TheraNest vs BestNotes

Carepatron

EHRYourWay

SimplePractice

All your healthcare work in one place: Notes, Clients records, Appointments, Billing, Payments, Transcription, Communication & more.

EHR YOUR WAY is a fully integrated behavioral health and clinical care EHR software. It is configurable for mental health and clinical health specific needs and is an ONC certified cloud-based EHR. EHR YOUR WAY is trusted by mental health professionals nationwide and is suitable for behavioral health agencies with 15 or more users.

SimplePractice is an all-in-one practice management solution that helps businesses simplify administrative tasks, such as scheduling, billing, and documentation, allowing health and wellness professionals to focus on providing excellent client care. The platform offers a robust set of features designed to help practitioners thrive.

Licensed Professional Counselor

It is very difficult to get in touch with customer support when we have problems.

COTA

I like how Ensora health gives you the opportunity to contact customer support and leave recommendations on how Ensora Health can improve.

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

Access Controls/Permissions

Accounting

Activity Dashboard

Activity Tracking

Alerts/Notifications

Appointment Management

Appointment Scheduling

Assessment Management

Attendance Management

Automated Scheduling

Billing & Invoicing

Bill Payment

Calendar Management

Calendar Sync

Cancellation Tracking

Care Plan Management

Care Summaries

Case List Management

Case Management

Case Notes

Charting

Chat/Messaging

Child Welfare Management

Claims Management

Claims Scrubbing

Client Database

Client Management

Client Portal

Clinical Notes

Clinic Interoperability

Code & Charge Entry

Coding Assistance

Communication Management

Compliance Management

Compliance Tracking

Confirmations/Reminders

Contact Database

Credit Card Processing

Customer Database

Customizable Branding

Customizable Fields

Customizable Forms

Customizable Templates

Data Import/Export

Data Security

Decision Support

Document Management

Document Storage

Document Templates

Drag & Drop

Dunning Management

Electronic Payments

Electronic Signature

Eligibility Verification

Email Reminders

Employee Management

EMR/EHR

Faculty/Staff Management

File Sharing

Financial Management

For Group Therapy

For Medical Purposes

For Mental/Behavioral Health

Forms Management

For Nonprofits

For Substance Abuse Therapy

Generative AI

Goal Setting/Tracking

Group Notes

Health Record Access

HIPAA Compliant

Historical Reporting

Income/Expense Tracking

Initial Assessments

Insurance Eligibility Verification

Insurance Management

Intake Management

Invoice History

Invoice Management

Medical Billing

Medical History Records

Mobile Access

Mobile App

Multi-Factor Authentication

Multi-Location

Multi-Physician

Multi-Provider Practice

No-Show Tracking

Notes Management

On Call Scheduling

One-to-One Messaging

Online Booking

Online Forms

Patient Communications

Patient Database

Patient Engagement

Patient Intake

Patient Management

Patient Monitoring

By industry, Ensora Mental Health reviewers are most commonly professionals in mental health care (71%). The most frequent use case cited is mental health support (63% of reviewers).

Users and use cases

Most reviewers indicate Ensora Mental Health offers strong value for money, citing affordability and flexible pricing options. Most users consider it cost-effective, though a few feel it could be cheaper or want more customization for the price.

Value for money

The Ensora Mental Health integration most frequently cited by reviewers is Google Calendar, a scheduling product rated 4.4 out of 5 for its integration with Ensora Mental Health.

Integrations

Ensora Mental Health is a mental health EHR program with key features that include appointment scheduling, electronic medical records management, document handling, HIPAA compliance, and more.

TheraNest

Web-based

Windows

Linux

TherapyNotes, LLC

Therasoft Online

CounSol.com

TherapyAppointment

Qualifacts CareLogic

ICANotes

Tebra

Valant EHR Suite

Essentials

Advanced

Premier

Limited custom form capabilities

Clinician

It takes so long to create the most basic form in TheraNest and you cannot duplicate questions.

Executive Director

We tried to use our own Intake and Treatment Plans, but then none of it had interface with the other features, so we went back to using their forms, but they are not in the format we need for Medicaid and for our own needs.

65% of reviewers feel negative about TheraNest’s custom forms. Users report that creating and editing custom forms is cumbersome, unintuitive, and time-consuming. They say the form builder lacks flexibility, making it difficult to adapt templates to specific practice needs or upload existing forms. Some reviewers mention that custom forms do not integrate well with other features, such as reporting or dynamic fields, and that personalizing intake or progress note templates is frustrating. Many users feel these limitations hinder their ability to tailor documentation to their workflow.

Cumbersome payment management

54% of reviewers feel negative about TheraNest’s payment processing. Reviewers report that managing payments, copays, and insurance reimbursements is confusing and often requires manual intervention. They say the system lacks batch processing, has limited support for certain payment types, and can be difficult to reconcile with external bookkeeping tools. Some users mention high credit card fees and delays in posting payments. Many users feel these issues add complexity to their billing workflow and sometimes necessitate using additional software or spreadsheets.

Complex insurance claims workflow

48% of reviewers feel negative about TheraNest’s insurance claims handling. Users report that submitting and tracking insurance claims involves multiple manual steps and is often confusing. They say the process for managing secondary claims, resubmissions, and payment allocations is cumbersome and lacks automation. Some reviewers mention difficulties with ERA integration, claim tracking, and timely notifications for unpaid invoices. Many users feel these challenges require extra administrative effort and can result in delayed or missed reimbursements.

Manual and unreliable data saving

Clinical Director

God forbid you don't remember to save everything every 2 seconds or all will be lost. When adding a diagnosis to a clients charge - you have to save it 2x in two different areas or it doesn't save!  

58% of reviewers feel negative about TheraNest’s data saving process. Users report frustration with the lack of automatic saving, requiring them to manually save work frequently to avoid losing data. They say forgetting to save can result in lost notes or assessments, leading to wasted time and repeated effort. Some reviewers mention that updates or connectivity issues can interrupt their work, and the multi-step saving process is seen as inefficient. Many users feel these challenges create unnecessary stress and risk for their documentation.

Frequent technical glitches

Receptionist

We had an issues 2 weeks ago, that was time sensitive and we could not get the issue fixed until a week later.  

61% of reviewers feel negative about TheraNest’s bugs and issues. Reviewers indicate that technical glitches—such as slow loading, system freezes, and recurring errors—disrupt their workflow and cause frustration. Some users say updates often introduce new problems, and critical functions may become unreliable or inaccessible. They report that resolving these issues can take significant time, sometimes requiring external support or workarounds. Many users express concern that persistent bugs impact their ability to manage clinical and administrative tasks efficiently.

Clean and integrated interface

94% of reviewers feel positive about TheraNest’s user interface. Reviewers appreciate the clean, modern look and intuitive navigation, which they say makes it easy to find information and complete tasks. They highlight the integration of key features, such as treatment planning and billing, within a single platform. Some users mention that the interface supports efficient workflows in mental health settings and is visually appealing. They also value the responsiveness to feedback, noting that updates often improve the interface’s usability and functionality.

Ideal for small practices

92% of reviewers feel positive about TheraNest’s suitability for private practice. Reviewers say the software consolidates essential tools—such as documentation, billing, and client management—into one accessible platform, which is especially helpful for solo practitioners or small teams. They find it simplifies administrative tasks, supports insurance and accounting needs, and offers a cost-effective solution for managing a growing practice. Users indicate that the platform makes transitioning into private practice easier and helps them operate efficiently without needing additional staff or resources.

Streamlined treatment planning

Case Manager

One of its standout features is the easy access it provides, allowing users to efficiently create initial assessments, case notes, treatment plans, and contact logs without hassle.

91% of reviewers feel positive about TheraNest’s treatment plans. Reviewers indicate that the software simplifies creating, updating, and tracking treatment plans, assessments, and progress notes. They appreciate having templates, reminders for plan reviews, and integration with Wiley Treatment Planners, which saves time and keeps documentation organized. Some users say having all client records and treatment information in one place is convenient for managing their workflow. They find the system helpful for staying on top of required paperwork and ensuring nothing is missed, especially when managing multiple clients or running a private practice.

Continuous user-driven updates

95% of reviewers feel positive about TheraNest’s improvements. Users report that the company regularly seeks and implements user feedback, making frequent updates that enhance efficiency and usability. Some reviewers appreciate being able to suggest features and see them addressed in subsequent releases. They say this ongoing development process helps the software evolve to better meet their needs, and they value the transparency in prioritizing user-requested changes. Many users feel that these improvements directly impact their daily operations, making the system more streamlined and responsive to practitioner requirements.

Intuitive and accessible design

Clinical Director 

It has an intuitive flow and I was able to set up most features.

Office Manager

TheraNest already had the system ready for us. And it was super easy to use!

94% of reviewers feel positive about TheraNest’s ease of use. Users think the software is intuitive, with a logical layout that simplifies navigation and daily tasks. They report that onboarding is straightforward, setup is quick, and most features are easy to access and understand. Some reviewers find that the platform’s user-friendly design reduces the learning curve for new staff and makes managing business operations less stressful. Many users say the software helps them focus more on client care by minimizing time spent on administrative work.

Licensed Therapist

I also like that the system flags notifications if there’s an issue with a client’s file, which helps prevent things from slipping through the cracks.

LMHC

The calendar features are practical and streamline scheduling, while the notes section is clean and simplified, making it easy to capture and review important information.

LMFT Trainee

I also appreciate that whenever there is an update, I receive clear notifications explaining the changes and how they are intended to improve workflow, work quality, and time management.

Therapist

Easy-to-use therapist charting system that streamlines notes, saves time, and improves workflow daily.

I also like the AI note feature because it helps me write notes faster and saves a lot of time.

I feel like when it comes to insurance claims and support for when to complete progress notes to ensure that new authorizations are submitted and files to continue treatment there is a disconnect between Ensora and when authorizations are actually due.

Psychotherapist

Sometimes its the schedule that wont move, while currently it is when I want to write notes, it wont scroll [in fact its doing right now in checking it...scrolls for a second then freezes].

Administrative assistant

Any update causes more work for the company having to re-enter previous information save.   When cancelling an appointment, the new update created extra steps to be taken in order to cancel it out.

The scheduling, claim submission, and the ease of documentation and communication with the clients contributed to having a somehow stress free practice.

Independent Contractor

The treatment plans are not clear regarding target dates and whether to sign the plan when it is created or when it is completed.  

At times the video quality can be inconsistent, or a client may have difficulty entering the session, though this doesn’t happen often.

I liked the functionality of the calendar and being able to customize it to meet my needs.

Assistant Director

I guess the only thing that makes me stumble is when the page setup changes; it takes me a bit to assimilate. But that is more user deficiency on my part.

I have had issues with not being able to speak with anyone over the phone to address an ongoing issue I have with dating assessments for clients and dating the assessment document accurately as well as addressing Medicaid client requirements and documentation.

Clinical Psychologist

Currently, they have rolled out a systematic change with the transfer to Ensora and providers are fully unclear about what this means in terms of data usage and privacy re: AI integrations, options to opt out of unneeded services, price changes, note taking, and other ethical and clinical related issues.

Back button - write off the money the insurance won't pay, save, back button, charge the client what they owe, back button, send the client a statement (their "automatic" receipts don't show what the date of service is).   

Licensed Marriage and Family Therapist

I first started using TheraNest when I was with an organization. When I moved to private practice, it was a no-brainer for me to use the same platform I had always found easy to use, and everything I needed to keep up-to-date paperwork was right at my fingertips.

Counselor

I am happy that the insurance accepts my notes and I am able to peruse through my notes when I need to.

They claim to be very proud of their billing system - as they have "added" features to make the billing process quicker- (which I found their "upgrade3" doesn't even pull the correct amount a client owes and it needs to be manually fixed anyway and I have to manually write off money insurance won't pay).  

Now having to navigate to a separate page each time I charge a client feels unnecessary, especially compared to how easily it worked before.

However, at the turn of the transition to Ensora, I seem to have lost some of my very important notes, i.e., some of the old treatment plans/documents, going back to 2021-2022.

CPC-I Mental Health Counselor

I find it easy to look up my clients' notes, create assessment notes, and schedule the client for their next appointment.

TheraNest vs BestNotes Comparison (2026)

TheraNest

BestNotes

Overview

Video & Screenshots

Pricing

User reviews

Key features

Integrations

Alternatives