TherapyNotes and SimplePractice are two of the most popular EHRs for therapists and mental health professionals, each with a distinct approach. TherapyNotes focuses on streamlined efficiency, while SimplePractice packs in premium features for growing practices. After using both platforms hands-on, we’re breaking down their key differences in features, cost, and overall value.
Compare TherapyNotes Vs. SimplePractice
| Monthly Cost | $49-$99 | $59-$69 |
| Free Trial | Yes, 30 days | Yes, 30 days |
| Telehealth |  | |
| Unlimited Clients on All Subscription Levels | | |
| Unlimited Sessions on All Subscription Levels | | |
| Cost per Additional Clinician | $69-$74 monthly, must be on Plus Plan | $40 monthly |
| Insurance Billing Costs | $0.35-$0.50 per claim | $0.14 per claim |
| Client Data Import | Yes, no cost | Yes, no cost |
| ePrescription Features | Yes, $49/mo/clinician; $89 set-up fee | Yes, $65 monthly per prescriber |
| Estimated Annual Cost | $588-$1,188+ | $708-$1,308+ |
| Monthly Cost | |
| $49-$99 | $59-$69 |
| Free Trial | |
| Yes, 30 days | Yes, 30 days |
| Telehealth | |
| | |
| Unlimited Clients on All Subscription Levels | |
| | |
| Unlimited Sessions on All Subscription Levels | |
| | |
| Cost per Additional Clinician | |
| $69-$74 monthly, must be on Plus Plan | $40 monthly |
| Insurance Billing Costs | |
| $0.35-$0.50 per claim | $0.14 per claim |
| Client Data Import | |
| Yes, no cost | Yes, no cost |
| ePrescription Features | |
| Yes, $49/mo/clinician; $89 set-up fee | Yes, $65 monthly per prescriber |
| Estimated Annual Cost | |
| $588-$1,188+ | $708-$1,308+ |
When to Choose SimplePractice or TherapyNotes
Choose TherapyNotes if you want a structured, easy-to-use EHR with streamlined documentation, built-in telehealth, and e-prescribing, all at a predictable price.
Choose SimplePractice if you need more customization and automation for notes, scheduling, and marketing tools like a professional website and therapist directory.
TherapyNotes shines in its affordability and simplicity, while SimplePractice is better for growing group practices that need advanced scheduling and workflow management.
SimplePractice’s EHR for therapists has everything you need to run your practice easily and efficiently. From booking and scheduling to insurance billing, SimplePractice does it all.
My Best Practice is an EHR designed by therapists to support therapists using evidence-based treatments. From online booking to note taking to insurance billing, My Best Practice makes running your practice easy. Starting at just $39 per month.
SimplePractice Vs. TherapyNotes: What Are the Differences?
SimplePractice and TherapyNotes are both EHR and practice management systems built for therapists and other mental health professionals, but they go about it in different ways. TherapyNotes is a more streamlined solution, whereas SimplePractice focuses on addressing almost any need a practice could encounter. We took a firsthand look to see how the platforms stack up.
Cost: $49 – $99 monthly
Insurance Billing: Yes
Telehealth: Yes
SimplePractice offers several useful features and benefits including a beautiful, modern interface, an intuitive scheduling and calendar system, and many additional features like Wiley Treatment Planner and a professional website builder. However, SimplePractice is relatively expensive compared to some competitors.
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
Cost
SimplePractice offers three subscription plans, starting at $49 monthly for solo practitioners and scaling up to $99 monthly for the Plus Plan, which is required for group practices. While the tiered pricing provides flexibility, the cost can climb quickly as many features are locked behind higher-tier plans or require add-on fees.
By contrast, TherapyNotes follows a much simpler, clinician-based pricing model—starting at $59 monthly for solo providers and $69 monthly for the first clinician in a group practice, with each additional provider costing $40 per month.
For a deeper breakdown of SimplePractice’s pricing, check out our full SimplePractice review.
Overview
SimplePractice is a comprehensive mental health EHR designed to help therapists manage their practice with ease. It goes beyond the basics, offering customizable documentation, integrated telehealth, automated insurance billing, and marketing tools like a website builder and the Monarch therapist directory. Its intuitive design and mobile app make it one of the most accessible and easiest-to-use EHRs we’ve tested, especially for therapists who need flexibility in how they manage their workflow. Compared to TherapyNotes, SimplePractice provides more customization in notes and treatment plans, a more intuitive and polished interface, and stronger business management features.
SimplePractice offers a very affordable way to get started for practices that don’t need a lot of advanced features. For solo practitioners, the Starter Plan ($49/month) includes telehealth, a client portal, and basic scheduling, making it a solid entry-level option. However, insurance billing, advanced scheduling, and group practice tools are locked behind higher-tier plans, with pricing that escalates quickly.
TherapyNotes, meanwhile, has a much simpler pricing model with fewer hidden costs, making it more cost-effective for some practices. While SimplePractice allows for greater customization and automation, you might prefer TherapyNotes for its structured documentation and streamlined workflows.
Overall, SimplePractice is the better choice for therapists who want an all-in-one solution with marketing, scheduling, and automation tools—but those prioritizing affordability, ease of use, and structured documentation may find TherapyNotes a better fit. For more options, visit our full list of the best mental health EHRs.
Cost: $59 – $109+ monthly
Insurance Billing: Yes
Telehealth: Yes
TherapyNotes is a high-quality EHR system that offers tools for structured, audit-ready documentation and an excellent user experience. While TherapyNotes is simple and easy to implement, it is lacking in some deeper customization features and data reporting.
Pros & Cons
Pros - One-month free trial; all-inclusive
- Excellent user experience
- Telehealth platform is included for free
- Easy to learn and quick to implement
- Supports e-prescriptions
Cons - Customization is lacking in some areas
- Poor selection of pre-generated content such as treatment plan templates, note templates, and outcome measures.
- Limited reporting capability
Cost
TherapyNotes keeps pricing straightforward, with a flat monthly fee based on the number of clinicians rather than a tiered feature-based system. Solo practitioners pay $59 monthly, while group practices start at $69 monthly for the first clinician, with each additional clinician costing $40 per month. Unlike SimplePractice, TherapyNotes includes all core features—telehealth, client portal, scheduling, and documentation—at no extra charge, often making it a more straightforward option for budget-conscious practices.
Learn more in our full review of TherapyNotes.
Overview
TherapyNotes is a structured, easy-to-use EHR designed specifically for mental health professionals. It emphasizes efficiency and simplicity, offering essential practice management tools without overwhelming users with excessive customization or complex pricing tiers. From scheduling to documentation, TherapyNotes prioritizes clarity and ease of use, making it a great fit for solo practitioners and group practices that want a reliable, no-fuss system.
While TherapyNotes lacks a mobile app and deep automation features, its intuitive interface, lower claim costs, and structured workflow make it a strong contender for those who prefer a straightforward, well-organized EHR. If you need marketing tools, website building, or advanced customization, SimplePractice is the better fit. But if you want a dependable, streamlined system that keeps administrative work simple, TherapyNotes delivers.
Read all about our experience in our full TherapyNotes review. Or, visit our full list of the best mental health EHRs for more options we’ve tested firsthand.
Who Might Need an Alternative?
While both TherapyNotes and SimplePractice offer strong features for mental health practices, they aren’t one-size-fits-all. Some clinicians may need a platform with more automation, marketing tools, or better support for insurance billing. If you fall into one of these categories, here are some alternatives worth considering.
Leverage Automation With These EHRs
If you want an EHR that automates repetitive tasks, streamlines documentation and reduces time spent on admin work, these platforms could be a great fit:
- My Best Practice – Offers deep customization and automation for progress notes, treatment plans, and client intakes. Read our review of My Best Practice.
- TheraNest – Provides automated reporting and financial analytics, making it a strong choice for data-driven practices. Read our review of TheraNest.
- TheraPlatform – Includes a unique and richly featured telehealth platform. Learn more in our complete TheraPlatform review.
Or, see even more options in our comprehensive roundup of the best mental health EHRs.
Market Your Practice With These Directories
SimplePractice and TherapyNotes both offer therapist directories (Monarch and TherapySearch), but if you’re serious about growing your client base, consider these alternatives:
- ChoosingTherapy.com’s Directory – The largest truly free therapist directory available. Learn more about Choosing Therapy’s directory here.
- GoodTherapy – Focused on evidence-based and ethical therapy practices, also provides CEUs. Learn more in our full review of GoodTherapy.
- Open Path Collective – A great option for offering sliding scale therapy while reaching underserved populations. Read more in our full Open Path Collective review.
Or, visit our list of the top directories for therapists for more insight.
Provide In-Network Care With These Platforms
Both TherapyNotes and SimplePractice support insurance billing, but some platforms offer full-service help for getting credentialed and billing in-network services:
- Alma – Helps therapists get credentialed with major insurance payers while also providing billing support, client referrals, and marketing tools. Learn more in our full review of Alma for therapists.
- Headway – Handles insurance billing, claims submission, and provider credentialing at no cost to clinicians. Great for those who want seamless in-network integration without high overhead costs. Learn whether it’s right for you in our full review of Headway for therapists.
Or, visit our roundup of the best therapist credentialing platforms for more options.
SimplePractice’s EHR for therapists has everything you need to run your practice easily and efficiently. From booking and scheduling to insurance billing, SimplePractice does it all.
My Best Practice is an EHR designed by therapists to support therapists using evidence-based treatments. From online booking to note taking to insurance billing, My Best Practice makes running your practice easy. Starting at just $39 per month.
Frequently Asked Questions
What’s the Best Mental Health EHR?
The best EHR for your practice depends on a lot of factors, and every practice is different. For more information, take a look at our deep dive into the best mental health EHRs.
Are SimplePractice and TherapyNotes HIPAA-Compliant?
Yes. Like any good mental health EHR, SimplePractice and TherapyNotes are both HIPAA-Compliant.
Does TherapyNotes Offer Telehealth?
Yes. TherapyNotes offers access to a comprehensive telehealth platform with all of its plans.
How Many Therapists Use SimplePractice?
According to SimplePractice’s pricing page, over 169,000 therapists use SimplePractice to manage their practices worldwide.
Which Is Cheaper, TherapyNotes or SimplePractice?
For a solo practice, SimplePractice’s entry plan is cheaper on paper: its plans run $49 to $99 per month, while TherapyNotes is $69 for a solo practitioner and $79 for the first clinician of a group (plus $50 per additional clinician). The real answer depends on add-ons: TherapyNotes includes more billing features in the base price, while SimplePractice charges more as you unlock features in higher tiers. Both prices verified against the vendors’ published rates in July 2026.
How Much Does TherapyNotes Charge for Payment Processing?
TherapyNotes’ integrated payment processing costs 3.1% plus 30 cents per transaction. Notable add-ons include Premium Telehealth at $15 per clinician monthly, the TherapyFuel AI note assistant at $40 per clinician monthly, and ePrescribe at $65 per prescriber monthly.
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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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. (2024). The Best Mental Health EHR. Retrieved from: https://www.choosingtherapy.com/best-mental-health-ehr/
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Church, M. (2025). Best Therapist Directories. Retrieved from: https://www.choosingtherapy.com/best-therapist-directories/
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Church, M. (2025). Best Insurance Credentialing Services for Therapists. Retrieved from: https://www.choosingtherapy.com/best-credentialing-service/
We regularly update the articles on ChoosingTherapy.com to ensure we continue to reflect scientific consensus on the topics we cover, to incorporate new research into our articles, and to better answer our audience’s questions. When our content undergoes a significant revision, we summarize the changes that were made and the date on which they occurred. We also record the authors and medical reviewers who contributed to previous versions of the article. Read more about our editorial policies here.
Author: ChoosingTherapy.com Editorial Team
Primary Changes: Added Frequently Asked Questions entries answering the top live People Also Ask queries, using the page’s verified facts.
Author: Matthew Church (No change)
Medical Reviewer: Melissa Boudin (No change)
Primary Changes: Revised and updated article based on our latest firsthand use of SimplePractice and TherapyNotes. Updated pricing for SimplePractice from $29-$99 monthly to $49-$99 monthly. Updated pricing for TherapyNotes from $59-$69 monthly. Updated images of services throughout. Fact-checked and verified information for accuracy. Rewrote sections for enhanced clarity and readability.
Author: Matthew Church
Reviewer: Melissa Boudin
Primary Changes: Updated pros & cons, reviewed current app features, rewrote some sections for clarity and brevity
Author: Matthew Church
Reviewer: Melissa Boudin
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