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TheraNest vs Owl Practice Comparison (2026)

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Good recommendations?

TheraNest

Owl Practice

Overview

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

Owl Practice is a comprehensive EHR and practice management solution that helps mental health practitioners automate their admin tasks with secure and compliant features.

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

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

4.5

178

109

Value for money

Ease of use

Features

Customer support

81%

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

“I also like how they offer different tiers- for example if you want basic features like just calendar and invoicing, or if you want a highly integrated system with SMART notes feature and psychometric testing, they have multiple options.”

Emily S.

Psychologist

“Everything I needed was in one system and was great for record keeping, appointments, intakes for clients, and business admin like tracking statistics, reporting, etc.”

Jaime A.

Registered Psychotherapist

“Having scheduling, secure client records, notes, billing, forms, and communication all in one platform has made running my private practice much easier.”

Kevin S.

Psychotherapist

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

“sometimes the system is down without warning right before I am supposed to virtually meet with a client, and then I can't access the client to let them know because the contact info is also in the Owl system; ; I have had trouble finding information I'm looking for at times - specifically because active clients and non-active clients are kept separately”

Staci W.

Registered Social Worker Psychotherapist

“Owl can be a bit buggy and clunky around invoices, specifically around how an invoice has to be deleted in order to go back and change the payment amount of the session.”

Sam v.

Psychotherapist

“The inability to access the desktop version on mobile has been somewhat limiting in terms of accessing my records efficiently on the go.”