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Head-to-head · Mental Health EHR Software

Foothold AWARDS vs TheraNest

  • Updated Sep 2026
  • Both researched from official sources
  • 5 checks side by side
Higher score Foothold AWARDS #4 in Mental Health EHR Software 7.4/10 Pricing on request ✓ 0 of 6 features Visit Foothold
TheraNest #8 in Mental Health EHR Software 6.7/10 From $27/mo (annual) · 21-day trial ✓ 4 of 6 features Visit TheraNest

Foothold AWARDS leads on 0 checks, TheraNest on 4, and 1 is even. Who comes out ahead on the 5 yes/no, price and count checks where we have data for both products. The editor score weighs everything else too.

Our verdict

  • Highest scoreFoothold AWARDS · 7.4/10
  • Most featuresTheraNest · 4 of 6

Foothold AWARDS scores higher on our rubric for mental health ehr software: 7.4 against 6.7 out of 10; our editors rank them #4 and #8.

TheraNest offers telehealth included; Foothold AWARDS doesn't publish it. TheraNest offers insurance billing; Foothold AWARDS doesn't publish it. TheraNest offers client portal; Foothold AWARDS doesn't publish it. TheraNest offers mental health templates; Foothold AWARDS doesn't publish it.

Foothold AWARDS is the better fit for mid-size and enterprise behavioral-health providers. TheraNest is the better fit for small therapy practices seeking low-cost core workflows.

  • Foothold AWARDS fits best

    Mid-size and enterprise behavioral-health providers

  • TheraNest fits best

    Small therapy practices seeking low-cost core workflows

Advertiser disclosure: iTechGuides is reader-supported. We may earn a commission when you click some links. How we rank.

Side by side

Feature Foothold AWARDS 7.4/10 Visit ↗ TheraNest 6.7/10 Visit ↗
At a glance
Editor score 7.4 6.7
Ranking #4 in Mental Health EHR Software #8 in Mental Health EHR Software
Best for Mid-size and enterprise behavioral-health providers Small therapy practices seeking low-cost core workflows
Pricing model Paid Paid
Starting price Not published Not published
Free plan Not published —
Free trial — —
Deployment Cloud Cloud
Platforms Web Web
Support Email, Live chat, Phone, Tickets, Docs Phone, Docs
Compliance HIPAA, 2FA HIPAA
Integrations 3 integrations 2 integrations
Built for Mid-market, Enterprise Solo, Small business, Mid-market
Features Foothold AWARDS 0/6 · TheraNest 4/6
Telehealth included Not published ✓ (best)
E-prescribing Not published Not published
Insurance billing Not published ✓ (best)
Client portal Not published ✓ (best)
Mobile app Not published Not published
Mental health templates Not published ✓ (best)
Our review
Pros
  • Configurable intake, assessments, service plans, and referral tracking
  • Combines outcome reporting, scheduling, billing, and electronic claims
  • HIE interoperability plus role-based permissions, audit trails, and adaptive MFA
  • Essentials includes scheduling, a client portal, EHR, and clinical notes.
  • Advanced adds insurance billing tools, online booking, and secure messaging.
  • Premier includes telehealth and unlimited claims and eligibility checks.
Cons
  • Pricing requires contacting Foothold Technology
  • Designed for multi-program agencies, not a narrow clinical workflow
  • Browser-based access; no native mobile app is verified
  • Telehealth is a paid add-on in Essentials and included in Premier.
  • Insurance billing tools are offered in Advanced and higher tiers.
  • The product is web-based, with Google Calendar and Outlook integrations.
Our verdict

Foothold AWARDS combines electronic health records and case management for human services agencies, including behavioral-health providers and organizations serving people with developmental disabilities, supportive housing, or homelessness…

Read the review →

TheraNest is a cloud-based EHR and practice management product for mental health professionals. Its core workflows include scheduling, clinical notes, intake forms, a client portal, and billing. Per-therapist monthly pricing starts at $29,…

Read the review →
  1. Foothold AWARDSMental Health EHR Software 7.4Pricing on request
  2. TheraNestMental Health EHR Software 6.7From $27/mo (annual) · 21-day trial

Strengths and trade-offs

  • Foothold AWARDS — where it wins

    • Configurable intake, assessments, service plans, and referral tracking
    • Combines outcome reporting, scheduling, billing, and electronic claims
    • HIE interoperability plus role-based permissions, audit trails, and adaptive MFA

    Where it doesn't

    • Pricing requires contacting Foothold Technology
    • Designed for multi-program agencies, not a narrow clinical workflow
    • Browser-based access; no native mobile app is verified

  • TheraNest — where it wins

    • Essentials includes scheduling, a client portal, EHR, and clinical notes.
    • Advanced adds insurance billing tools, online booking, and secure messaging.
    • Premier includes telehealth and unlimited claims and eligibility checks.

    Where it doesn't

    • Telehealth is a paid add-on in Essentials and included in Premier.
    • Insurance billing tools are offered in Advanced and higher tiers.
    • The product is web-based, with Google Calendar and Outlook integrations.
  • Foothold AWARDS7.4/10 · Pricing on request

    A configurable EHR for behavioral-health agencies coordinating services, outcomes, and billing.

    Visit FootholdFull verdict →
  • TheraNest6.7/10 · From $27/mo (annual) · 21-day trial

    Core therapy workflows start at $29 per therapist monthly, with billing tools in higher tiers.

    Visit TheraNestFull verdict →

More comparisons

All mental health EHR software comparisons → · Full ranking →

Reviewed by iTechGuides Editors · Editorial team · Updated Sep 2026

Last updated · How we research and update