Healthie vs TherapyNotes
TherapyNotes scores 8.2/10 vs 7.6/10. 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 7.6/10. 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.
Healthie 
TherapyNotes Rank
#11 of 41
Rank
#3 of 41
Features
18/18
Features
17/18
Starting at
$19/mo
Starting at
$69/mo
User reviews
3.9/5 (137)
User reviews
4.4/5 (1052)
What they cost
| Healthie | TherapyNotes | |
|---|---|---|
| Starting at | $19 /mo | $69 /mo |
| Free trial | 14 days | 30 days |
| Number of plans | 4 | 3 |
What the pricing really means
At first glance, Healthie looks cheaper at $19/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 Healthie wins
- Starts at $19/mo which is the cheapest paid plan in the healthcare practice management category
- API-first architecture means digital health startups and developers can build custom workflows on top of it
- Insurance billing via CMS-1500 and Office Ally integration handles the claim submission pipeline without a separate clearinghouse
- Auto-populated superbills save 10-15 minutes of end-of-day admin per clinician
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 Healthie falls short
- Only 21 G2 reviews suggests a smaller user community, which means fewer forums, walkthroughs, and peer support
- E-prescribing is a $40/clinician/mo add-on that stacks on top of already-paid plan costs
- Custom intake forms are locked behind the Essentials plan at $49/mo, so the $19 Core plan uses generic templates only
- The $19 Core plan caps at 10 active clients, which most solo practitioners outgrow within the first month
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?
Healthie
Target: 1-50 providers
Buy Healthie if you are a nutritionist or wellness provider who wants the cheapest starting price with room to scale to a full digital health platform. Skip if you need a large community of users for troubleshooting or if e-prescribing costs matter to your bottom line.
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 | Healthie | 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 Healthie's 7.6/10 in our ranking. TherapyNotes is the better pick for 1-50 clinicians. Healthie is better if you need nutritionists, wellness providers, and digital health startups that want an api-first platform they can build on, not just use as-is.
Healthie starts at $19/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.
Healthie: Yes, 14-day free trial. TherapyNotes: Yes, 30-day free trial. Always test with your actual workflow before committing to an annual plan.
Healthie covers 18 of 18 features we track. TherapyNotes covers 17 of 18. Healthie has broader feature coverage, but more features does not always mean better — pick the tool that covers what your business actually needs.
Yes, Healthie 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 Healthie if...
Nutritionists, wellness providers, and digital health startups that want an API-first platform they can build on, not just use as-is.
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.