BreezyNotes vs TheraNest
TheraNest scores 7.4/10 vs 6.5/10. Best for: Solo therapists or growing group practices that want per-therapist pricing they can scale into as their caseload grows.
TheraNest scores higher overall at 7.4/10 vs 6.5/10. Buy TheraNest if you want affordable per-therapist pricing and plan to grow into higher tiers as your practice expands. Skip if you need a real mobile app or if you want scheduling included on the cheapest plan.
BreezyNotes 
TheraNest Rank
#36 of 41
Rank
#17 of 41
Features
14/18
Features
16/18
Starting at
$19/mo
Starting at
$29/mo
User reviews
4/5 (14)
User reviews
4.2/5 (1155)
What they cost
| BreezyNotes | TheraNest | |
|---|---|---|
| Starting at | CA$19 /mo | $29 /mo |
| Free trial | 30 days | 21 days |
| Number of plans | 3 | 3 |
What the pricing really means
At first glance, BreezyNotes looks cheaper at $19/month vs $29/month. But sticker price is only part of the story. Look at what is included on the base plan, how many users you get, and whether you need add-ons to get the features you actually need. The $99/month plan that requires $200 in add-ons is actually more expensive than the $250/month plan that includes everything.
Where BreezyNotes wins
- Built specifically for Canadian therapists with Canadian billing codes and insurance workflows, which US-based EHRs typically do not support
- Pay-per-note pricing starts at $19/mo and scales with volume, so quiet months cost less instead of a flat fee you pay regardless
- Pricing is per practice, not per therapist, so adding clinicians does not multiply your monthly bill
- Customer support is consistently praised in reviews for being responsive and treating practices like partners, not ticket numbers
Where TheraNest wins
- Lowest entry point at $29/therapist/mo for basic practice management needs
- Wiley Practice Planner integration on Premier tier gives you structured, evidence-based treatment plans
- E-prescribing including EPCS is available on the Advanced plan without a separate vendor
- Rebranded to Ensora Health with a refreshed interface that cleaned up years of UI clutter
Where BreezyNotes falls short
- Only 14 reviews on Capterra, which makes it hard to assess long-term reliability or know what happens when things go wrong
- No native mobile app, so charting between sessions means logging into a browser on your phone
- No e-prescribing or outcome measurement tools, so prescribers and researchers will need separate systems
- Client portal and appointment reminders are reported as not fully functional by some reviewers, with manual data entry still required in spots
Where TheraNest falls short
- No dedicated mobile app, just a mobile-responsive website that feels clunky for quick note-taking between sessions
- Scheduling and secure messaging are locked behind the Advanced plan at $59/mo, so the cheap plan is missing basics
- Per-claim charges of $0.23 after 30 free monthly claims on Advanced can add up for insurance-heavy practices
- Feature gating across three tiers means the $29 Essentials plan is quite limited for day-to-day practice management
Who is each product built for?
BreezyNotes
Target: 1-15 therapists
Buy BreezyNotes if you practice in Canada and need an EHR that understands Canadian insurance billing without workarounds. Skip if you are US-based, need e-prescribing, or want a platform with a larger user community and more reviews.
TheraNest
Target: 1-50 therapists
Buy TheraNest if you want affordable per-therapist pricing and plan to grow into higher tiers as your practice expands. Skip if you need a real mobile app or if you want scheduling included on the cheapest plan.
Feature comparison
| Feature | BreezyNotes | TheraNest |
|---|---|---|
| Compliance & Security | ||
| HIPAA compliant | ||
| Telehealth / video sessions | ||
| Secure messaging | ||
| Scheduling & Clients | ||
| Online scheduling | ||
| Client portal | ||
| Intake forms / assessments | ||
| Automated reminders | ||
| Clinical | ||
| Progress notes / documentation | ||
| Treatment plans | ||
| E-prescribing | ||
| Outcome measures / assessments | ||
| Billing & Payments | ||
| Insurance billing / claims | ||
| Payment processing | ||
| Superbill generation | ||
| Automated billing | ||
| Platform | ||
| Group practice support | ||
| Mobile app | ||
| Integrations / API | ||
Common questions
TheraNest scores 7.4/10 vs BreezyNotes's 6.5/10 in our ranking. TheraNest is the better pick for 1-50 therapists. BreezyNotes is better if you need canadian mental health professionals who need an ehr that handles canadian billing codes and insurance workflows out of the box.
BreezyNotes starts at $19/month. TheraNest starts at $29/month. Watch for add-on costs — the base price often does not include all features. Pricing last verified 2026-04-01.
BreezyNotes: Yes, 30-day free trial. TheraNest: Yes, 21-day free trial. Always test with your actual workflow before committing to an annual plan.
BreezyNotes covers 14 of 18 features we track. TheraNest covers 16 of 18. TheraNest has broader feature coverage, but more features does not always mean better — pick the tool that covers what your business actually needs.
No, BreezyNotes does not have a mobile app. TheraNest does have one.
Yes. The main effort is migrating your data (customer lists, job history, invoices). Plan for 1-2 weeks of overlap where you run both. Most healthcare practice management tools can import CSV data. Ask both vendors about migration support before you sign.
The bottom line
Pick BreezyNotes if...
Canadian mental health professionals who need an EHR that handles Canadian billing codes and insurance workflows out of the box.
Pick TheraNest if...
Solo therapists or growing group practices that want per-therapist pricing they can scale into as their caseload grows.