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TheraNest vs Spruce Health Comparison (2026)

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Good recommendations?

TheraNest logo

TheraNest

Spruce Health logo

Spruce Health

Overview

TheraNest is an all-in-one mental health EHR for therapists & health and wellness professionals of both large and small practices.

Spruce Health is the leading platform for HIPAA-compliant healthcare communication.

  • 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

24

/user

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

4.4

34

5

4

3

2

1

24

6

0

3

1

  • 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.”
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

“Definitely recommend despite the little integration ability yet, it does help out with patient intakes and communication when offices are staff-limited!”
ZD

Zoe D.

Administrative Assistant

“Video calling is so simple to set up, and secure messaging is super-easy and helps keep client messages secure. Since last June, Spruce has dropped a call only once. ”
VS

Valerie S.

Licensed psychologist

“Spruce is the only k on be that I found that included everything that I needed at a price that was within my budget.”
EO

Elizabeth O.

Lactation Consultant

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 company only communicates through email and each time you reply, you may be emailing with someone different. When I asked for specific training as a new customer, they told me they did not have specific training videos, nor did they have the time to work individually with small companies.”
SH

Shay H.

Owner

“Almost everything but notably the customer support.”
LR

Laura R.

Physician/Owner

  • Vendor responds to reviews
  • Last review23 days ago
  • Vendor responds to reviews
  • Last review7 months ago

Key features

  • Total features148
  • AI Text Summarization
  • API
  • Access Controls/Permissions
  • Accounting
  • Activity Dashboard
  • Activity Tracking
  • Alerts/Notifications
  • Appointment Management
  • Appointment Scheduling
  • Archiving & Retention
  • Attendance Management
  • Automated Attendant
  • Automated Attendants
  • Automated Scheduling
  • Autonomous Task Execution
  • Autoresponders
  • Batch Communications
  • Bill Payment
  • Billing & Invoicing
  • Calendar Management
  • Calendar Sync
  • Call Conferencing
  • Call List Management
  • Call Logging
  • Call Monitoring
  • Call Recording
  • Call Reporting
  • Call Routing
  • Call Screening
  • Call Tagging
  • Call Tracking
  • Call Transcription
  • Call Transfer
  • Caller ID
  • Caller Profiles
  • Campaign Analytics
  • Cancellation Tracking
  • Care Plan Management
  • Care Summaries
  • Case List Management
  • Case Notes
  • Charting
  • Chat/Messaging
  • Child Welfare Management
  • Claims Management
  • Claims Scrubbing
  • Client Database
  • Client Management
  • Client Portal
  • Clinic Interoperability
  • Clinical Notes
  • Code & Charge Entry
  • Coding Assistance
  • Collaboration Tools
  • Communication Management
  • Compliance
  • Compliance Management
  • Compliance Tracking
  • Computer Telephony Integration
  • Conference Calls
  • Conference Transcripts
  • Conferencing
  • Confirmations/Reminders
  • Contact Database
  • Contact Management
  • Conversation Intelligence
  • Credit Card Processing
  • Cross-system Integration
  • Customer Database
  • Customer History
  • Customizable Branding
  • Customizable Caller ID
  • Customizable Fields
  • Customizable Forms
  • Customizable Reports
  • Customizable Templates
  • Data Import/Export
  • Data Security
  • Decision Support
  • Document Management
  • Document Storage
  • Document Templates
  • Documentation
  • Drag & Drop
  • Dunning Management
  • EHR Integration
  • EMR/EHR
  • Electronic Faxes
  • Electronic Payments
  • Electronic Signature
  • Eligibility Verification
  • Email Reminders
  • Employee Directory
  • Employee Management
  • Event Triggered Actions
  • Faculty/Staff Management
  • Fax Management
  • File Sharing
  • Financial Management
  • For Group Therapy
  • For Healthcare
  • For Medical Purposes
  • For Mental/Behavioral Health
  • For Nonprofits
  • For Substance Abuse Therapy
  • Forms Management
  • Generative AI
  • Goal Setting/Tracking
  • Group Messaging
  • Group Notes
  • HIPAA Compliance
  • HIPAA Compliant
  • Health Record Access
  • Historical Reporting
  • Hold Music
  • Inbound Identification
  • Inbox Management
  • Income/Expense Tracking
  • Initial Assessments
  • Instant Messaging
  • Insurance Eligibility Verification
  • Insurance Management
  • Intake Management
  • Interaction Tracking
  • Interoperability
  • Invoice History
  • Invoice Management
  • Lead Capture
  • Live Chat
  • Local Phone Numbers
  • Medical Billing
  • Medical History Records
  • Messaging
  • Mobile Access
  • Mobile Alerts
  • Mobile App
  • Monitoring
  • Multi-Campaign
  • Multi-Channel Call Attribution
  • Multi-Channel Communication
  • Multi-Channel Coverage
  • Multi-Factor Authentication
  • Multi-Language
  • Multi-Location
  • Multi-Physician
  • Multi-Provider Practice
  • Multi-User Collaboration
  • Multiple User Accounts
  • Native VoIP
  • No-Show Tracking
  • Notes Management
  • On Call Scheduling
  • On-Demand Communications
  • On-Demand Recording
  • One-to-One Messaging
  • Online Booking
  • Online Forms
  • Online Voice Transmission
  • PBX systems, VoIP Softphone
  • Patient Communications
  • Patient Database
  • Patient Education
  • Patient Engagement
  • Patient Intake
  • Patient Management
  • Patient Monitoring
  • Patient Portal
  • Patient Records Management
  • Patient Scheduling
  • Payment Collection
  • Payment Processing
  • Performance Metrics
  • Performance and Reliability
  • Personalization
  • Phone Calls
  • Physician Management
  • Physician Scheduling
  • Port Existing Numbers
  • Practice Management
  • Privacy, Security, and Compliance
  • Progress Notes
  • Progress Reports
  • Queue Management
  • Quotes/Estimates
  • Real-Time Notifications
  • Real-Time Reporting
  • Recording
  • Records Management
  • Recurring Appointments
  • Referral Management
  • Referral Tracking
  • Registration Management
  • Regulatory Compliance
  • Reminders
  • Remittance Advice
  • Remote Treatment Planning
  • Reporting & Statistics
  • Reporting/Analytics
  • Revenue Management
  • Role-Based Permissions
  • SMS Messaging
  • SSL Security
  • Scheduled Recording
  • Scheduling
  • Search/Filter
  • Secure Data Storage
  • Secure Messaging
  • Security and Authorization
  • Self Payment
  • Self Service Portal
  • Session Notes
  • Single Sign On
  • Software Pairing
  • Spam Blocker
  • Staff Management
  • Surveys & Feedback
  • Task Scheduling
  • Team Notes
  • Telemedicine
  • Teletherapy
  • Template Management
  • Text to Speech
  • Therapy Notes
  • Third-Party Integrations
  • Time Tracking
  • Training Management
  • Treatment Planning
  • Trend Analysis
  • Two-Way Audio & Video
  • Unified Communications
  • VOiP Number
  • Video Calls
  • Video Conferencing
  • Video Consultations
  • Video Support
  • Virtual Voicemail
  • Virtual Waiting Room
  • VoIP
  • VoIP Connection
  • Voice Mail
  • Voicemail Transcription
  • Voicemail to SMS
  • Workflow Management
  • Total features141
  • AI Text Summarization
  • API
  • Access Controls/Permissions
  • Accounting
  • Activity Dashboard
  • Activity Tracking
  • Alerts/Notifications
  • Appointment Management
  • Appointment Scheduling
  • Archiving & Retention
  • Attendance Management
  • Automated Attendant
  • Automated Attendants
  • Automated Scheduling
  • Autonomous Task Execution
  • Autoresponders
  • Batch Communications
  • Bill Payment
  • Billing & Invoicing
  • Calendar Management
  • Calendar Sync
  • Call Conferencing
  • Call List Management
  • Call Logging
  • Call Monitoring
  • Call Recording
  • Call Reporting
  • Call Routing
  • Call Screening
  • Call Tagging
  • Call Tracking
  • Call Transcription
  • Call Transfer
  • Caller ID
  • Caller Profiles
  • Campaign Analytics
  • Cancellation Tracking
  • Care Plan Management
  • Care Summaries
  • Case List Management
  • Case Notes
  • Charting
  • Chat/Messaging
  • Child Welfare Management
  • Claims Management
  • Claims Scrubbing
  • Client Database
  • Client Management
  • Client Portal
  • Clinic Interoperability
  • Clinical Notes
  • Code & Charge Entry
  • Coding Assistance
  • Collaboration Tools
  • Communication Management
  • Compliance
  • Compliance Management
  • Compliance Tracking
  • Computer Telephony Integration
  • Conference Calls
  • Conference Transcripts
  • Conferencing
  • Confirmations/Reminders
  • Contact Database
  • Contact Management
  • Conversation Intelligence
  • Credit Card Processing
  • Cross-system Integration
  • Customer Database
  • Customer History
  • Customizable Branding
  • Customizable Caller ID
  • Customizable Fields
  • Customizable Forms
  • Customizable Reports
  • Customizable Templates
  • Data Import/Export
  • Data Security
  • Decision Support
  • Document Management
  • Document Storage
  • Document Templates
  • Documentation
  • Drag & Drop
  • Dunning Management
  • EHR Integration
  • EMR/EHR
  • Electronic Faxes
  • Electronic Payments
  • Electronic Signature
  • Eligibility Verification
  • Email Reminders
  • Employee Directory
  • Employee Management
  • Event Triggered Actions
  • Faculty/Staff Management
  • Fax Management
  • File Sharing
  • Financial Management
  • For Group Therapy
  • For Healthcare
  • For Medical Purposes
  • For Mental/Behavioral Health
  • For Nonprofits
  • For Substance Abuse Therapy
  • Forms Management
  • Generative AI
  • Goal Setting/Tracking
  • Group Messaging
  • Group Notes
  • HIPAA Compliance
  • HIPAA Compliant
  • Health Record Access
  • Historical Reporting
  • Hold Music
  • Inbound Identification
  • Inbox Management
  • Income/Expense Tracking
  • Initial Assessments
  • Instant Messaging
  • Insurance Eligibility Verification
  • Insurance Management
  • Intake Management
  • Interaction Tracking
  • Interoperability
  • Invoice History
  • Invoice Management
  • Lead Capture
  • Live Chat
  • Local Phone Numbers
  • Medical Billing
  • Medical History Records
  • Messaging
  • Mobile Access
  • Mobile Alerts
  • Mobile App
  • Monitoring
  • Multi-Campaign
  • Multi-Channel Call Attribution
  • Multi-Channel Communication
  • Multi-Channel Coverage
  • Multi-Factor Authentication
  • Multi-Language
  • Multi-Location
  • Multi-Physician
  • Multi-Provider Practice
  • Multi-User Collaboration
  • Multiple User Accounts
  • Native VoIP
  • No-Show Tracking
  • Notes Management
  • On Call Scheduling
  • On-Demand Communications
  • On-Demand Recording
  • One-to-One Messaging
  • Online Booking
  • Online Forms
  • Online Voice Transmission
  • PBX systems, VoIP Softphone
  • Patient Communications
  • Patient Database
  • Patient Education
  • Patient Engagement
  • Patient Intake
  • Patient Management
  • Patient Monitoring
  • Patient Portal
  • Patient Records Management
  • Patient Scheduling
  • Payment Collection
  • Payment Processing
  • Performance Metrics
  • Performance and Reliability
  • Personalization
  • Phone Calls
  • Physician Management
  • Physician Scheduling
  • Port Existing Numbers
  • Practice Management
  • Privacy, Security, and Compliance
  • Progress Notes
  • Progress Reports
  • Queue Management
  • Quotes/Estimates
  • Real-Time Notifications
  • Real-Time Reporting
  • Recording
  • Records Management
  • Recurring Appointments
  • Referral Management
  • Referral Tracking
  • Registration Management
  • Regulatory Compliance
  • Reminders
  • Remittance Advice
  • Remote Treatment Planning
  • Reporting & Statistics
  • Reporting/Analytics
  • Revenue Management
  • Role-Based Permissions
  • SMS Messaging
  • SSL Security
  • Scheduled Recording
  • Scheduling
  • Search/Filter
  • Secure Data Storage
  • Secure Messaging
  • Security and Authorization
  • Self Payment
  • Self Service Portal
  • Session Notes
  • Single Sign On
  • Software Pairing
  • Spam Blocker
  • Staff Management
  • Surveys & Feedback
  • Task Scheduling
  • Team Notes
  • Telemedicine
  • Teletherapy
  • Template Management
  • Text to Speech
  • Therapy Notes
  • Third-Party Integrations
  • Time Tracking
  • Training Management
  • Treatment Planning
  • Trend Analysis
  • Two-Way Audio & Video
  • Unified Communications
  • VOiP Number
  • Video Calls
  • Video Conferencing
  • Video Consultations
  • Video Support
  • Virtual Voicemail
  • Virtual Waiting Room
  • VoIP
  • VoIP Connection
  • Voice Mail
  • Voicemail Transcription
  • Voicemail to SMS
  • Workflow Management

Integrations

  • Total integrations3
  • ChronicCareIQ
  • Delphi AI
  • Dock
  • DrChrono
  • Elation
  • Google Calendar
  • Keragon
  • Microsoft Outlook
  • ModMed
  • athenaOne
  • iCloud
  • Total integrations8
  • ChronicCareIQ
  • Delphi AI
  • Dock
  • DrChrono
  • Elation
  • Google Calendar
  • Keragon
  • Microsoft Outlook
  • ModMed
  • athenaOne
  • iCloud

Alternatives

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