Grow Therapy 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.
Grow Therapy 
TherapyNotes Rank
#26 of 41
Rank
#3 of 41
Features
14/18
Features
17/18
Starting at
$0/mo
Starting at
$69/mo
User reviews
—
User reviews
4.4/5 (1052)
What they cost
| Grow Therapy | TherapyNotes | |
|---|---|---|
| Starting at | Free /mo | $69 /mo |
| Free trial | Free tier available | 30 days |
| Number of plans | 1 | 3 |
What the pricing really means
At first glance, Grow Therapy 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 Grow Therapy wins
- Free platform with full EHR, telehealth, and managed insurance billing
- 100+ insurance plan partnerships including Medicaid in select states
- AI-assisted documentation built in
- 4.7/5 on Trustpilot with 7,500+ reviews — more than most EHRs
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 Grow Therapy falls short
- No presence on G2 or Capterra makes independent comparison harder
- Commission model means lower per-session take-home than billing yourself
- Similar to Headway — you trade independence for convenience
- Not designed for group practices
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?
Grow Therapy
Target: 1 provider
Buy Grow Therapy if you're a solo therapist who wants free managed billing and a referral pipeline. Skip if you want to control your own insurance relationships or need Capterra/G2-verified reviews before committing.
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 | Grow Therapy | 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 Grow Therapy's 7.0/10 in our ranking. TherapyNotes is the better pick for 1-50 clinicians. Grow Therapy is better if you need solo therapists who want free managed billing and a built-in client referral pipeline.
Grow Therapy 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.
Grow Therapy: Free tier available. TherapyNotes: Yes, 30-day free trial. Always test with your actual workflow before committing to an annual plan.
Grow Therapy covers 14 of 18 features we track. TherapyNotes covers 17 of 18. TherapyNotes has broader feature coverage, but more features does not always mean better — pick the tool that covers what your business actually needs.
Yes, Grow Therapy 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 Grow Therapy if...
Solo therapists who want free managed billing and a built-in client referral pipeline
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.