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TheraNest vs Foothold Comparison (2026)

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Good recommendations?

TheraNest logo

TheraNest

Foothold logo

Foothold

Overview

Most EHRs aren’t built for mental health, but TheraNest is. Built for solo and small group mental health practices.

Electronic documentation software for mental health and SUD service providers. We offer case management, client tracking, and an EHR all under one roof. Our software is HIPAA-compliant, federally certified, and offers full interoperability for care coordination and value-based care.

  • Platforms supported
  • Web-based
  • iPhone app
  • Android app
  • Windows Phone app
  • Typical customers
  • Freelancers
  • Small businesses
  • Mid size businesses
  • Large enterprises
  • Customer support
  • Phone
  • Online
  • Knowledge base
  • Video tutorials
  • Platforms supported
  • Web-based
  • iPhone app
  • Android app
  • Windows Phone app
  • Typical customers
  • Freelancers
  • Small businesses
  • Mid size businesses
  • Large enterprises
  • Customer support
  • Phone
  • Online
  • Knowledge base
  • Video tutorials

Video & Screenshots

Pricing

Starting from

29

/user

Per month

  • Free trial available
  • Credit cardless trial
  • Free account
  • Subscription based

Starting from

2000

Per month

  • Free trial available
  • Credit cardless trial
  • Free account
  • Subscription based

User reviews

4.4

1K

5

4

3

2

1

598

320

86

23

29

  • Value for money
  • Ease of use
  • Features
  • Customer support
70%
would recommend this app

4.6

51

5

4

3

2

1

33

15

2

1

0

  • Value for money
  • Ease of use
  • Features
  • Customer support
89%
would recommend this app

Pros

“A helpful enhancement would be a pop-up notification upon login reminding clients that their provider has sent forms requiring completion, along with clear instructions on where to locate those forms within the portal.”
CV

Chloe V.

Administrative and Billing Assistant

“Group-practice administration, supervision oversight, advanced billing workflows, reporting, automation, and real-time operational visibility is non existent.”
Verified reviewer profile picture

Zina O.

Management

“I found the scheduling, documentation, billing, and client management features helpful in keeping workflows efficient and reducing administrative burdens.”
HS

Heather S.

General Manager

Pros

“Access is permission based and allows for HR, Quality Improvement, auditing, billing and programs to work in one system.”
DP

Darlene P.

COO

“We use AWARDS for our department to serve as an internal roster system and to provide e-consent values to the Bronx RHIO and Healthix.”
AS

Angel S.

Data Manager

“The different ReportBuilders offer an amazing amount of customization options and virtually every field in AWARDS is reportable.”
BM

Brad M.

Data Systems Coordinator

Cons

“Managing a group practice with multiple clinicians, supervisors, billing staff, insurance workflows, credentialing considerations, documentation oversight, and a high volume of claims required more visibility and automation than the platform provided. As I mentioned earlier it is limited, outdated and lacks core features needed for a successful RCM.”
Verified reviewer profile picture

Zina O.

Management

“What I really DON'T like is the daily schedule page because I have to scroll down to see all my appointments, and if my browser window is not fully expanded, I can't access the "copy note from last session" function on my very last client of the day.”
LM

Lavinia M.

Licensed Professional Counselor, Owner

“I know of fellow clinicians who lost thousands of dollars to their claims submission feature, claims got lost, some of them weren't even submitted and no way to resolve denials. Where we began running into limitations was as our organization became larger and operationally more complex.”
Verified reviewer profile picture

Zina O.

Management

Cons

“the white space when creating documents that it takes up and make documents significantly long.”
AP

Alisa P.

In-Home Director

“Some of the report features will not allow you to use the back button.”
JS

Julie S.

Ctredentialing and Business coordinator

“Our agency struggles with the Plans and Reviews module, as it is not super user-friendly or intuitive.”
BM

Brad M.

Data Systems Coordinator

  • Vendor responds to reviews
  • Last reviewa month ago
  • Vendor responds to reviews
  • Last review2 years ago

Key features

  • Total features148
  • API
  • Access Controls/Permissions
  • Accounting
  • Activity Dashboard
  • Activity Planning
  • Activity Tracking
  • Alerts/Notifications
  • Appointment Management
  • Appointment Scheduling
  • Attendance Management
  • Authorization Tracking
  • Automated Scheduling
  • Bill Payment
  • Billing & Invoicing
  • CNA Tracking
  • Calendar Management
  • Calendar Sync
  • Cancellation Tracking
  • Candidate Profiles
  • Care Plan Management
  • Care Summaries
  • Case List Management
  • Case Management
  • Case Notes
  • Certification & Licensing
  • Charting
  • Chat/Messaging
  • Child Welfare Management
  • Claims Management
  • Claims Scrubbing
  • Client Chart Audit Tools
  • Client Database
  • Client Management
  • Client Portal
  • Clinic Interoperability
  • Clinical Care
  • Clinical Notes
  • Code & Charge Entry
  • Coding Assistance
  • Communication Management
  • Compliance Management
  • Compliance Tracking
  • Confirmations/Reminders
  • Contact Database
  • Contact Management
  • Credit Card Processing
  • Customer Database
  • Customizable Branding
  • Customizable Fields
  • Customizable Forms
  • Customizable Reports
  • Customizable Templates
  • Data Import/Export
  • Data Security
  • Decision Support
  • Document Management
  • Document Storage
  • Document Templates
  • Drag & Drop
  • Dunning Management
  • E-Prescribing
  • EMR/EHR
  • Electronic Payments
  • Electronic Signature
  • Eligibility Verification
  • Email Reminders
  • Employee Management
  • Faculty/Staff Management
  • File Sharing
  • Financial Management
  • For Group Therapy
  • For Home Care Providers
  • For Medical Purposes
  • For Mental/Behavioral Health
  • For Nonprofits
  • For Nursing Homes
  • For Substance Abuse Therapy
  • Forms Management
  • Generative AI
  • Geriatric Care
  • Goal Setting/Tracking
  • Group Notes
  • HIPAA Compliant
  • Health Record Access
  • Historical Reporting
  • Home Health Care Management
  • Incident Management
  • Income/Expense Tracking
  • Initial Assessments
  • Insurance Eligibility Verification
  • Insurance Management
  • Intake Management
  • Invoice History
  • Invoice Management
  • Level of Care Evaluation
  • MDS Review
  • Medical Billing
  • Medical History Records
  • Mobile Access
  • Mobile App
  • Multi-Factor Authentication
  • Multi-Location
  • Multi-Physician
  • Multi-Provider Practice
  • No-Show Tracking
  • Notes Management
  • Nursing Forms Tracking
  • On Call Scheduling
  • One-to-One Messaging
  • Online Booking
  • Online Forms
  • Patient Communications
  • Patient Database
  • Patient Engagement
  • Patient Intake
  • Patient Management
  • Patient Monitoring
  • Patient Portal
  • Patient Records Management
  • Patient Scheduling
  • Payment Collection
  • Payment Processing
  • Payroll Management
  • Physician Management
  • Physician Scheduling
  • Point of Care System
  • Practice Management
  • Program Management
  • Progress Notes
  • Progress Reports
  • Progress Tracking
  • Quotes/Estimates
  • Real-Time Notifications
  • Real-Time Reporting
  • Records Management
  • Recurring Appointments
  • Referral Management
  • Referral Tracking
  • Registration Management
  • Reimbursement Management
  • Reminders
  • Remittance Advice
  • Remote Treatment Planning
  • Reporting & Statistics
  • Reporting/Analytics
  • Revenue Management
  • Role-Based Permissions
  • SMS Messaging
  • SSL Security
  • Scheduling
  • Search/Filter
  • Secure Data Storage
  • Secure Messaging
  • Self Payment
  • Self Service Portal
  • Session Notes
  • Staff Management
  • Staff Scheduling
  • Surveys & Feedback
  • Task Management
  • Task Scheduling
  • Team Notes
  • Telemedicine
  • Teletherapy
  • Template Management
  • Therapy Notes
  • Time Tracking
  • Training Management
  • Transaction Management
  • Treatment Planning
  • Two-Way Audio & Video
  • Video Conferencing
  • Video Consultations
  • Virtual Waiting Room
  • Wait List Management
  • Workflow Management
  • Total features87
  • API
  • Access Controls/Permissions
  • Accounting
  • Activity Dashboard
  • Activity Planning
  • Activity Tracking
  • Alerts/Notifications
  • Appointment Management
  • Appointment Scheduling
  • Attendance Management
  • Authorization Tracking
  • Automated Scheduling
  • Bill Payment
  • Billing & Invoicing
  • CNA Tracking
  • Calendar Management
  • Calendar Sync
  • Cancellation Tracking
  • Candidate Profiles
  • Care Plan Management
  • Care Summaries
  • Case List Management
  • Case Management
  • Case Notes
  • Certification & Licensing
  • Charting
  • Chat/Messaging
  • Child Welfare Management
  • Claims Management
  • Claims Scrubbing
  • Client Chart Audit Tools
  • Client Database
  • Client Management
  • Client Portal
  • Clinic Interoperability
  • Clinical Care
  • Clinical Notes
  • Code & Charge Entry
  • Coding Assistance
  • Communication Management
  • Compliance Management
  • Compliance Tracking
  • Confirmations/Reminders
  • Contact Database
  • Contact Management
  • Credit Card Processing
  • Customer Database
  • Customizable Branding
  • Customizable Fields
  • Customizable Forms
  • Customizable Reports
  • Customizable Templates
  • Data Import/Export
  • Data Security
  • Decision Support
  • Document Management
  • Document Storage
  • Document Templates
  • Drag & Drop
  • Dunning Management
  • E-Prescribing
  • EMR/EHR
  • Electronic Payments
  • Electronic Signature
  • Eligibility Verification
  • Email Reminders
  • Employee Management
  • Faculty/Staff Management
  • File Sharing
  • Financial Management
  • For Group Therapy
  • For Home Care Providers
  • For Medical Purposes
  • For Mental/Behavioral Health
  • For Nonprofits
  • For Nursing Homes
  • For Substance Abuse Therapy
  • Forms Management
  • Generative AI
  • Geriatric Care
  • Goal Setting/Tracking
  • Group Notes
  • HIPAA Compliant
  • Health Record Access
  • Historical Reporting
  • Home Health Care Management
  • Incident Management
  • Income/Expense Tracking
  • Initial Assessments
  • Insurance Eligibility Verification
  • Insurance Management
  • Intake Management
  • Invoice History
  • Invoice Management
  • Level of Care Evaluation
  • MDS Review
  • Medical Billing
  • Medical History Records
  • Mobile Access
  • Mobile App
  • Multi-Factor Authentication
  • Multi-Location
  • Multi-Physician
  • Multi-Provider Practice
  • No-Show Tracking
  • Notes Management
  • Nursing Forms Tracking
  • On Call Scheduling
  • One-to-One Messaging
  • Online Booking
  • Online Forms
  • Patient Communications
  • Patient Database
  • Patient Engagement
  • Patient Intake
  • Patient Management
  • Patient Monitoring
  • Patient Portal
  • Patient Records Management
  • Patient Scheduling
  • Payment Collection
  • Payment Processing
  • Payroll Management
  • Physician Management
  • Physician Scheduling
  • Point of Care System
  • Practice Management
  • Program Management
  • Progress Notes
  • Progress Reports
  • Progress Tracking
  • Quotes/Estimates
  • Real-Time Notifications
  • Real-Time Reporting
  • Records Management
  • Recurring Appointments
  • Referral Management
  • Referral Tracking
  • Registration Management
  • Reimbursement Management
  • Reminders
  • Remittance Advice
  • Remote Treatment Planning
  • Reporting & Statistics
  • Reporting/Analytics
  • Revenue Management
  • Role-Based Permissions
  • SMS Messaging
  • SSL Security
  • Scheduling
  • Search/Filter
  • Secure Data Storage
  • Secure Messaging
  • Self Payment
  • Self Service Portal
  • Session Notes
  • Staff Management
  • Staff Scheduling
  • Surveys & Feedback
  • Task Management
  • Task Scheduling
  • Team Notes
  • Telemedicine
  • Teletherapy
  • Template Management
  • Therapy Notes
  • Time Tracking
  • Training Management
  • Transaction Management
  • Treatment Planning
  • Two-Way Audio & Video
  • Video Conferencing
  • Video Consultations
  • Virtual Waiting Room
  • Wait List Management
  • Workflow Management

Integrations

  • Total integrations3
  • Google Calendar
  • Microsoft Outlook
  • Quest
  • iCloud
  • Total integrations1
  • Google Calendar
  • Microsoft Outlook
  • Quest
  • iCloud