TherapyNotes vs Zanda
TherapyNotes scores 8.2/10 vs 7.5/10. 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 7.5/10. 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.
TherapyNotes 
Zanda Rank
#3 of 41
Rank
#15 of 41
Features
17/18
Features
14/18
Starting at
$69/mo
Starting at
$19/mo
User reviews
4.4/5 (1052)
User reviews
4.7/5 (473)
What they cost
| TherapyNotes | Zanda | |
|---|---|---|
| Starting at | $69 /mo | $19 /mo |
| Free trial | 30 days | 14 days |
| Number of plans | 3 | 2 |
What the pricing really means
At first glance, Zanda 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 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 Zanda wins
- Starts at $19/mo for solo practitioners, which is the cheapest entry point in allied health practice management
- 12-month money-back guarantee means you can commit for a year and still bail if it does not work out
- Customizable clinical note templates let physios, psychologists, and OTs each build their own workflows without workarounds
- Multi-location and room management included on the Growth plan, so expanding clinics do not need to upgrade to a separate tier
- BizzyAI scribe transcribes sessions and generates notes at $1/hour, cheaper than most AI documentation add-ons
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
Where Zanda falls short
- Starter plan caps you at 1,000 appointments, which a busy solo practitioner can hit in under a year
- SMS reminders cost extra at ~9 cents per message plus a $4.99/mo dedicated number fee, and those charges add up fast
- API is still in beta with early access only, so custom integrations are not production-ready yet
- Australian origin means insurance billing and clearinghouse integrations for US payers are limited compared to US-built competitors
Who is each product built for?
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.
Zanda
Target: 1-20 clinicians
Buy Zanda if you run an allied health clinic and want affordable, flexible practice management that handles multiple disciplines and locations. Skip if you need US insurance billing or a mature API for custom integrations.
Feature comparison
| Feature | TherapyNotes | Zanda |
|---|---|---|
| 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 Zanda's 7.5/10 in our ranking. TherapyNotes is the better pick for 1-50 clinicians. Zanda is better if you need allied health clinics that need flexible scheduling, customizable clinical notes, and multi-location support without paying per-seat enterprise prices.
TherapyNotes starts at $69/month. Zanda starts at $19/month. Watch for add-on costs — the base price often does not include all features. Pricing last verified 2026-04-01.
TherapyNotes: Yes, 30-day free trial. Zanda: Yes, 14-day free trial. Always test with your actual workflow before committing to an annual plan.
TherapyNotes covers 17 of 18 features we track. Zanda covers 14 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.
Yes, TherapyNotes has a mobile app. Zanda 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 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.
Pick Zanda if...
Allied health clinics that need flexible scheduling, customizable clinical notes, and multi-location support without paying per-seat enterprise prices.