Heard vs TheraNest
Both score 7.5/10. Compare features and pricing below.
Both score 7.5/10. Buy Heard if you hate bookkeeping and want someone else to handle your practice finances and taxes. Skip if you can handle QuickBooks yourself or if you thought this was practice management software — it's not.
Heard 
TheraNest Rank
#13 of 41
Rank
#17 of 41
Features
1/18
Features
16/18
Starting at
$169/mo
Starting at
$29/mo
User reviews
—
User reviews
4.2/5 (1155)
What they cost
| Heard | TheraNest | |
|---|---|---|
| Starting at | $169 /mo | $29 /mo |
| Free trial | No | 21 days |
| Number of plans | 3 | 3 |
What the pricing really means
At first glance, TheraNest looks cheaper at $29/month vs $169/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 Heard wins
- Done-for-you monthly bookkeeping saves therapists the most hated admin task
- Tax prep and filing included — personal on Essential, business on Premium
- S corp election guidance that reportedly saves $5,000+/year in taxes
- Built specifically for therapy private practice finances, not generic accounting
Where TheraNest wins
- Lowest entry point at $29/therapist/mo for basic practice management needs
- Wiley Practice Planner integration on Premier tier gives you structured, evidence-based treatment plans
- E-prescribing including EPCS is available on the Advanced plan without a separate vendor
- Rebranded to Ensora Health with a refreshed interface that cleaned up years of UI clutter
Where Heard falls short
- NOT practice management software — handles finances only, not clinical work
- $169/mo is a lot when QuickBooks Self-Employed is $15/mo
- No G2 or Capterra reviews for independent comparison
- Premium at $255/mo needed if you're an S corp
Where TheraNest falls short
- No dedicated mobile app, just a mobile-responsive website that feels clunky for quick note-taking between sessions
- Scheduling and secure messaging are locked behind the Advanced plan at $59/mo, so the cheap plan is missing basics
- Per-claim charges of $0.23 after 30 free monthly claims on Advanced can add up for insurance-heavy practices
- Feature gating across three tiers means the $29 Essentials plan is quite limited for day-to-day practice management
Who is each product built for?
Heard
Target: 1-5 providers
Buy Heard if you hate bookkeeping and want someone else to handle your practice finances and taxes. Skip if you can handle QuickBooks yourself or if you thought this was practice management software — it's not.
TheraNest
Target: 1-50 therapists
Buy TheraNest if you want affordable per-therapist pricing and plan to grow into higher tiers as your practice expands. Skip if you need a real mobile app or if you want scheduling included on the cheapest plan.
Feature comparison
| Feature | Heard | TheraNest |
|---|---|---|
| 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
Both score 7.5/10. Heard fits 1-5 providers, while TheraNest fits 1-50 therapists. Pick based on your team size and the features you need most.
Heard starts at $169/month. TheraNest starts at $29/month. Watch for add-on costs — the base price often does not include all features. Pricing last verified 2026-04-01.
Heard: No free trial. TheraNest: Yes, 21-day free trial. Always test with your actual workflow before committing to an annual plan.
Heard covers 1 of 18 features we track. TheraNest covers 16 of 18. TheraNest has broader feature coverage, but more features does not always mean better — pick the tool that covers what your business actually needs.
No, Heard does not have a mobile app. TheraNest does have one.
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 Heard if...
Solo therapists in private practice who want someone else to handle bookkeeping and taxes
Pick TheraNest if...
Solo therapists or growing group practices that want per-therapist pricing they can scale into as their caseload grows.