SimplePractice vs TherapyNotes
TherapyNotes scores 8.2/10 vs 7.8/10. 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 7.8/10. 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.
SimplePractice 
TherapyNotes Rank
#10 of 41
Rank
#3 of 41
Features
18/18
Features
17/18
Starting at
$49/mo
Starting at
$69/mo
User reviews
3.9/5 (2943)
User reviews
4.4/5 (1052)
What they cost
| SimplePractice | TherapyNotes | |
|---|---|---|
| Starting at | $49 /mo | $69 /mo |
| Free trial | 30 days | 30 days |
| Number of plans | 3 | 3 |
What the pricing really means
At first glance, SimplePractice looks cheaper at $49/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 SimplePractice wins
- 30-day free trial with no credit card required, so you can actually test it with real clients before paying
- Telehealth included on all plans, even the $49/mo Starter, which most competitors charge extra for
- Mobile app handles progress notes, scheduling, and telehealth between sessions without needing a laptop
- 225,000+ practitioners use it, which means community forums, YouTube walkthroughs, and third-party templates are everywhere
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 SimplePractice falls short
- G2 rating dropped to 3.9/5, which is low for the market leader and points to real frustration among power users
- No e-prescribing without a DrFirst add-on, so psychiatrists and prescribers will need another tool
- Support response times have slipped according to recent reviews, with some users waiting days for non-urgent tickets
- API access is locked behind the Plus plan at $99/mo, so automating workflows on the cheaper plans is not possible
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?
SimplePractice
Target: 1-10 clinicians
Buy SimplePractice if you want the most widely-used platform with solid telehealth and a genuine mobile app that works between sessions. Skip if you care about customer support speed or need advanced insurance billing without per-claim fees.
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 | SimplePractice | 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 SimplePractice's 7.8/10 in our ranking. TherapyNotes is the better pick for 1-50 clinicians. SimplePractice is better if you need solo therapists or small group practices that want one platform for scheduling, notes, telehealth, and billing without stitching together multiple tools.
SimplePractice starts at $49/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.
SimplePractice: Yes, 30-day free trial. TherapyNotes: Yes, 30-day free trial. Always test with your actual workflow before committing to an annual plan.
SimplePractice covers 18 of 18 features we track. TherapyNotes covers 17 of 18. SimplePractice has broader feature coverage, but more features does not always mean better — pick the tool that covers what your business actually needs.
Yes, SimplePractice 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 SimplePractice if...
Solo therapists or small group practices that want one platform for scheduling, notes, telehealth, and billing without stitching together multiple tools.
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.