TherapyNotes, LLC vs Mend

Carepatron

EHR YOUR WAY

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.

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

HIPAA Compliant

Charting

Initial Assessments

Medical Billing

Claims Management

Document Management

Confirmations/Reminders

By industry, TherapyNotes, LLC reviewers are most commonly professionals in mental health care (70%). The most frequent use case cited is mental health EHR (68% of reviewers).

Users and use cases

Most reviewers indicate that TherapyNotes, LLC delivers strong value for money, with comprehensive features included at a fair price. However, some users report concerns about price increases and limited flexibility, especially for expanding practices or specific features.

Value for money

The TherapyNotes, LLC integration most frequently cited by reviewers is Google Calendar, a scheduling product rated 4.5 out of 5 for its integration with TherapyNotes, LLC.

Integrations

TherapyNotes, LLC is a mental health EHR tool offering key features such as EMR/EHR management, charting, calendar management, HIPAA compliance, appointment scheduling, and therapy notes, among others.

TherapyNotes, LLC

Web-based

Windows

Chromebook

Linux

Android

iPhone

iPad

Solo

Group

Enterprise (30+ users)

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.

Owner  Provider

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!

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.

A system designed for billing and claims submission should not create this level of risk or shift the burden onto providers to repeatedly follow up and correct errors they did not cause.

This required managing communication across multiple channels and resulted in confusion and, at times, conflicting responses.

I was told that full monthly reimbursements are not typically provided for claims-related issues, but this is not a typical issue.

There was also no initial offer to reimburse the claims that were never transmitted, leaving me paying for a service that was not performed.

IT Analyst

I use it for booking appointments and keeping track of records.

Online Platform Coordinator

You can leave notes in a patient's chart, in their appointment alert box etc.

Clinic Coordinator

On top of all that, they offer a Facebook group for users to chat with each other to gain ideas and expertise, with this group being monitored by TherapyNotes personnel, who do sometimes weigh-in on commentary for additional help.  

After multiple exchanges, I was issued an $11 credit, but I am still seeking reimbursement for the July 2025 subscription fee of $78.37.

Speech-Language Pathologist

Not only did she demonstrate excellent customer service skills, a kind/patient demeanor, and empathetic listening, but she also made sure a plan was in place before ending the call.

The ongoing runaround in trying to obtain reimbursement has been the most frustrating part of this process.

Operations Specialist

It also has the ability to do insurance claims and overview of billing.

Owner

There are many features such as the telehealth, credit card processing and the client portal that was very attractive.

I have been working with both a support supervisor (Heather) and a representative from the sales team (Lymari), as those departments are not connected.

sensitive content hidden] took extra time away from her already busy desk to troubleshoot with me and offer solutions.

They consistently add updates that make a real difference in daily workflow.

Therapists that renew annually should be offered a financial incentive to renew their subscription.

LPCC, ATR, LSAA

Sometimes issues with Telehealth cause interruptions.

This program provided a convenient way to write my notes.

Transitioning to my own practice and billing was made much easier with TherapyNotes.

For clinicians running small practices, failures like this have real financial consequences.

Psychotherapist, owner

The notes work for my practice and the reminders and to-do list are helpful.

The client portal is useful (I don't use all features such as scheduling so don't know about that area).

Psychotherapist and President

I appreciate all of their hard work and dedication to amazing customer service and to produce a top notch product.

I very much appreciate being able to call any time of day, including on the weekend.

Technical issues are extremely minimal, especially considering how many different features it has.

LMFT

Everyone I interfaced with was so committed to my success, they all went above and beyond the call of duty to onboard me and make sure all my questions were answered.

I appreciated that the standard forms included necessary information, but they were not customizable enough for my specific niche/client population.

This company is privately and as far as I know has no plans to become public which I really appreciate and find important.

Counsellor

Thanks to TherapyNotes I can create and reuse a template to save time and make notes more organized and easy to read.

However, they are quick to fix problems that arise and to explain the causes.

The pricing for this is affordable but to have other features you have to pay the upcharge which was inconvienent.

Excellent for the past 10 years, used within an agency and then in my own private practice!  

LPC-Associate Owner

The platform made it easy to schedule appointments with clients and made billing easily available all in one place,

The templates in TherapyNotes offered minimal customization and that was ultimately a dealbreaker for me.

CEO PMHNP

They have a to-do list on the initial screen that walks you through each step to set everything up as well.

Sole Proprietor

I would not mind a break in price; however, it is reasonable compared to others I have checked out.

Clinical Social Worker

They ensure that appropriate content is included in the chart, while allowing repetitious material to be copied from previous recording, allowing the uniqueness of the client and their behavior  in each session can be easily entered.

Everything is laid out logically and easy to navigate, even for new staff.

Neuropsychologist

This is an excellent product that offers scheduling options, encounter notes, file storage, clearinghouse EDI, ERA, patient messaging, telehealth video, and superior support.  

APRN, Medication provider

Then if a prescription does not go through since this does not communicate with therapy notes there is no notification.

Biller

Clinical Supervisor and Therapist

They have waited to change clearinghouses when other EHR’s have been able to do it all due to their ancient coding and inability to pivot as every other EHR in the country did in days or just a week or so following the attack. When voicing our opinion about how they continue to charge us our monthly fees while not providing the service we need and signed up for they refuse to take ownership of the issue and are trying to silence us from voicing our opinions on the matter.

TherapyNotes has amazing customer service!

I love that the system allows me to set different prices, as what is collected on the session for example with a co insurance, that I do not have to go back in and change it

I have worked with Therapy Notes for 4 years now and it has always been consistent and easy to navigate!

They sold me on Therapy Notes with one price, then they back tracked on some pricing for supervisors.  

They explain pretty well each service that's offered.

Bugs and Issues

Billing and Notes

Claims Submission

Notes

Customer Support

Scheduling and Calendar

Pricing

TherapyNotes

Credit Card Processing

Insurance Billing

Complex and flawed insurance billing

Clinical Psychologist

The billing area has countless flaws that my husband, a software developer on Mac and Windows for nearly 40 years, has called to their attention to no avail.   When I note these weaknesses, they sound like it's the first time they've heard about it and "pass it on to their team."   If you work with Medicare clients or clients who rely on two insurers, watch out.  

39% of reviewers feel negative about Insurance Billing. Users think the insurance billing process is complicated, particularly when handling secondary insurances or Medicare. Reviewers indicate that tracking payments, posting secondary payments, and managing billing records can be confusing and require cumbersome workarounds. They say the system lacks clarity in displaying payment information and sometimes fails to support all insurance carriers. Some users report that these challenges create inefficiencies and additional administrative burdens, especially for practices with clients relying on multiple insurers.

Frequent technical disruptions

51% of reviewers feel negative about Bugs and Issues. Users think the software experiences regular technical problems, including system downtime, glitches, and slow performance. Reviewers indicate that updates and migrations can destabilize the platform, sometimes causing data access issues or interruptions in daily operations. They say these disruptions can be time-consuming and stressful, especially for busy practices. Some users report that communication about outages is lacking and that resolving certain bugs can take longer than expected, impacting their workflow and business reliability.

Responsive and patient staff

93% of reviewers feel positive about Staff and Support. Users think the staff is consistently courteous, knowledgeable, and quick to resolve issues. Reviewers indicate that support is easy to reach, with minimal wait times and a willingness to walk users through problems step by step. They say staff members are patient, even when questions are repeated, and appreciate the personal touch and professionalism. Some users report that the team listens to suggestions for improvement and provides a sense of reliability, making it easier to manage their practices and train new staff or interns.

Intuitive and streamlined workflow

Licensed Professional Counselor

However, I have found using TherapyNotes to be intuitive and possessing many features to make my life as a clinician easier.

97% of reviewers feel positive about Ease of Use. Reviewers indicate that the software is intuitive, user-friendly, and easy to learn, reducing the time needed for onboarding. Users think the layout is clear and helps them manage all aspects of their practice efficiently in one place. They say the interface is straightforward, which makes daily tasks simpler and increases productivity. Some users report that the system accommodates both new and experienced users, allowing them to focus more on client care rather than administrative burdens.

Highly responsive customer service

97% of reviewers feel positive about Customer Support. Users think customer service is prompt, knowledgeable, and genuinely helpful, often resolving issues quickly. Reviewers appreciate the accessibility of live support and the willingness of representatives to guide them through complex tasks. They say customer support is proactive in addressing feedback and continually improves the platform. Some users report that the support team goes above and beyond, making them feel valued and confident in using the software for their professional needs.

Freelancers

Small Business

Large Enterprises

Mid-size Business

Most reviewers indicate that TherapyNotes, LLC offers strong value for money, highlighting that the software provides a comprehensive set of features at a reasonable or competitive price point compared to other EHR solutions. They appreciate that the monthly fee includes essential functionalities, such as telehealth, at no extra cost, and note that frequent updates and added features do not typically result in price increases. Many users say the software saves them both time and money, making it a worthwhile investment for solo practitioners, small businesses, and non-profits. Some reviewers mention that discounts and free trial periods are available, allowing them to evaluate the platform before committing. Most users consider the pricing structure transparent and fair, especially given the breadth of included services.

However, some users report concerns about price increases, particularly when expanding their business or after initial agreements, and feel that the lack of pricing flexibility can be a drawback. A few reviewers think the cost is higher than similar products, especially for specific features like prescription management, and say that unexpected changes in pricing can impact their satisfaction. Some users feel the software is less accessible due to its cost, especially for those on a tight budget.

Doxy.me

Doxy.me is a cloud-based telemedicine solution designed to help healthcare professionals diagnose & treat patients via videoconference, audio communication, or text message. Features include virtual waiting room management, notifications, screen sharing, group calling, file transfer & image capture.

Tebra

Tebra helps medical providers optimize clinical processes by handling administrative tasks so that doctors can focus on patient care

Tebra is popular with physician practices with 1-10 providers and medical billing companies with 1-100 providers.

Telemedicine is convenient and easy, which drives patient attendance. No logins or software downloads.

Fully HIPAA compliant toolset (w/ BAA), encrypted video visits, and additional security measures help protect patients from a wide variety of compliance and data security risks.

Video Conferencing

Self Service Portal

Appointment Management

Online Forms

Practice Management

Billing & Invoicing

Payment Processing

Multi-Provider Practice

By industry, Mend reviewers are most commonly professionals in hospital & health care (16%). The most frequent use case for Mend cited by reviewers is telemedicine (44% of reviewers).

Mend is a telemedicine solution offering key features such as video conferencing, appointment management, mobile access, confirmations/reminders, appointment scheduling, and HIPAA compliance, among others.

Mend

Basic

patient

It connects me and my provider for appointments and provides educational/informative videos while I am waiting.

Analyst

The secondary text message that says respond with “R to cancel I misread and responds with R and cancelled my first appoint. If you send these message make you you correspond with “C” it makes more sense instead of R for confirmation

Advanced Rolfer

This was a requirement with my shift into Highmark’s Complete Blue Pro Premier plan , due to the constancy of my work travel the Zoom meeting was the best option.

I like the ability to test your connection/audio/video prior to visit.

I write novels and still hope one day someone will read them.

Sometimes my internet connection or hers interrupts us, but even if I cannot see her and she cannot see me, we talk things through.

Deli clerk

I had a bad experience with trying to get my ADHD medicine figured out meaning I had to meet with the doctor and get that scheduled and I was told that that wouldn’t be possible at first… But it all got figured out so I’m grateful however it did cause me, extreme anxiety

Chief Handyman for my wife

Other than the occasional audio quality issues, I was able to complete the virtual visit without any other significant issues.

Mobile Notary

I like being able to have an appointment  wherever I happen to be at that moment; in the car, at home, etc.

Direct Support Personnel

I'm still going through early grief after the shock. But Mend therapy helps me embrace the joy and love of Honolulu even as I'm enfolded by brother's sudden death.    

Project Manager

I feel that I got the doctor's attention more so than in an office visit in which the doctor is hurrying from exam room to exam room.

XxxxxxxxxX

It is good my doctor that i was linked with seemed to have been linked with me based on the type of person i could interact with better idk if that was the case but i got a good doctor

Reverend

Was professionally scheduled, accurately timed, very thoroughly reviewed many health components and issues.

Operations

I have connection with counselors and doctors that I do need to see it is detrimental that I see you my doctors on time for therapy and psychotherapy and medication management to regularly save my emotional, psychological, and outright life.

Sales and marketing

I really like how she works with me on helping me understand some of the steps in this regimen and I hope that y’all see though genuine care in her as I do thank you very much Christopher Rodgers.

Had to ask the nurse to repeat herself several times because of the audio quality issues.

Service Technician

Answered all my questions and explained the different processes we needed, iltimately saving me time and money.

Home maker

I only feel that having a short text or note to take away would be a helpful addition.

Patient

The viewing screen doesn’t expand to a full screen dimension.

Human Resource Specialist

On time, the one on one visit, the virtual appointment work well with my schedule

Agent

Maybe all the paperwork you have to do before every session, but that is a minor inconvenience.

Food runner

Works well for what is needed, connection quality is better than I've experienced in Teladoc

Health

Sometimes the telehealth appointments don’t sync.

OR RN

I like the fact that they accept my insurance in addition to my membership payment.

Retail

It’s easy to use and it helps for when I can’t come in.

Trust and clear communication are not disrupted by intermittent outages.

Attorney

Bumpy at first, but after settling into your system and finding a practitioner who is clearly taking care of me has been magic.

Sole proprietor/ House leaner

Its like a housecall,but on your phone,it's very convenient and hassle-free,and everybody was so helpful,sympathetic to my needs and punctual so from appointment setting to seeing a Dr. 4 hrs and it's all over and prescription is sent to my pharmacy,now if I could only get the pharmacy to deliver I'd be all set!

Videographer

I was able to take away information that I can put to work immediately.

TherapyNotes, LLC vs Mend Comparison (2026)

TherapyNotes, LLC

Mend

Overview

Video & Screenshots

Pricing

User reviews

Key features

Integrations

Alternatives