TherapyNotes vs TheraNest: EHR & Practice Management Software Compared (2026)
TherapyNotes and TheraNest are two widely compared EHRs. TherapyNotes is practice management and EHR software for behavioural health, with notes, scheduling, billing, insurance claims and a client portal. TheraNest (Ensora Mental Health) is practice management and EHR software for therapists and behavioural health agencies, with notes, scheduling, billing and managed RCM.
- Verified 10 Nov 2026Sources are dated on this page
- 3 sourcesLinked, typed and dated
- No winner declaredFit depends on your criteria
- Not tested by Stack18Editorial summary of documented facts
TherapyNotes vs TheraNest: the short answer
TherapyNotes is practice management and EHR software for behavioural health, with notes, scheduling, billing, insurance claims and a client portal. TheraNest (Ensora Mental Health) is practice management and EHR software for therapists and behavioural health agencies, with notes, scheduling, billing and managed RCM. Both are EHRs, but they differ in pricing model, target team size and focus.
On pricing, TherapyNotes is described as: per clinician per month plus claim fees; TheraNest as: per therapist per month plus claim fees. Neither documents a permanent free plan in the sources reviewed. TherapyNotes is positioned for insurance-based therapy practices, and TheraNest for budget-conscious therapists and agencies.
Everything below is drawn from the two sourced profiles and the 3 dated sources listed at the end. Where a source does not document something it is marked Unknown, and third-party estimates are labelled. No winner is declared: the better fit depends on your size, budget and requirements.
TherapyNotes and TheraNest at a glance.
One card per product, drawn from each full profile. Open a profile for features, pricing plans, limits and sources.
TherapyNotes
TherapyNotes · EHR & Practice Management Software
TherapyNotes is practice management and EHR software for behavioural health, with notes, scheduling, billing, insurance claims and a client portal.
- Pricing
- Solo $69 a month; group $79 for the first clinician + $50 each additional; claims $0.14 each; 30-day trial.
- Best for
- Insurance-based therapy practices
TheraNest
Ensora Health · EHR & Practice Management Software
TheraNest (Ensora Mental Health) is practice management and EHR software for therapists and behavioural health agencies, with notes, scheduling, billing and managed RCM.
- Pricing
- Essentials $29; Advanced $59; Premier $89 per therapist a month; claims $0.23 after 30 free; 21-day trial.
- Best for
- Budget-conscious therapists and agencies
TherapyNotes vs TheraNest: feature-by-feature comparison.
Every row is drawn from the sources listed below. Rows that differ are marked, and you can filter the table to show only those.
- YesDocumented
- PartialAvailable with limits or on some plans
- NoDocumented as unavailable
- UnknownNot documented in the sources reviewed
| Dimension |  TherapyNotes |  TheraNest |
|---|---|---|
| Product | ||
| Product typeDiffers | YesBehavioural health EHR | YesLow-cost therapy EHR |
| VendorDiffers | YesTherapyNotes | YesEnsora Health |
| Best forDiffers | YesInsurance-based therapy practices | YesBudget-conscious therapists and agencies |
| Pricing | ||
| Pricing modelDiffers | YesPer clinician per month plus claim fees. | YesPer therapist per month plus claim fees. |
| Pricing summaryDiffers | YesSolo $69 a month; group $79 for the first clinician + $50 each additional; claims $0.14 each; 30-day trial. | YesEssentials $29; Advanced $59; Premier $89 per therapist a month; claims $0.23 after 30 free; 21-day trial. |
| Free plan | NoNo | NoNo |
| Free trialDiffers | YesYes (30 days) | YesYes (21 days) |
| EHR & Practice Management Software criteria | ||
| Pricing modelDiffers | YesPer clinician + claims | YesPer therapist + claims |
| Starting priceDiffers | Yes$69/mo | Yes$29/therapist/mo |
| Free trialDiffers | YesYes (30 days) | YesYes (21 days) |
| Specialty | YesMental health | YesMental health |
| Best forDiffers | YesInsurance billing | YesLow cost |
| Fit and platform | ||
| Team size | YesSmall teams, Mid-size teams | YesSmall teams, Mid-size teams |
| Platforms | YesWeb, iOS, Android | YesWeb, iOS, Android |
| IntegrationsDiffers | YesChange Healthcare, Stripe, Google Calendar, Zoom | YesStripe, Google Calendar, Zoom, Change Healthcare |
| API | UnknownNot reviewed for this profile. | UnknownNot reviewed for this profile. |
TherapyNotes vs TheraNest pricing.
Plan names, prices and billing terms as reported in each profile's sources. Taxes, add-ons and discounts are excluded unless stated.
TherapyNotes pricing
Per clinician per month plus claim fees.
- Solo$69 per month · Monthly
- Group$79 + $50 per extra clinician per month · Monthly
Prices from independent sources; treat as reported. Mentalyc (June 2026), competitor; Crown Counseling (November 2026); CostBench (November 2026). Currency: USD. Checked 10 Nov 2026.
All TherapyNotes plans and sources
TheraNest pricing
Per therapist per month plus claim fees.
- Essentials$29 per therapist per month · Monthly
- Advanced$59 per therapist per month · Monthly
- Premier$89 per therapist per month · Monthly
Prices from independent sources; treat as reported. Mentalyc (June 2026), competitor; Crown Counseling (November 2026). Currency: USD. Checked 10 Nov 2026.
All TheraNest plans and sourcesTherapyNotes vs TheraNest: pricing model, ecosystem and fit.
Pricing model and cost drivers
TherapyNotes: per clinician per month plus claim fees. Mentalyc (June 2026), competitor; Crown Counseling (November 2026); CostBench (November 2026). TheraNest: per therapist per month plus claim fees. Mentalyc (June 2026), competitor; Crown Counseling (November 2026). Model costs at your real seat count, usage and contract term before comparing headline prices.
What sets each apart
The TherapyNotes profile highlights: low claim fees; 24/7 phone support; high ratings. The TheraNest profile highlights: lowest entry price; managed billing; rebranded.
Integrations and ecosystem
TherapyNotes integrations named in its sources: Change Healthcare, Stripe, Google Calendar and Zoom. TheraNest: Stripe, Google Calendar, Zoom and Change Healthcare. Check that the connectors you rely on exist on the plan you would buy.
Deployment and team fit
TherapyNotes runs on Web, iOS and Android and is documented for small teams and mid-size teams. TheraNest runs on Web, iOS and Android and is documented for small teams and mid-size teams. We did not test setup or migration.
TherapyNotes and TheraNest: each option, in balance.
Each point is linked to a dated source on the product's profile.
TherapyNotes
Strengths and limitations from the profile
- Low claim fees.
- 24/7 phone support.
- Capterra 4.7 rating.
- Limited template customisation.
- Group price increase coming.
- Mobile app lacks notes and billing.
TheraNest
Strengths and limitations from the profile
- Lowest entry price.
- Fully managed billing option.
- Wiley planner add-on.
- Weaker reviews since rebrand.
- Instability reported.
- Slow support reported.
TherapyNotes or TheraNest: which fits which situation?
No overall winner is declared. The better choice depends on the criteria that matter most to you, so test both against your own requirements.
Choose TherapyNotes if you are…
- Insurance-based therapy practices
- Group practices
- Clinicians wanting phone support
Less suited to: cash-pay wellness clinics; general medical practices.
See the TherapyNotes profile
Choose TheraNest if you are…
- Budget-conscious therapists and agencies
- Practices wanting outsourced billing
- New practices
Less suited to: practices needing top-rated support; general medical.
See the TheraNest profileSwitching between TherapyNotes and TheraNest.
Moving off TherapyNotes or TheraNest means exporting patient demographics, clinical records, documents, appointments, claims and balances in a usable format, mapping templates and codes, re-enrolling with payers and clearinghouses, and keeping read-only access to the old system for records retention. Confirm export rights in the contract. Run a set of test patients through each shortlisted system, from intake and charting to e-prescribing, claim submission and payment posting, and request the BAA before signing.
- Export a sample of your data and test an import into the other product.
- List the automations, integrations and permissions you would need to rebuild.
- Compare total cost at your real volume, including add-ons and services.
- Pilot with one team before a full cut-over.
- Check contract terms and notice periods with both vendors.
General guidance, not specific to either vendor. Confirm migration options with the vendors.
TherapyNotes vs TheraNest: questions and answers
What is the difference between TherapyNotes and TheraNest?
TherapyNotes is practice management and EHR software for behavioural health, with notes, scheduling, billing, insurance claims and a client portal. TheraNest (Ensora Mental Health) is practice management and EHR software for therapists and behavioural health agencies, with notes, scheduling, billing and managed RCM. Both are EHRs, but they differ in pricing model, target team size and focus. TherapyNotes is positioned for insurance-based therapy practices; TheraNest for budget-conscious therapists and agencies.
Is TherapyNotes cheaper than TheraNest?
It depends on your volume and plan. TherapyNotes: Solo $69 a month; group $79 for the first clinician + $50 each additional; claims $0.14 each; 30-day trial. TheraNest: Essentials $29; Advanced $59; Premier $89 per therapist a month; claims $0.23 after 30 free; 21-day trial. Compare both at your real seat count, usage and contract term.
Do TherapyNotes or TheraNest have a free plan?
Neither documents a permanent free plan in the sources reviewed. TherapyNotes free trial: Yes (30 days). TheraNest free trial: Yes (21 days).
TherapyNotes or TheraNest: which is better for small teams?
TherapyNotes and TheraNest are both documented for small teams. TherapyNotes suits insurance-based therapy practices; TheraNest suits budget-conscious therapists and agencies. Neither is best for everyone.
What are the main limitations of TherapyNotes and TheraNest?
TherapyNotes: Limited template customisation. TheraNest: Weaker reviews since rebrand.
How much does TherapyNotes cost?
Solo is $69 a month; groups pay $79 for the first clinician and $50 for each additional.
How much does TheraNest cost?
Essentials is $29, Advanced $59 and Premier $89 per therapist a month.
What are the alternatives to TherapyNotes and TheraNest?
Stack18 has alternatives guides for both: TherapyNotes alternatives and TheraNest alternatives, each comparing at least four other EHRs on pricing, free plan, features and fit. The EHR & Practice Management Software category lists every profile.
Where this comparison comes from.
- SimplePractice vs TherapyNotes vs TheraNest (modified 20 October 2026) Mentalyc (competitor blog) Competitor Accessed 11 Nov 2026
- Best EHR for therapists (pricing as of 1 November 2026) Crown Counseling Third-party Accessed 11 Nov 2026
- Mental health practice management pricing (verified November 2026) CostBench Third-party Accessed 11 Nov 2026
This comparison summarises the TherapyNotes and TheraNest profiles and their sources. Third-party figures are labelled; confirm current pricing and terms with each vendor. Stack18 has not tested these products.
Ready to test TherapyNotes and TheraNest?
Check each vendor's current pricing and terms, run both against a real scenario from your business, or talk to Stack18 if off-the-shelf software is not the answer.
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