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Healthcare · head to head

SimplePractice vs TherapyNotes

SimplePractice logo

SimplePractice

Healthcare

Practice management and EHR for mental health and therapy

From
$49/month
Rated
-
Full reviewWebsite
TherapyNotes logo

TherapyNotes

Healthcare

EHR and practice management for therapists

From
$39/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; TherapyNotes no API access, preventing integration with external systems
  • They diverge on capability: SimplePractice covers Client Portal, TherapyNotes covers Electronic Health Records.
  • Prices and features above were last checked on 30 August 2026.

Where they differ

Only the attributes on which SimplePractice and TherapyNotes actually diverge.

Attributes where SimplePractice and TherapyNotes differ
AttributeSimplePracticeTherapyNotes
Starting price$49/month$39/month
Pricing modelUnknownsubscription
PlatformsWeb, iOS, AndroidWeb
Founded20112010

Identical on both: free tier (No), 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

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

Only in TherapyNotes

  • Electronic Health Records
  • Patient Portal
  • Outcome Tracking
  • Clearinghouses
  • Insurance

Both cover

  • Scheduling
  • Billing
  • Telehealth
  • HIPAA
  • SOC2
  • Cloud deployment
  • Web support
  • Mobile support

What people use each for

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

SimplePractice

  • Patient Care
  • Medical Records
  • Practice Management
  • Telehealth

TherapyNotes

  • Patient Care
  • Medical Records
  • Practice Management
  • Telehealth

Both are used for patient care, medical records, practice management, telehealth, on those jobs the choice comes down to price and fit rather than capability.

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

TherapyNotes

  • No API access, preventing integration with external systems
  • Outdated interface compared to AI-driven competitors
  • No native mobile app for iOS or Android
  • No bulk actions to update multiple sessions at once

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

TherapyNotes

$39/month
  • Solo$39/month
    • Full EHR
    • Scheduling
    • Patient portal

Which should you pick?

Choose SimplePractice if

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

Choose TherapyNotes if

  • You need electronic health records.
  • You also want patient portal.
TherapyNotes review

Questions people ask

Is SimplePractice or TherapyNotes better?
Neither clearly leads. SimplePractice starts at $49/month and TherapyNotes at $39/month, and user ratings are close enough to be indistinguishable. Choose on capability and platform support.
Which is cheaper, SimplePractice or TherapyNotes?
SimplePractice starts at $49/month and TherapyNotes at $39/month.
Does SimplePractice or TherapyNotes run on more platforms?
SimplePractice runs on Web, iOS, Android. TherapyNotes runs on Web.
What is SimplePractice best used for?
SimplePractice is most often used for patient care, medical records, practice management, telehealth.
What can SimplePractice do that TherapyNotes cannot?
SimplePractice covers Client Portal, Notes, Documents, Stripe. TherapyNotes covers Electronic Health Records, Patient Portal, Outcome Tracking, Clearinghouses. Both handle Scheduling, Billing, Telehealth, HIPAA.

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
TherapyNotes: Does TherapyNotes integrate with other applications?

TherapyNotes has zero API availability and cannot connect to external systems including marketing platforms, CRMs, or data dashboards. Unlike competitors, it lacks integration capabilities.

Source
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
TherapyNotes: What are TherapyNotes pricing plans?

TherapyNotes charges $69/month for a solo practitioner plan and $79/month for the first clinician in a group with $50/month per additional clinician. A 30-day free trial is included with every plan.

Source
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
TherapyNotes: Does TherapyNotes include telehealth?

Yes. TherapyNotes includes Basic Telehealth at no extra cost on every plan, with standard-definition video for up to 2 participants. Premium Telehealth with full HD, screen sharing, and closed captions costs $15 per clinician per month.

Source
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
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