Cliniko vs CounSol
Cliniko scores 7.8/10 vs 7.4/10. Best for: Physiotherapy and allied health clinics that want a clean interface with all features unlocked on every plan and no per-feature upsells.
Cliniko scores higher overall at 7.8/10 vs 7.4/10. Buy Cliniko if you want the cleanest interface in allied health with zero feature gating and stable pricing. Skip if you bill US insurance directly or need a platform with a large review base to validate before buying.
Cliniko 
CounSol Rank
#9 of 41
Rank
#16 of 41
Features
14/18
Features
15/18
Starting at
$45/mo
Starting at
$50/mo
User reviews
4.5/5 (227)
User reviews
4.5/5 (828)
What they cost
| Cliniko | CounSol | |
|---|---|---|
| Starting at | $45 /mo | $50 /mo |
| Free trial | 30 days | 14 days |
| Number of plans | 4 | 4 |
What the pricing really means
At first glance, Cliniko looks cheaper at $45/month vs $50/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 Cliniko wins
- Every plan gets the full feature set with no feature gating, so you are not paying more just to unlock telehealth or notes
- Prices have not changed since 2011, which is rare in SaaS and means no surprise annual increases
- 4.9/5 ease-of-use score on Capterra, which is the highest in allied health practice management
- 30-day free trial is enough time to actually migrate data and test with real patients before committing
- Unlimited locations included on all plans, which matters for clinics expanding to a second site
Where CounSol wins
- Every single user gets a personal dedicated account manager, which is unheard of at this price point in healthcare software
- 4.9/5 customer service score on Capterra backed by 828 reviews, not just a handful of happy users
- e-Prescribing available as an add-on ($60-70/mo), so psychiatrists and prescribers can stay on one platform
- All four plans include HIPAA-compliant records, scheduling, secure messaging, and a branded client portal
- CounselorListing.com advertising included on Standard Plus and above, which is free marketing for your practice
Where Cliniko falls short
- Only 23 reviews on Capterra means the 4.7 rating is based on a thin sample compared to competitors with 200+ reviews
- No built-in insurance billing or clearinghouse integration, so US practices billing insurance need a separate tool
- Jump from $45 Solo to $95 Team is a big leap just for adding one more practitioner
- SMS reminders are billed separately by country, and costs are not published upfront on the pricing page
Where CounSol falls short
- No mobile app, and CounSol has been promising one is coming without delivering, which frustrates practitioners who work between offices
- Video sessions are glitchy according to multiple reviews, with group video not supported and device compatibility issues reported
- Video session quality is inconsistent — multiple reviews report glitches, and group video is not supported
- Interface looks dated compared to newer competitors like SimplePractice or Jane, which may put off younger practitioners
- No API means zero automation or integration with external tools
Who is each product built for?
Cliniko
Target: 1-25 clinicians
Buy Cliniko if you want the cleanest interface in allied health with zero feature gating and stable pricing. Skip if you bill US insurance directly or need a platform with a large review base to validate before buying.
CounSol
Target: 1-10 counselors
Buy CounSol if you are a solo counselor who values personal support and wants a human to call when things break, not a chatbot. Skip if you need reliable video sessions, a mobile app, or a modern-looking interface.
Feature comparison
| Feature | Cliniko | CounSol |
|---|---|---|
| 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
Cliniko scores 7.8/10 vs CounSol's 7.4/10 in our ranking. Cliniko is the better pick for 1-25 clinicians. CounSol is better if you need solo counselors or small mental health practices that value personal support and want a dedicated account manager without paying enterprise prices.
Cliniko starts at $45/month. CounSol starts at $50/month. Watch for add-on costs — the base price often does not include all features. Pricing last verified 2026-04-01.
Cliniko: Yes, 30-day free trial. CounSol: Yes, 14-day free trial. Always test with your actual workflow before committing to an annual plan.
Cliniko covers 14 of 18 features we track. CounSol covers 15 of 18. CounSol has broader feature coverage, but more features does not always mean better — pick the tool that covers what your business actually needs.
Yes, Cliniko has a mobile app. CounSol does not.
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 Cliniko if...
Physiotherapy and allied health clinics that want a clean interface with all features unlocked on every plan and no per-feature upsells.
Pick CounSol if...
Solo counselors or small mental health practices that value personal support and want a dedicated account manager without paying enterprise prices.