I’ve spent hours hands-on with Ensora Mental Health (formerly TheraNest), digging into its features, workflows, and quirks to see how it holds up in real-world practice. What I found is a modern, thoughtfully designed platform that brings a lot to the table, especially for therapists who value customization, streamlined billing, and transparent pricing. Ensora may have a new name, but its familiar foundation and recent upgrades make it a compelling choice
Ensora Health At a Glance
Cost: $29 – $89+ monthly
Telehealth: Yes
Insurance Billing: Yes
Pros & Cons
Pros - All-in-one design with scheduling, notes, billing, and telehealth built in
- Transparent pricing model with unlimited clients at every tier
- Customizable documentation with powerful dynamic forms
- Responsive onboarding and support team
Cons - Some automation tools locked behind higher-tier plans
- Relatively small library of prebuilt forms
- Plans can get expensive quickly for larger practices
Preview Ensora Health
Ensora Mental Health is the recently rebranded face of TheraNest, a trusted EHR used by thousands of behavioral health providers for over a decade. With a fresh name and a simplified pricing model, Ensora aims to offer a modern, flexible platform for therapists, counselors, and group practices. The system includes core tools like scheduling, documentation, telehealth, billing, and a secure client portal, all wrapped in a fresh and clean interface and backed by strong customer support. Its subscription structure is straightforward: each clinician pays a flat monthly fee, with no limits on clients and no surprise charges for basic use.
I used Ensora Mental Health for a week. I found Ensora’s recent improvements meaningful, particularly in areas like billing, payment processing, and the built-in telehealth suite. I think the revised pricing structure makes it more accessible for many practices. The customizable dynamic forms and client record system give you real control over your documentation, and the platform’s automation tools (available in Advanced and Premier tiers) help reduce admin load as your practice grows.
While Ensora may not have the largest app ecosystem or the strongest library of prebuilt templates, it strikes an excellent balance between affordability and flexibility. This is especially true for group practices, which can take advantage of unlimited client access and shared admin tools without paying for extra licenses. Do keep in mind the price escalates rather quickly with multiple providers.
Praise aside, Ensora’s not the only game in town. If you want a wider network of integrations and marketing/business tools, SimplePractice might be a better fit. If you prefer a more structured documentation system with fewer customizations but deeper medical billing support, TherapyNotes is worth a look. Or, if you’re a wellness-oriented solo provider looking for program delivery and lifestyle coaching features, Practice Better could be perfect. But for many therapy practices, especially those looking for an easy, modern, and customizable platform, Ensora Mental Health hits all the right notes.
For even more options, visit our full roundup of the best mental health EHRs available today.
Detailed Review of Ensora Health
Ensora Mental Health is the new unified EHR offering from Ensora Health (formerly TherapyBrands, the owner of popular brand TheraNest), combining the strengths of MyClientsPlus and TheraNest under a single banner. Designed for mental health professionals, the platform covers the full spectrum of practice management without ever feeling overwhelming. Plans start at $29 monthly for solo providers, with higher tiers that unlock insurance billing, group features, and expanded client limits. With a modern interface and a growing list of tools, Ensora is aiming to offer something familiar, flexible, and forward-looking for therapists, counselors, and small group practices.
Review our scoring criteria for EHRs, EMRs, and PMS for therapists.
Review our complete editorial policies here.
Client Management
Ensora offers a straightforward but effective client management system that supports individual and group practices alike. From the central Clients tab, you can view a sortable, searchable list of active and inactive clients, with key details like name, status, and last appointment date visible at a glance. Clicking into a client profile opens a well-organized chart that includes tabs for notes, forms, documents, billing, and contact information, making it easy to find everything you need in one place.
The client face sheet highlights core identifying info, appointment history, and important documentation in a single, scrollable view. While it’s not radically different from what you’d find in other EHRs, it’s clean and easy to use, with quick links to upload files, send messages, or start a session.
Ensora also includes a secure client portal where clients can view appointments, documents, and invoices, and send messages. Advanced and Premier plans add online booking, which allows clients to self-schedule based on therapist availability, as well as secure messaging, helping streamline communication without relying on outside platforms.
Overall, Ensora’s client management tools don’t try to reinvent the wheel, but they’re well executed and bring over everything that worked about TheraNest’s client management system. Ensora Mental Health earned a full 5 out of 5 stars in this category.
Client Forms & Intake
Ensora’s intake system is flexible, customizable, and a clear evolution of the tools once offered by TheraNest and MyClientsPlus. Even on the more limited Essentials plan, practices have access to a set of prebuilt digital intake forms and notes. While the exact customization level at this tier isn’t spelled out, the essentials cover the basics for onboarding clients and capturing session information in a compliant and streamlined way. However, it definitely wasn’t the largest selection of prebuilt forms right out of the box.
Where Ensora starts to come into itself is with its Advanced and Premier pricing plans, which unlock full access to the platform’s dynamic form builder. This powerful drag-and-drop tool allows therapists to create fully customized intake packets, progress notes, and case documentation using conditional logic, reusable components, and smart templates. Unlike the old TheraNest model I used in the past, where some forms (like the intake/diagnosis form) were fixed, Ensora now lets users port any form into the dynamic builder for full control and consistency across documentation.
The unique Cases system has also carried over from TheraNest, offering a structured way to organize documentation by client goals or treatment areas. Each client can have multiple open or archived cases, which can help segment treatment notes, plans, and assessments for better clarity over time.
The overall intake experience feels modern, fluid, and well integrated into the broader workflow. It’s easy to build out form bundles, tie documentation to specific appointment types, and deploy everything through the secure client portal. I’d say Ensora now stands out as one of the more customizable intake systems in the EHR market, especially for teams that want consistency without giving up flexibility. It earned 4.5 out of 5 stars based on our scoring criteria.
Calendar & Scheduling
Ensora’s scheduling tools carry over many of the strengths of TheraNest while smoothing out some past frustrations from TheraNest’s early days. The interface is now clean and easy to navigate, with a crisp calendar view that supports multiple layouts and color-coded appointments by provider or session type. Drag-and-drop rescheduling works reliably, and appointment types can be customized to reflect telehealth, in-person, group, and other session formats.
Availability management works as you’d hope. Providers can create recurring or one-off availability blocks with fine-tuned control, and it’s easy to distinguish between different service locations. Ensora also handles time zone differences effectively: clients always see appointment slots in their local time, making it easier for practices with regional or national reach.
The client portal supports self-scheduling based on provider availability and syncs seamlessly with the calendar view. Email reminders are standard, and practices on the Advanced or Premier plans receive 30 or unlimited text and phone reminders (depending on tier), which can help reduce no-shows. Group practices also benefit from shared calendar features and a central view of provider availability across the organization.
While the system certainly doesn’t break a lot of new ground, it’s robust, flexible, and polished. It should meet the needs of most solo and group practices without requiring workarounds or third-party scheduling tools. For these reasons, Ensora Mental Health deserves a full 5 out of 5 stars in this category.
Treatment Planning & Notes
Ensora offers a solid, flexible system for clinical documentation, with strong customization options and clean integration across its note-taking and treatment planning tools. Progress notes can be built from scratch or adapted from included templates; currently limited to a standard note and a SOAP note by default. For many clinicians, these will serve as a functional baseline, but the real strength lies in the Dynamic Forms builder we explored earlier.
The Dynamic Forms tool allows you to create or modify note templates with drag-and-drop fields, conditional logic, and reusable components. It’s intuitive and powerful, especially once you’ve had a little time to explore it. Any note template, intake form, or assessment can be built within the same system, giving Ensora a coherent and modular documentation workflow.
Treatment plans remain slightly less customizable. They follow a set format with editable goals, objectives, and interventions, but you don’t get the same template flexibility that’s available for notes. That said, the plans are serviceable, and practices wanting a deeper library of structured templates can opt into the Wiley Practice Planner add-on ($25 monthly per therapist), which includes 1,000+ pre-written notes and planning materials.
Overall, Ensora strikes a very strong balance between flexibility and structure, with a clear emphasis on customization. It may require some initial setup to tailor the platform to your practice, but the tools are more than capable once configured, and light years ahead of what TheraNest once offered.
With all of these improvements in mind, we awarded Ensora Mental Health with 4 out of 5 stars in this section of our scoring criteria.
Telehealth
Ensora’s built-in telehealth functionality is fully integrated and thoughtfully designed, providing a seamless experience for both clinicians and clients. Sessions can be launched directly from the calendar or client profile, and clients join via the secure client portal, where they’re held in a virtual waiting room until admitted by the therapist.
The platform offers individual and group telehealth, with support for up to 20 participants in a session. Features include in-session chat, screen sharing, customizable backgrounds, and standard moderation tools like mute and disable video. Everything lives within the EHR environment, no need to juggle external links or separate tools.
Pricing remains competitive: telehealth is included on the Premier plan and available as a $12 monthly per therapist add-on for Essentials and Advanced users. Ensora’s telehealth system is reliable, convenient, and integrated tightly into the rest of the EHR; a major win for therapists who want one less platform to manage.
Ensora Mental Health earned 4 out of 5 stars in the Telehealth category of our scoring criteria.
Insurance Billing
Ensora carries forward TheraNest’s solid insurance billing foundation and builds on it with a cleaner interface and tiered usage options. The platform allows you to bill private-pay clients, generate superbills, and submit electronic claims directly through its integrated clearinghouse partners. All the basics are covered: primary and secondary claims, batch submissions, rejection tracking, and real-time eligibility checks.
Practices on the Advanced plan receive 30 free claims and eligibility checks per month per practice, with additional usage billed at $0.23 per claim and $0.25 per eligibility check. Premier plan subscribers unlock unlimited access to these features, subject to a fair use policy.
Ensora also offers Revenue Cycle Management (RCM) services and Managed Billing Services for those who prefer to offload billing entirely. While pricing for RCM and managed billing isn’t publicly listed, it’s designed to serve practices of all sizes.
Taken together, Ensora’s billing tools strike a solid balance between self-service flexibility and hands-off automation. It earned 4 out of 5 stars in this category.
Client Payment Methods, Collection, & Processing
Ensora Health offers a streamlined, Stripe-powered payment system. From within the secure client portal, clients can pay invoices online, with payments automatically applied to their accounts. This integration reduces administrative work and ensures that clinicians and clients stay on the same page financially.
The platform includes an integrated billing dashboard for tracking charges, payments, superbills, and statements. Batch invoicing and bulk payments are supported, making it easy to process multiple transactions at once, especially helpful for group practices with high client volume.
Fees are pretty standard at 2.99% + $0.30 per transaction, and apply across all subscription tiers. There’s no option to use an outside payment processor, but Ensora’s built-in system is reliable and deeply embedded in the platform’s workflow.
While it doesn’t currently offer ACH transfers or sliding scale automations, Ensora’s payment tools check all the major boxes and contribute to a clean, efficient billing experience. We’re maintaining the same 4 out of 5 stars as we awarded this system under its previous branding.
Practice Management & Reports
Ensora Health carries forward TheraNest’s well-rounded approach to practice management, offering a robust feature set for organizing teams, tracking performance, and customizing staff roles and permissions. You can add schedulers, billers, and other non-clinical staff at no extra cost, with granular permission settings that help protect sensitive data and streamline operations.
The reporting suite remains comprehensive, offering dozens of downloadable reports covering essential practice metrics like no-shows, revenue, billing performance, clinical documentation, demographics, and various staff metrics. These reports are easy to export and filter, providing valuable insights for solo providers and larger enterprises alike.
Group reporting tools in the Advanced and Premier tiers take things a step further, offering greater visibility into clinician productivity and appointment trends, especially useful for growing teams that need oversight without micromanagement.
While Ensora’s reports don’t reinvent the wheel, they’re detailed, well-organized, and easy to work with. Combined with flexible staff roles and free administrative seats, this suite earns a solid 5 out of 5 for practice management and reporting.
Customer Service & Training
Ensora Health maintains Therapy Brands’ reputation for hands-on customer support and comprehensive training. From the moment you sign up, you’re encouraged to schedule a one-on-one onboarding call with a live specialist, free of charge. These 15-minute sessions are easy to book and can be repeated as needed, making them a great resource for solo providers and growing teams alike.
The platform’s help center includes searchable documentation, how-to articles, and video tutorials that cover everything from calendar syncing to claim submission. Live webinars are also offered at no cost, and many are accessible even during the free trial period.
In our testing, we were contacted by a support representative shortly after account creation with a personalized welcome and an offer to help with setup. This quick response, paired with knowledgeable staff, makes for a smooth onboarding experience.
While Ensora does not currently advertise “White Glove” training services like TheraNest once did, the core training and support offering remains robust. Given its responsive team, ample onboarding support, and free training tools, Ensora earns a 5 out of 5 stars for customer service and training.
Cost & Pricing Plans
Ensora Health has moved away from TheraNest’s caseload-based pricing to a straightforward, per-therapist subscription model. Each plan offers unlimited clients, which can be a significant cost-saver for larger caseloads or growing group practices. While certain automation features and add-ons can drive the cost up, the inclusion of unlimited clients at every level and strong base features—even on the Essentials plan—makes it quite competitive for practices of all sizes.
Here’s the breakdown of Ensora Mental Health’s pricing plans:
Essentials – $29 monthly per therapist
Ideal for solo therapists just getting started.
Includes:
- Unlimited clients
- Scheduling management
- Secure client portal
- Calendar sync
- Basic intake forms and notes
- AI notes enhancement (beta)
- Individual and group telehealth (+$12/month add-on)
- Credit card payments (2.99% + $0.30 per transaction)
Advanced – $59 monthly per therapist
Ideal for growing practices ready for more automation.
Includes everything in Essentials, plus:
- Online booking and secure messaging
- Custom intake forms and notes
- Group practice reports
- 30 included per month:
- Claims processing
- Eligibility checks
- SMS and phone reminders
Premier Plan – $89 monthly per therapist
Ideal for established practices needing full automation.
Includes everything in Advanced, plus:
- Automated insurance billing tools
- Wiley Practice Planners (included)
- Unlimited claims, eligibility checks, and reminders
- Unlimited individual and group telehealth
- Enhanced reporting and productivity tools
All plans include unlimited clients, free schedulers and billers, and a 21-day Premier trial with no credit card required. Annual subscriptions offer one month free.
Add-On Pricing
Most of the basics are covered under a monthly plan, but there are a few features in Ensora Mental Health that require an extra fee.
- Telehealth (on Basic & Advanced plans): $12 monthly per therapist
- Wiley Practice Planners: $25 monthly per therapist (included in Premier plan)
- Credit Card Processing: 2.99% + $0.30 per transaction
- Claims beyond included amount (Advanced): $0.23 per claim
- Eligibility checks beyond included (Advanced): $0.25 per check
- Text/Phone Reminders (beyond 30): $0.10 each
- eRx + PDMP: $135 one-time setup fee + $45/month per therapist
- Revenue Cycle Management (RCM): Priced separately
- Additional Admins: $19 monthly (Essentials & Advanced), $29 monthly (Premier)
- AMA CPT License Fee: $19.50 annually per therapist (billed in December)
User Reviews
Since Ensora Mental Health is the direct successor to TheraNest, most available user reviews still reflect experiences from the TheraNest platform. That said, users tend to value the interface, features, and customer support under the Ensora name.
Here’s how the platform is currently rated across major review sites:
Software Advice | 4.4 out of 5 stars | 994 reviews
The Positive: Users consistently highlight Ensora’s ease of use, especially for solo providers and small teams. Many find the workflow intuitive and the onboarding process smooth.
The Negative: A few reviewers mention occasional issues with customer support responsiveness and mild frustration with certain billing tools.
Trustpilot | 3.9 out of 5 stars | 211 reviews
The Positive: Most users praise the platform’s simplicity and reliability for everyday tasks like scheduling, note-taking, and telehealth.
The Negative: Some express concerns over perceived software instability and a drop in support quality following the TheraNest acquisition by Therapy Brands.
Alternatives & Competitors
While Ensora Mental Health offers a strong all-in-one solution for therapy practices, it’s far from the only EHR platform on the market. Depending on your specific needs, like advanced billing or more prebuilt documentation tools, you might find a better fit elsewhere. Below, we compare Ensora to three of its biggest competitors: SimplePractice, TherapyNotes, and Practice Better.
SimplePractice
Cost: $49–$99 monthly
Insurance Billing: Yes
Telehealth: Yes
SimplePractice is one of the most widely recognized names in the mental health EHR space, known for its sleek interface and strong telehealth, scheduling, and client portal features. While both platforms offer customizable forms, billing tools, and client communications, Ensora stands out with more generous claim and eligibility limits on its higher-tier plans and slightly more advanced automation tools. SimplePractice may still edge it out for solo therapists prioritizing design simplicity and marketing tools, but Ensora offers slightly better scalability for cost-conscious practices.
Learn more about our experience in my full SimplePractice review.
Pros & Cons
Pros - Beautiful, modern interface
- Helpful automation features
- Offers Wiley Treatment Planner
- Intuitive calendar
- Good onboarding support
- Professional website builder
- Mobile app for practitioners and clients
Cons - Relatively expensive, compared to competitors
- May not be customizable enough for large practices
TherapyNotes
Cost: $59–$69+ monthly
Telehealth: Yes
Insurance Billing: Yes
TherapyNotes has long been known for its robust documentation and insurance billing features, making it a go-to choice for practices that rely heavily on insurance claims. Compared to Ensora, TherapyNotes feels more structured and geared toward compliance-driven workflows, offering a deep but somewhat rigid note system. Ensora, by contrast, offers more customizable note templates and dynamic form building tools across its higher tiers.
Learn more in our full TherapyNotes review.
Pros & Cons
Pros - One-month free trial
- Excellent user experience
- Basic telehealth platform included in all plans
- Easy to learn and quick to implement
- Supports e-prescriptions
Cons - No mobile app available
- Fewer automation features than some competitors
- Limited reporting capability
Practice Better
Cost: $35–$155+ monthly
Insurance Billing: Yes
Telehealth: Yes
Practice Better originally carved out its niche among dietitians and wellness professionals but has grown into a robust platform for behavioral health providers as well. It offers excellent automation, client engagement tools, and program creation features. Compared to Ensora, Practice Better shines when it comes to building client-facing programs, group sessions, and self-guided care models.
Compare notes in our full Practice Better review.
Pros & Cons
Pros - Modern, intuitive design that's easy to navigate
- Powerful client engagement tools (journals, programs, tracking)
- Strong automation and integration options
- Robust telehealth built in
- Scales easily for solo or group practices
Cons - Pricing can climb quickly with add-ons
- More focused on holistic and integrative practices
- No built-in recurring scheduling for sessions
- Free trial requires a credit card
Final Verdict
I’ve been reviewing mental health EHRs for years, and I’ve followed TheraNest closely since the start. That long-term perspective has allowed me to track its evolution from its early days as a scrappy solo-provider tool to its current role as part of a larger platform under the Ensora Health name.
This review is based on firsthand testing, not just marketing materials. I’ve personally used the platform as a therapist would, explored its features across pricing tiers, and compared it directly to dozens of competing EHRs. My goal is to give you a clear, unbiased look at how Ensora Mental Health really performs, the good, the bad, and the in-between, so you can make the right call for your practice.
History & News
- Year Founded: 2013
- Headquarters: Birmingham, Alabama
- Formerly Known As: Therapy Brands
Ensora Health was originally launched as TheraNest in 2013 by Shegun Otulana. Over time, it grew into the foundation of Therapy Brands, a parent company that acquired several behavioral health EHR platforms, including the popular MyClientsPlus. In 2021, Therapy Brands was purchased by private equity firm KKR for $1.25 billion.1
In April 2025, Therapy Brands officially rebranded to Ensora Health.2 While the software and user experience remain familiar to TheraNest users, the new name reflects a broader commitment to integrated care and ongoing innovation, especially in areas like AI-enhanced documentation and automated billing tools. Ensora’s website mentions that the company is planning to add AI-enhanced features to its mental health EHR in the coming months.
Frequently Asked Questions
Is Ensora Mental Health HIPAA-Compliant?
Yes. Ensora is fully HIPAA-compliant and includes key privacy and security features like multi-factor authentication, encrypted messaging, and secure client portals.
How Do I Cancel My Ensora Mental Health Subscription?
You can cancel your subscription at any time through your account settings. Simply navigate to the Organization menu and select “Manage subscriptions.” If you’re on an annual plan, your cancellation will take effect at the end of your billing cycle. No setup or cancellation fees apply.
Does Ensora Mental Health Offer a Free Trial?
Yes. Ensora offers a 21-day free trial of its Premier plan with full feature access and no credit card required.
ChoosingTherapy.com strives to provide our readers with mental health content that is accurate and actionable. We have high standards for what can be cited within our articles. Acceptable sources include government agencies, universities and colleges, scholarly journals, industry and professional associations, and other high-integrity sources of mental health journalism. Learn more by reviewing our full editorial policy.
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KKR. (2021, April 7). KKR to acquire Therapy Brands. Retrieved from: https://media.kkr.com/news-details?news_id=48c40012-aa89-40f6-bb4e-d8de7a791ea8
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Ensora Health. (2025, April 7). Therapy Brands is now Ensora Health. Retrieved from: https://ensorahealth.com/blog/therapy-brands-is-now-ensora-health/
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Church, M. (2025). SimplePractice Review: Is It Right for Your Practice? Retrieved from: https://www.choosingtherapy.com/simplepractice-review/
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Church, M. (2025). TherapyNotes Review: Pros & Cons, Cost, & Who It’s Right For. Retrieved from: https://www.choosingtherapy.com/therapynotes-review/
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Church, M. (2025). Practice Better Review: Pros & Cons, Cost, & Who It’s Right For. Retrieved from: https://www.choosingtherapy.com/practice-better-review/
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Church, M. (2025). The Best Mental Health EHR of 2025. Retrieved from: https://www.choosingtherapy.com/best-mental-health-ehr/
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Additional Resources
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