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TheraNest vs TherapyNotes, LLC Comparison (2026)

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TheraNest

TherapyNotes, LLC

Overview

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

Web-based practice management & electronic health records (EHR) software for behavioral health with thousands of active users, and unlimited customer support.

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

No videos yet

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

4.7

972

759

156

Value for money

Ease of use

Features

Customer support

87%

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

“Therapy Notes amazing customer support makes it possible for me, a clinician, to run a business of one, with their assistance supporting me to do my own billing as well as keep my EHR, scheduling new clients, onboarding documents, and everything else this system is designed to do!”

Colleen M.

Owner Provider

“I used the video capacity for multiple locations but have discontinued it.”

Irina R.

Psychologist

“I work with healthcare clients and one of my clients is integrated with TherapyNotes.”

Jenna O.

Digital Marketer

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

“I was required to reconstruct claims, navigate appeals, and manually fax submissions. While TherapyNotes provided a document to support faxing, the burden of correcting the error and attempting to recover payment remained with me, despite having paid for a service intended to handle claims transmission.”

Michelle G.

Therapist

“It did not have the customizable features - color coordination, various billing rates for different individuals, submitting paperwork online. And I don't think it had an online portal for scheduling/cancelling appointments.”

Kristin L.

Therapist

“My overall experience with TherapyNotes was disappointing. While the platform itself has useful tools for managing a practice, my experience with the payment-processing side significantly changed my opinion.”

Marsha M.

Clinican