CounSol vs Opus EHR
CounSol scores 7.4/10 vs 7.0/10. Best for: Solo counselors or small mental health practices that value personal support and want a dedicated account manager without paying enterprise prices.
CounSol scores higher overall at 7.4/10 vs 7.0/10. 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.
CounSol 
Opus EHR Rank
#16 of 41
Rank
#27 of 41
Features
15/18
Features
16/18
Starting at
$50/mo
Starting at
$79/mo
User reviews
4.5/5 (828)
User reviews
4/5 (50)
What they cost
| CounSol | Opus EHR | |
|---|---|---|
| Starting at | $50 /mo | $79 /mo |
| Free trial | 14 days | Free tier available |
| Number of plans | 4 | 2 |
What the pricing really means
At first glance, CounSol looks cheaper at $50/month vs $79/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 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 Opus EHR wins
- Purpose-built for addiction treatment and SUD with workflows that match how residential and outpatient centers actually operate
- E-prescribing with full DEA compliance and lab integration for substance abuse monitoring built into every paid plan
- Combines EHR, CRM, and revenue cycle management in one platform, so facilities do not need to stitch together three separate tools
- Capterra rating of 4.8 across 50 reviews with 100% positive sentiment, which is unusually high for behavioral health EHRs
- Free Starter plan lets you test scheduling and basic billing before committing to the $79/user paid tier
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
Where Opus EHR falls short
- Small review count (50 total across platforms) means less community knowledge compared to established players like SimplePractice
- Multiple reviewers report slow issue resolution, with bugs sometimes taking weeks to fix after being reported
- Pricing requires contacting sales for anything beyond the base plan, and enterprise costs are not published
- Built for facilities and organizations, so solo therapists or small talk-therapy practices will find it overkill
Who is each product built for?
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.
Opus EHR
Target: 5-100+ staff
Buy Opus EHR if you run an addiction treatment center or behavioral health facility that needs SUD-specific workflows with built-in e-prescribing and lab integration. Skip if you are a solo therapist or small practice that does not need facility-level features.
Feature comparison
| Feature | CounSol | Opus EHR |
|---|---|---|
| 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
CounSol scores 7.4/10 vs Opus EHR's 7.0/10 in our ranking. CounSol is the better pick for 1-10 counselors. Opus EHR is better if you need behavioral health and addiction treatment facilities that need ehr, crm, and billing in one system built specifically for substance use disorder workflows.
CounSol starts at $50/month. Opus EHR starts at $79/month. Watch for add-on costs — the base price often does not include all features. Pricing last verified 2026-04-01.
CounSol: Yes, 14-day free trial. Opus EHR: Free tier available. Always test with your actual workflow before committing to an annual plan.
CounSol covers 15 of 18 features we track. Opus EHR covers 16 of 18. Opus EHR has broader feature coverage, but more features does not always mean better — pick the tool that covers what your business actually needs.
No, CounSol does not have a mobile app. Opus EHR does not have one either.
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 CounSol if...
Solo counselors or small mental health practices that value personal support and want a dedicated account manager without paying enterprise prices.
Pick Opus EHR if...
Behavioral health and addiction treatment facilities that need EHR, CRM, and billing in one system built specifically for substance use disorder workflows.