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Healthcare · head to head

SimplePractice vs TheraNest

SimplePractice logo

SimplePractice

Healthcare

Practice management and EHR for mental health and therapy

From
$49/month
Rated
-
Full reviewWebsite
TheraNest logo

TheraNest

Healthcare

Mental health EHR and practice management priced per therapist

From
$29/month
Rated
-
Full reviewWebsite

The short version

  • Each has a real cost: SimplePractice no API or webhook support for integrations, preventing connections to Zapier or custom automation tools; TheraNest the Essentials plan includes no insurance claims at all, so any practice that bills a payer is effectively on the 59 USD tier or above and the advertised 29 USD entry price does not apply to it.
  • They diverge on capability: SimplePractice covers Scheduling, TheraNest covers Progress notes and treatment plans.
  • Prices and features above were last checked on 31 August 2026.

Where they differ

Only the attributes on which SimplePractice and TheraNest actually diverge.

Attributes where SimplePractice and TheraNest differ
AttributeSimplePracticeTheraNest
Starting price$49/month$29/month
Pricing modelUnknownPer user per month
Founded2011Unknown

Identical on both: free tier (No), platforms (Web, iOS, Android), user rating (Not yet rated), category (Healthcare).

What each one covers

Drawn from each product's published feature list. An absence here means we hold no record of it - not that the product lacks it.

Only in SimplePractice

  • Scheduling
  • Client Portal
  • Notes
  • Billing
  • Documents
  • Stripe
  • PayPal
  • Electronic clearinghouses

Only in TheraNest

  • Progress notes and treatment plans
  • Insurance claims
  • Client portal
  • Group and family sessions
  • Payroll and staff reporting

Both cover

  • Telehealth

What people use each for

The jobs each tool is most often brought in to do.

SimplePractice

  • Patient Carenot TheraNest
  • Medical Recordsnot TheraNest
  • Practice Managementnot TheraNest
  • Telehealthnot TheraNest

TheraNest

  • A solo therapist who needs a HIPAA aligned note and scheduling system and does not bill insurance, where the 29 USD entry tier is genuinely sufficientnot SimplePractice
  • A group practice of six to twenty clinicians that wants per clinician productivity and payroll reporting without buying a separate practice management layernot SimplePractice
  • A practice moving off paper or a general purpose calendar that needs a client portal for intake forms and consent signaturesnot SimplePractice
  • A behavioural health organisation that bills a steady volume of insurance claims each month and can size the Advanced allowance against its actual claim countnot SimplePractice

Where each one falls short

Documented limitations, not opinions. Every one is a constraint you would hit in normal use.

SimplePractice

  • No API or webhook support for integrations, preventing connections to Zapier or custom automation tools
  • Lacks AI clinical documentation in base plan, requiring manual note typing which takes 15-30 minutes per session
  • Reporting and customization features are limited compared to competitors, with weak insurance workflow support
  • Hidden costs beyond base pricing, with real cost often 3x higher after add-ons and annual increases
  • Telehealth component reported as unstable and frequently unreliable by some users

TheraNest

  • The Essentials plan includes no insurance claims at all, so any practice that bills a payer is effectively on the 59 USD tier or above and the advertised 29 USD entry price does not apply to it.
  • Telehealth is only in the Premier plan, so a practice that wants video sessions pays 89 USD per therapist per month even if it needs nothing else from that tier.
  • An annual AMA CPT licence fee is billed separately each December on top of subscription cost, which surprises practices that budgeted only the monthly figure.
  • Additional administrative users are chargeable, so a practice with front desk and billing staff who never see clients still pays 19 to 29 USD per head for people who generate no revenue.
  • The product sits inside a consolidated portfolio that has already renamed the parent company from Therapy Brands to Ensora Health, and product investment in a portfolio is directed by the owner rather than by this product line, so roadmap commitments are worth less than they would be from a single product vendor.

Pricing, plan by plan

SimplePractice

$49/month
  • Starter$49/month
    • Scheduling
    • Documentation
    • Client portal
  • Essential$79/month
    • Billing and payments
    • Insurance claim filing
    • Telehealth
  • Plus$99/month
    • Website builder
    • Advanced reporting
    • ePrescribe integration

TheraNest

$29/month
  • Essentials$29/month
    • Per therapist
    • Scheduling and client portal
    • HIPAA aligned notes and documentation
  • Advanced$59/month
    • Per therapist
    • 30 insurance claims per month included
    • Custom forms
  • Premier$89/month
    • Per therapist
    • Unlimited insurance claims
    • Billing automation

Which should you pick?

Choose SimplePractice if

  • You need scheduling.
  • You work on Web, iOS, Android.
  • You also want client portal.
SimplePractice review

Choose TheraNest if

  • You need progress notes and treatment plans.
  • You work on Web, iOS, Android.
  • You also want insurance claims.
TheraNest review

Questions people ask

Is SimplePractice or TheraNest better?
Neither clearly leads. SimplePractice starts at $49/month and TheraNest at $29/month, and user ratings are close enough to be indistinguishable. Choose on capability and platform support.
Which is cheaper, SimplePractice or TheraNest?
SimplePractice starts at $49/month and TheraNest at $29/month.
Does SimplePractice or TheraNest run on more platforms?
Both run on Web, iOS, Android, so platform support will not decide this one for you.
What is SimplePractice best used for?
SimplePractice is most often used for patient care, medical records, practice management, telehealth. Of those, patient care and medical records are not what TheraNest is typically brought in for.
What can SimplePractice do that TheraNest cannot?
SimplePractice covers Scheduling, Client Portal, Notes, Billing. TheraNest covers Progress notes and treatment plans, Insurance claims, Client portal, Group and family sessions. Both handle Telehealth.

Answered from the vendors’ own pages

SimplePractice: What does SimplePractice pricing include?

SimplePractice tiers start at $49 (Starter), $79 (Essential), and $99 (Plus) per clinician per month. Add-ons cost extra, including AI Note Taker at $35/month and ePrescribe at $49/month plus $89 setup.

Source
TheraNest: Is TheraNest still sold under that name?

Yes. The company rebranded from Therapy Brands to Ensora Health and the product is now marketed as TheraNest by Ensora Health, but you still buy TheraNest.

SimplePractice: Does SimplePractice include telehealth?

Yes, all SimplePractice tiers include HIPAA-compliant integrated telehealth, allowing therapists to conduct secure video sessions directly from the platform.

Source
TheraNest: Can I bill insurance on the cheapest plan?

No. Essentials includes no claims. Advanced includes 30 claims a month and Premier is unlimited.

SimplePractice: Is AI documentation included in SimplePractice?

No, AI clinical notes are not included in base pricing. SimplePractice offers an optional AI Note Taker add-on for $35/month that provides basic transcription, though it lacks advanced note generation features of competitors.

Source
TheraNest: Are there hidden costs?

Two. Additional admin users are charged per head, and an AMA CPT licence fee is billed annually in December per therapist.

SimplePractice: Does SimplePractice support international or non-US workflows?

No, SimplePractice is designed for US practices only and does not support non-US workflows, insurance structures, or currencies, limiting its use for international practitioners.

Source
TheraNest: Does it support group practices?

Yes, with per clinician reporting and payroll figures, though every clinician and every admin is a paid seat.

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