Charm Health vs TherapyNotes
TherapyNotes scores 8.2/10 vs 7.0/10. Best for: Behavioral health clinicians who spend too much time on documentation and want an EHR that was actually designed around therapy notes, not adapted from a general medical template.
TherapyNotes scores higher overall at 8.2/10 vs 7.0/10. Buy TherapyNotes if documentation and insurance billing are your top priorities and you want a platform that thinks like a clinician. Skip if you need integrations with external tools or if per-message reminder costs would eat into your margins.
Charm Health 
TherapyNotes Rank
#24 of 41
Rank
#3 of 41
Features
17/18
Features
17/18
Starting at
$0/mo
Starting at
$69/mo
User reviews
3.5/5 (160)
User reviews
4.4/5 (1052)
What they cost
| Charm Health | TherapyNotes | |
|---|---|---|
| Starting at | Free /mo | $69 /mo |
| Free trial | Free tier available | 30 days |
| Number of plans | 3 | 3 |
What the pricing really means
At first glance, Charm Health looks cheaper at $0/month vs $69/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 Charm Health wins
- Free tier handles 50 encounters/month with no time limit
- Pay-per-encounter model at $0.50 each is unique and budget-friendly for low-volume practices
- MU3-certified EHR with 256-bit encryption
- Full insurance billing with ERA/EOB posting included
Where TherapyNotes wins
- Purpose-built for behavioral health notes with structured templates that match how therapists actually document, not generic medical forms bolted on
- Insurance billing and ERA posting are genuinely good, with electronic claim submission and automated payment reconciliation
- E-prescribing with EPCS included in the base price, so psychiatrists do not need a separate add-on
- Capterra 4.7 with nearly 1,000 reviews is one of the highest satisfaction scores in the category
Where Charm Health falls short
- Only 9 G2 reviews with a 3.5 rating suggests limited market presence
- Telehealth is a $20/mo add-on, not included in base price
- AI Scribe costs $125/provider/mo on top of everything else
- E-prescribing and EPCS are separate add-ons totaling $265+/year
Where TherapyNotes falls short
- No open API, so you cannot connect to tools they have not pre-built integrations for
- Per-text reminder charges of $0.14 each add up fast if you send confirmations and follow-ups to every client
- Premium telehealth is a $15/clinician/mo add-on on top of the base price, while competitors include it
- Mobile app only launched January 2026 and is still maturing compared to SimplePractice's years-old app
Who is each product built for?
Charm Health
Target: 1-50 providers
Buy Charm Health if you run a low-volume practice and want the pay-per-encounter model, or if you need a free tier that actually lets you see patients. Skip if you want telehealth and e-prescribing included in the base price.
TherapyNotes
Target: 1-50 clinicians
Buy TherapyNotes if documentation and insurance billing are your top priorities and you want a platform that thinks like a clinician. Skip if you need integrations with external tools or if per-message reminder costs would eat into your margins.
Feature comparison
| Feature | Charm Health | TherapyNotes |
|---|---|---|
| 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
TherapyNotes scores 8.2/10 vs Charm Health's 7.0/10 in our ranking. TherapyNotes is the better pick for 1-50 clinicians. Charm Health is better if you need low-volume independent practices that want a pay-per-encounter model instead of flat monthly fees.
Charm Health starts at $0/month. TherapyNotes starts at $69/month. Watch for add-on costs — the base price often does not include all features. Pricing last verified 2026-04-01.
Charm Health: Free tier available. TherapyNotes: Yes, 30-day free trial. Always test with your actual workflow before committing to an annual plan.
Charm Health covers 17 of 18 features we track. TherapyNotes covers 17 of 18. Both are tied on feature coverage, but more features does not always mean better — pick the tool that covers what your business actually needs.
Yes, Charm Health has a mobile app. TherapyNotes does too.
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 Charm Health if...
Low-volume independent practices that want a pay-per-encounter model instead of flat monthly fees
Pick TherapyNotes if...
Behavioral health clinicians who spend too much time on documentation and want an EHR that was actually designed around therapy notes, not adapted from a general medical template.