiatric Nurse Practitioner694.9★ (92)4 mi
29LifeStance Therapists & Psychiatrists Lexington694.8★ (201)4 mi
30Caudill & Carden685.0★ (3)3 mi
31Lionheart Trauma Support Services, LLC684.0★ (36)4 mi
32Bluegrass Counseling & Trauma Services, LLC684.0★ (22)3 mi
33Mountain Comprehensive Care Center - Lexington Outpatient683.0★ (5)1 mi
34Southland Child, Adult, and Family Counseling685.0★ (4)6 mi
35Key Assets Kentucky683.6★ (16)1 mi
36Integrative Counseling Center683.4★ (5)4 mi
37LifeStance Therapists & Psychiatrists Lexington684.6★ (1,355)6 mi
38Lexington Therapy674.4★ (35)3 mi
39Prevail Counseling and Associates LLC674.8★ (17)3 mi
40Cognitive Therapy and Mindfulness Practices - Counseling office in Lexington, KY673.9★ (9)2 mi
41Crossroads Counseling Services, Inc673.8★ (16)2 mi
42Kelly Locknane, Psychiatric Nurse Practitioner675.0★ (21)4 mi
43Career Span675.0★ (4)2 mi
44Getulio Tovar, Psychiatrist674.9★ (134)6 mi
45JourneyPure — Addiction Treatment Center in Lexington674.7★ (31)3 mi
46Clayton S. Hall & Associates, LLC674.8★ (41)4 mi
47Susan Holthaus, Counselor674.8★ (23)4 mi
48Balanced Life Solutions Counseling and Psychiatric674.5★ (4)5 mi
49Lexington Counseling & Psychiatry - Offices of Paul Dalton- Wellington675.0★ (69)6 mi
50Brain Health Center674.3★ (6)2 mi

Also serving Lexington-Fayette

20 more therapists and counselors within 15 mi that we can't rank yet: too few reviews, or a specialty we couldn't confirm. Listed A to Z.

Unranked therapists and counselors serving Lexington-Fayette
BusinessGoogle ratingDistance
Abigail Nemec, Counselor5.0★ (2)4 mi
Alex Leet, LCSW, LLC5.0★ (2)3 mi
Ashley McGar, Counselor3.0★ (2)4 mi
Begin Again Counseling5.0★ (2)3 mi
Central Kentucky Counseling Associates5.0★ (1)In Lexington-Fayette
COMMONWEALTH COUNSELING SERVICES: Jennifer Blair M.A., LPCC5.0★ (2)5 mi
Essential Healing IOP DUI Consultants5.0★ (2)3 mi
Grief Recovery Care, LLC5.0★ (2)3 mi
Jones Psychological Services LLC3.0★ (2)1 mi
Missy Ammerman, L.C.S.W.5.0★ (2)2 mi
Neurofeedback Wellness Institute5.0★ (2)2 mi
Parker Relationship Center5.0★ (2)2 mi
Patricia A. Nation, PHD5.0★ (2)2 mi
Peace Assessment and Referral Center3.5★ (2)4 mi
Still Waters Counseling & Recovery Resources3.0★ (2)1 mi
The Lamp-Post Counseling5.0★ (2)4 mi
The Woodland Group5.0★ (2)3 mi
Trauma-Informed Counseling Center, LLC3.0★ (2)4 mi
True North Counseling and Development5.0★ (2)2 mi
Your Guide to Livengood, LLC5.0★ (2)2 mi

How we ranked Lexington-Fayette therapists and counselors

We scored 198 Lexington-Fayette therapists and counselors on eight factors, weighted as shown. A practice is ranked when its specialty is confirmed and it has 3 or more Google reviews or a claimed profile. A practice with no Google reviews scores zero on rating, review volume and recency. Other unknown factors are left out, not counted as zero. Scores last refreshed November 9, 2026.

Paid placement never changes a rank or score. Sponsored businesses are paid, labelled, limited to 3 and shown above the ranking, outside it.

Read the full method: formula, sources and exclusions

RP Score factors and weights
FactorWeightComputed fromIn Lexington-Fayette data
Reputation25%Google star rating, adjusted for how many reviews back itMeasured
Review volume5%Number of Google reviews, compared with the most-reviewed practice on the listMeasured
Recency5%Share of Google reviews from the last 12 monthsNot yet collected
Availability10%Weekly open hours, Saturday, Sunday, and round-the-clock or same-day availabilityMeasured
Specialty focus25%How clearly the practice does this specialty (its Google category and name)Measured
Proximity15%Based in the city scores highest, less the farther away it isMeasured
Claimed profile10%The practice has claimed its Ranked Psychologists profile (free or paid earn the same)Measured
Partnered5%The practice links to Ranked Psychologists from its own website with our badge, checked periodicallyMeasured

How to choose a therapist

  1. Check the license with the state or provincial board that issued it; most boards publish a free online lookup.
  2. Make sure they regularly work with clients who have your concern, and ask what approach they use and why.
  3. Check which license they hold (for example LPC, LCSW, LMFT or RP) and look it up with the board or college that issued it.
  4. Ask about fees, insurance and the cancellation policy before the first session. In the US, if you are uninsured or paying yourself, you can ask for a good faith estimate of expected charges.
  5. Check practical fit: in-person or online sessions, evening times, and how soon they have an opening.
  6. After a few sessions, ask yourself whether you feel heard. Changing to a different provider is common and fine.

Questions to ask a therapist

  • Are you accepting new clients, and how soon could I start?
  • Which license do you hold, and in which state or province?
  • How often do you work with concerns like mine?
  • Which license do you hold, and in which state or province?
  • What do you charge per session, and do you take my insurance or provide a superbill?
  • Do you offer online sessions?
  • What is your cancellation policy?
  • What do you keep confidential, and when would you have to share information?

Terms explained

PhD / PsyD
Doctoral degrees in psychology. A PhD usually has a stronger research focus, a PsyD a stronger clinical focus; both can lead to a psychologist license.
Licensed psychologist
A person licensed by a state or provincial psychology board to practice psychology. The title is protected by law.
Psychological associate
In some states and provinces, a master’s-level practitioner licensed or registered by the psychology board, often with supervision requirements.
LPC / LMHC / LCPC
US licenses for professional or mental health counselors (the name differs by state). They provide counseling and therapy.
LCSW
Licensed clinical social worker: a master’s-level social worker licensed to provide therapy.
LMFT
Licensed marriage and family therapist: licensed to treat individuals, couples and families with a focus on relationships.
RP / RCC
Registered psychotherapist (Ontario) and registered clinical counsellor (British Columbia): Canadian titles for licensed therapy providers.
PSYPACT
An interstate agreement that lets psychologists licensed in a member state provide telepsychology to clients in other member states once they hold the required authorization.
Telehealth
Sessions held by secure video or phone instead of in person. The provider generally needs to be licensed where the client is located.
CBT
Cognitive behavioral therapy: a structured talk therapy that works on the links between thoughts, feelings and behavior.
DBT
Dialectical behavior therapy: a form of CBT that teaches skills for managing intense emotions and relationships.
ERP
Exposure and response prevention: a form of CBT used for OCD.

Therapists and counselors in Lexington-Fayette: frequently asked questions

Who is the best therapist in Lexington-Fayette?

By RP Score, the highest-ranked therapist in Lexington-Fayette, KY is Lexington Addiction Center with an RP Score of 78/100. It has 4.8★ from 131 Google reviews. It is open 7 days a week. New Life Counseling Services, LLC. (#2) and Tiffany Bryant LPCC (#3) follow. We ranked 198 therapists and counselors on eight factors, last updated November 9, 2026.

How many therapists and counselors are there in Lexington-Fayette?

RankedPsychologists ranks 198 therapists and counselors serving Lexington-Fayette, KY. Another 20 within 15 mi are listed but not ranked yet. Counts are as of November 2026.

What should I do if I need help right now?

In crisis or thinking about suicide? Call or text 988 (US and Canada), any time. In an emergency, call 911. This site cannot help in an emergency.

Which therapists and counselors in Lexington-Fayette work on weekends?

29 of 198 ranked therapists and counselors post Saturday hours and 11 post Sunday hours. The highest-ranked open Saturdays are Lexington Addiction Center (#1), New Life Counseling Services, LLC. (#2) and Kentucky Counseling Center (#4). Posted hours are office hours; many practices also offer evening or online sessions by appointment.

What Google rating do Lexington-Fayette therapists and counselors have?

The median Google rating among 198 rated therapists and counselors in Lexington-Fayette is 4.8★, with a median of 13 reviews. LifeStance Therapists & Psychiatrists Lexington has the most, 1,355 reviews, and ranks #37. We adjust ratings for review count, so a few five-star reviews cannot top the list.

How does RankedPsychologists rank therapists and counselors?

Each therapist gets a 0–100 RP Score from eight published factors, led by reputation (25%), specialty focus (25%), proximity (15%) and availability (10%). A practice with no Google reviews scores zero on rating, review volume and recency; other factors we cannot measure are left out. Only practices with a confirmed specialty and 3 or more reviews, or a claimed profile, are ranked.

Do therapists and counselors outside Lexington-Fayette count in this ranking?

Yes, if they are within 15 mi of the Lexington-Fayette city center, our service radius for therapists and counselors. Each listing shows where the practice is based and how far away it is. Proximity is 15% of the RP Score, so a nearby practice gets a small edge.

Can therapists and counselors pay to rank higher on RankedPsychologists?

No. The RP Score never reads payment status, and this ranking has 0 paid placements. Up to 3 Featured practices may appear above the list, labelled Sponsored and showing their honest rank.

How are therapists and counselors in Lexington-Fayette ranked?

Each practice gets an RP Score from 0 to 100 from 8 published factors, including its Google rating, how clearly it focuses on therapy and counseling and how close it is. Sponsored placements are shown separately and never change rank. The score does not measure treatment outcomes.

Is a licensed counselor the same as a psychologist?

No. Licensed professional counselors, clinical social workers, marriage and family therapists and, in Ontario, registered psychotherapists hold their own licenses and answer to their own boards or colleges. They provide talk therapy for many of the same concerns; formal psychological testing is usually done by a psychologist.

Can I see a therapist online?

Often, yes. Licensing generally follows where you are during the session, so the provider needs to be licensed or authorized there. In the US, psychologists in PSYPACT member states can offer telepsychology to clients in other member states; counselors and social workers have their own rules. In Canada, ask whether the provider is registered in your province.

What if I need help right now?

Do not wait for a consultation. Call or text 988 (US and Canada) if you are in crisis or thinking about suicide, at any time. In an emergency, call 911.

Update log for Lexington-Fayette

  1. November 2026: RP Scores recalculated for 198 therapists and counselors serving Lexington-Fayette.

More therapists and counselors and Lexington-Fayette pages