NextGen Office vs TherapyNotes
TherapyNotes scores 8.2/10 vs 6.8/10. 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 6.8/10. 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.
NextGen Office 
TherapyNotes Rank
#31 of 41
Rank
#3 of 41
Features
17/18
Features
17/18
Starting at
$300/mo
Starting at
$69/mo
User reviews
3.7/5 (1440)
User reviews
4.4/5 (1052)
What they cost
| NextGen Office | TherapyNotes | |
|---|---|---|
| Starting at | $300 /mo | $69 /mo |
| Free trial | No | 30 days |
| Number of plans | 2 | 3 |
What the pricing really means
At first glance, TherapyNotes looks cheaper at $69/month vs $300/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 NextGen Office wins
- Handles virtually any medical specialty with customizable templates
- AI Ambient Assist for hands-free documentation
- 1,279 Capterra reviews provides large peer base for troubleshooting
- Mobile e-prescribing including EPCS
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 NextGen Office falls short
- Implementation costs starting at $10,000 are prohibitive for solo practices
- 3.7 G2 rating despite large install base suggests mixed satisfaction
- Not built for behavioral health specifically — general healthcare EHR
- Estimated $300-500/provider/mo with no transparent pricing
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?
NextGen Office
Target: 5-200 providers
Buy NextGen if you're a multi-specialty medical practice with 5+ providers who needs a configurable EHR that scales. Skip if you're a therapist or solo practitioner — this is medical-practice enterprise software with medical-practice enterprise pricing.
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 | NextGen Office | 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 NextGen Office's 6.8/10 in our ranking. TherapyNotes is the better pick for 1-50 clinicians. NextGen Office is better if you need multi-specialty medical practices with 5+ providers who need a configurable ehr that scales.
NextGen Office starts at $300/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.
NextGen Office: No free trial. TherapyNotes: Yes, 30-day free trial. Always test with your actual workflow before committing to an annual plan.
NextGen Office covers 17 of 18 features we track. TherapyNotes covers 17 of 18. Both are tied on feature coverage, but more features does not always mean better — pick the tool that covers what your business actually needs.
Yes, NextGen Office 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 NextGen Office if...
Multi-specialty medical practices with 5+ providers who need a configurable EHR that scales
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.