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TheraNest vs ICANotes Comparison (2026)

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Good recommendations?

TheraNest

ICANotes

Overview

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

With an intuitive, chart-centric workflow, ICANotes is the only fully configured EMR software for behavioral health, therapy, psychiatry, and addiction treatment. Our robust behavioral health content engine and customizable menu-driven templates reduce the time you spend documenting patient 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

view more detailsview details

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

view more detailsview details

Video & Screenshots

Pricing

Starting from

/user

Per month

Free trial available
Credit cardless trial
Free account
Subscription based

Starting from

/user

Per month

Free trial available
Credit cardless trial
Free account
Subscription based

User reviews

4.4

598

320

Value for money

Ease of use

Features

Customer support

70%

would recommend this app

4.1

130

Value for money

Ease of use

Features

Customer support

65%

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.”

Chloe V.

Administrative and Billing Assistant

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

Zina O.

Management

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

Heather S.

General Manager

Pros

“What I liked least was that I could not customize prefilled notes based on only my line of business.”

Latasha B.

Clinical Director

“It's simple to document patient information, send out digital prescriptions, and verify the patients' medication pickups.”

Shakeeb H.

Owner and Provider

“The only thing I like about it is that is geared toward mental health; you can create templates that help note writing easy”

Shahla G.

Licensed Psychologist

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.”

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.”

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.”

Zina O.

Management

Cons

“Ever since the “upgrade “ to Plus, the prescription service is a headache , such that on several occasions, the patients medications have not been listed because they have been automatically “discontinued “ leading to , at least on two occasions, medication errors.”

Charles M.

Nurse Practitioner, Psychiatry

“When records are loading in an account, and I am unable to proceed until the records are completed.”

Linda C.

Administration

“The inability to change or add information to the report system.”

Chris D.

Clinical Director