TheraNest vs TherapyNotes
TherapyNotes scores 8.2/10 vs 7.4/10. 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 7.4/10. 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.
TheraNest 
TherapyNotes Rank
#17 of 41
Rank
#3 of 41
Features
15/18
Features
17/18
Starting at
$29/mo
Starting at
$69/mo
User reviews
4.2/5 (1155)
User reviews
4.4/5 (1052)
What they cost
| TheraNest | TherapyNotes | |
|---|---|---|
| Starting at | $29 /mo | $69 /mo |
| Free trial | 21 days | 30 days |
| Number of plans | 3 | 3 |
What the pricing really means
At first glance, TheraNest looks cheaper at $29/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 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 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 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
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?
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.
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 | TheraNest | 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 TheraNest's 7.4/10 in our ranking. TherapyNotes is the better pick for 1-50 clinicians. TheraNest is better if you need solo therapists or growing group practices that want per-therapist pricing they can scale into as their caseload grows.
TheraNest starts at $29/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.
TheraNest: Yes, 21-day free trial. TherapyNotes: Yes, 30-day free trial. Always test with your actual workflow before committing to an annual plan.
TheraNest covers 15 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.
No, TheraNest does not have a mobile app. TherapyNotes 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 TheraNest if...
Solo therapists or growing group practices that want per-therapist pricing they can scale into as their caseload grows.
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.