TherapyNotes, LLC vs Opus

Carepatron

EHRYourWay

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.

Therapist

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

Psychologist

One of the things I have been most pleased about is the customer service. Whenever I have a questions, it is answered promptly.

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.

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

Activity Dashboard

Alerts/Notifications

Appointment Management

Appointment Scheduling

Audit Management

Billing & Invoicing

Calendar Management

Calendar Sync

Case Management

Case Notes

Charting

Chat/Messaging

Claims Adjuster Management

Claims Management

Claims Scrubbing

Claims Settlement

Claims Tracking

Client Portal

Clinical Notes

Code & Charge Entry

Coding Assistance

Compliance Management

Compliance Tracking

Confirmations/Reminders

Co-Pay & Deductible Tracking

Credit Card Processing

Customer Database

Customer Management

Customizable Templates

Data Import/Export

Data Security

Decision Support

Documentation Management

Document Management

Document Storage

Drag & Drop

Dunning Management

Electronic Claims

Electronic Payments

Electronic Signature

Email Reminders

Employee Management

EMR/EHR

E-Prescribing

Faculty/Staff Management

File Sharing

For Group Therapy

For Medical Purposes

For Mental/Behavioral Health

Forms Management

Formulary Management

For Psychiatrists

Handwriting Recognition

Healthcare Compliance

HIPAA Compliant

Historical Reporting

Initial Assessments

Insurance Eligibility Verification

Invoice History

Invoice Management

Live Chat

Medical Billing

Medication Management

Messaging

Mobile Access

Monitoring

Multi-Location

Multi-Provider Practice

No-Show Tracking

Notes Management

On Call Scheduling

Online Booking

Online Forms

Online Payments

Online Scheduling

Paper-Based Claims

Patient Communications

Patient Intake

Patient Portal

Patient Records Management

Payment Processing

Payor Management

Physician Management

Practice Management

Process/Workflow Automation

Progress Notes

Progress Tracking

Quotes/Estimates

Real-Time Analytics

Real-Time Reporting

Records Management

Recurring Appointments

Reminders

Remittance Advice

Remote Treatment Planning

Reporting/Analytics

Reporting & Statistics

Role-Based Permissions

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

TherapyAppointment

TheraNest

Sessions Health

Tebra

Valant EHR Suite

Practice Fusion

Osmind

IntakeQ

ClinicSource

athenaOne

Qualifacts Insync

CounSol.com

AdvancedMD for Mental Health

Solo

Group

Enterprise (30+ users)

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.

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.

owner

It would be nice to be able to have more information on claim rejections and how to resolve the issue within the software.

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.

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.

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

It is focused on mental health/therapy and does a great job for the clinician being an easy to use and navigable site.

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.

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.

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.

TherapyNotes, LLC vs Opus Comparison (2026)

TherapyNotes, LLC

Opus

Overview

Video & Screenshots

Pricing

User reviews

Key features

Integrations

Alternatives