TheraNestvs
SimplePractice
SimplePractice: A cleaner interface and telehealth available lower down the range, if you would rather not pay the top tier for video
TheraNest
Mental health EHR and practice management priced per therapist
As of 31 August 2026, TheraNest starts at $29/month. A behavioural health EHR for solo therapists and group practices, now sold as TheraNest by Ensora Health after the Therapy Brands portfolio was rebranded. Softwr lists it under Healthcare. TheraNest is made by Ensora Health, available on Web, iOS, Android.
Overview
What TheraNest does
TheraNest is an electronic health record and practice management system for mental and behavioural health practices. It covers scheduling, progress notes, treatment plans, a client portal, telehealth, credit card processing and insurance claim submission, and it is sold per therapist rather than per practice. What distinguishes it commercially is that insurance billing is the tier boundary. The entry plan carries no claims at all, the middle plan includes a fixed monthly allowance of claims and the top plan removes the cap. A practice that bills insurance heavily is therefore not choosing between feature sets so much as choosing how much of its revenue cycle it wants to pay a per claim toll on. There is also an annual AMA CPT licence fee charged separately each December, which is a real line item most comparison articles leave out. Buyers are typically solo therapists, small group practices and community mental health organisations that want claims and notes in one system without a consultant led implementation. The trade-off is a product with a long history and an interface that shows it, inside a company that has been consolidating brands, so the roadmap is set by portfolio strategy rather than by this product alone.
What people use it for
- 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 sufficient
- A group practice of six to twenty clinicians that wants per clinician productivity and payroll reporting without buying a separate practice management layer
- A practice moving off paper or a general purpose calendar that needs a client portal for intake forms and consent signatures
- A behavioural health organisation that bills a steady volume of insurance claims each month and can size the Advanced allowance against its actual claim count
Related searches
The honest half
Where it falls short
Concrete and checkable, so you can decide whether any of them matter to you. This is the half of a review a vendor will not write about 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.
Cross-shopped
What people choose instead of TheraNest
Each pairing was judged by two reviewers asking whether a buyer would genuinely weigh the two against each other. The ones that failed were deleted rather than published.
- TheraNestvsJane App
Jane App: Better suited if the practice mixes mental health with physical therapies and needs multi discipline charting
- TheraNestvsKareo Clinical
Kareo Clinical: Worth comparing if insurance billing volume is the dominant cost and you want a billing first system rather than a notes first one
Pricing
What TheraNest costs
Taken from the vendor's own pricing page. Prices move, so check before you buy.
Essentials
$29 /mo
- Per therapist
- Scheduling and client portal
- HIPAA aligned notes and documentation
- Card processing
- No insurance claims included
- Extra admin users at 19 USD each
Advanced
$59 /mo
- Per therapist
- 30 insurance claims per month included
- Custom forms
- Extra admin users at 19 USD each
Premier
$89 /mo
- Per therapist
- Unlimited insurance claims
- Billing automation
- Integrated telehealth
- Extra admin users at 29 USD each
Capabilities
Features
Progress notes and treatment plans
Note templates with wiley planners and treatment plan libraries for behavioural health
Insurance claims
Electronic claim submission and ERA posting, with claim volume capped on lower tiers
Client portal
Intake forms, document signing, appointment requests and self scheduling
Telehealth
HIPAA aligned video sessions bundled into the top tier only
Group and family sessions
Notes and billing that attach multiple clients to a single appointment
Payroll and staff reporting
Per clinician productivity and compensation reports for group practices
Answered, with sources
Questions people ask
Each answer names the page it came from, so you can check it rather than take our word for it.
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.
Can I bill insurance on the cheapest plan?
No. Essentials includes no claims. Advanced includes 30 claims a month and Premier is unlimited.
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.
Does it support group practices?
Yes, with per clinician reporting and payroll figures, though every clinician and every admin is a paid seat.
Keep looking
Where to go from TheraNest
- TheraNest alternativesEvery product people weigh against it
- TheraNest pricingPlans, floors and what the tiers exclude
- TheraNest badgesWhich rules it meets, and the figure behind each
- All Healthcare softwareThe full category
- Best Healthcare softwareThe shortlist, and how it was cut
Best Healthcare software for
Compare TheraNest with
- SimplePractice
- Kareo Clinical
- Jane App
- TherapyNotes
- BetterHelp
- Ginger
- Athenahealth
- DrChrono
- WebPT
- Allscripts TouchWorks
- ChiroTouch
- Healthie
- Cerner PowerChart
- Doctolib
- Doximity
- eClinicalWorks
- ChiroTouch
- Cerner PowerWorks
Other Healthcare software
Practice management and EHR for mental health and therapy
From $49/mo12 researched notesSpecialized EHR and practice management for independent and small practices
From $89/mo12 researched notesCloud-based EHR and practice management for ambulatory care
From $200/mo10 researched notesEHR, scheduling and client engagement for nutrition, wellness and virtual-first care
From $19/mo12 researched notesAdvanced clinical charting and documentation system within Cerner EHR
Pricing on request7 researched notesPatient booking and practice management for European healthcare professionals
Pricing on request12 researched notesRevenue cycle management and financial solutions from Cerner
Pricing on request4 researched notes
Softwr does not host reviews and shows no star rating for TheraNest, because a rating we did not collect is not ours to publish. What is here is the pricing and platform detail from the vendor’s own pages, limitations we could state concretely, and alternatives a reviewer confirmed people weigh against it. Tell us if any of it is wrong.
More on TheraNest
TheraNest alternatives
What people switch to, and what they give up
TheraNest pricing
Every tier, and where the cost actually lands
Compare TheraNest
Put it head to head with anything we hold
TheraNest badge
Its rating, and an embed for your own site
Best Healthcare software alternatives
Clinical laboratory middleware and informatics from a diagnostics instrument manufacturer
quote
Open source hospital information system and EMR for low-resource hospitals, built on OpenMRS
Open source, no licence fee
Period and cycle tracking app owned by German company Biowink, positioned around science based tracking and a published stance against sharing data with law enforcement
Free with a Plus subscription
Period and cycle tracking app that settled with the US FTC in 2021 over sharing health data with third parties despite promising not to
Free with a Premium subscription
Open source health information platform run from the University of Oslo and used by national ministries
Open source, no licence fee
Multi-finding chest X-ray and head CT triage AI with FDA clearance on named findings, not on the whole model
quote