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Head-to-head · Therapy Notes Software

SimplePractice vs TheraNest

  • Updated Oct 2026
  • Both researched from official sources
  • 3 checks side by side
Higher score SimplePractice #2 in Therapy Notes Software 8.7/10 30-day trial Free trial✓ 1 of 4 features Visit SimplePractice
TheraNest #3 in Therapy Notes Software 8.5/10 21-day trial Free trial✓ 2 of 4 features Visit TheraNest

SimplePractice leads on 0 checks, TheraNest on 0, and 3 are even. Who comes out ahead on the 3 yes/no, price and count checks where we have data for both products. The editor score weighs everything else too.

Our verdict

  • Highest scoreSimplePractice · 8.7/10
  • Free trialboth
  • Most featuresTheraNest · 2 of 4

SimplePractice scores higher on our rubric for therapy notes software: 8.7 against 8.5 out of 10; our editors rank them #2 and #3.

SimplePractice is the better fit for solo therapists managing appointments and billing. TheraNest is the better fit for practices needing flexible scheduling and billing.

  • SimplePractice fits best

    Solo therapists managing appointments and billing

  • TheraNest fits best

    Practices needing flexible scheduling and billing

Advertiser disclosure: iTechGuides is reader-supported. Vendors can pay for top positions in our rankings and for a place on other products' pages, and we may earn a commission when you click some links. Bought places stand at the number bought; this page and our disclosure say so. Paying vendors may get a fuller, more detailed review from our editors, and that review can change their score. How we rank.

Side by side

Feature SimplePractice 8.7/10 Visit ↗ TheraNest 8.5/10 Visit ↗
At a glance
Editor score 8.7 8.5
Ranking #2 in Therapy Notes Software #3 in Therapy Notes Software
Best for Solo therapists managing appointments and billing Practices needing flexible scheduling and billing
Pricing model Paid Paid
Starting price $49/mo $319/user/yr
Free plan — —
Free trial 30 days 21 days
Free trial length 30 days · no card needed 21 days · no card needed
Deployment Cloud, Mobile Cloud
Platforms Web, iOS, Android Web
Support Phone, Docs Email, Phone, Docs · 24/7
Compliance HIPAA, 2FA HIPAA, 2FA
Integrations 4 integrations 5 integrations
Built for Solo, Small business, Mid-market Solo, Small business, Mid-market, Enterprise
Features SimplePractice 1/4 · TheraNest 2/4
Note templates Not checked yet Not checked yet
Treatment plans Not checked yet Not checked yet
Client portal Not checked yet ✓ (best)
Telehealth ✓ ✓
Specs
Mobile access Not checked yet Not checked yet
Our review
Pros
  • Combines appointment requests, reminders, recurring visits, and a client waitlist
  • Includes telehealth with waiting rooms, screen sharing, and interactive whiteboards
  • Supports online intake, payments, and insurance claim filing and tracking
  • Schedules individual, group, recurring, multi-staff, and multi-location sessions
  • Client portal supports intake, appointment requests, messaging, telehealth, and payments
  • Advanced and Premier add telehealth and insurance billing automation
Cons
  • No free plan; Starter begins at $49 per month
  • Secure messaging and a client waitlist start with Essential at $79 per month
  • Team member support and group appointments require Plus at $99 per month
  • No free plan; access starts with paid plans, though a 21-day trial is offered
  • The $27 monthly equivalent requires annual billing
  • Available on the web, with no mobile apps
Our verdict

SimplePractice is an electronic health record and practice-management platform for therapists and other health and wellness professionals, including speech-language pathologists, occupational therapists, and psychiatrists. It brings…

Read the review →

TheraNest combines electronic health records and practice management for therapists, counselors, psychologists, social workers, and mental health practices. Its scheduling covers individual, group, recurring, multi-staff, and…

Read the review →
  1. SimplePracticeTherapy Notes Software 8.730-day trial
  2. TheraNestTherapy Notes Software 8.521-day trial

Strengths and trade-offs

  • SimplePractice — where it wins

    • Combines appointment requests, reminders, recurring visits, and a client waitlist
    • Includes telehealth with waiting rooms, screen sharing, and interactive whiteboards
    • Supports online intake, payments, and insurance claim filing and tracking

    Where it doesn't

    • No free plan; Starter begins at $49 per month
    • Secure messaging and a client waitlist start with Essential at $79 per month
    • Team member support and group appointments require Plus at $99 per month

  • TheraNest — where it wins

    • Schedules individual, group, recurring, multi-staff, and multi-location sessions
    • Client portal supports intake, appointment requests, messaging, telehealth, and payments
    • Advanced and Premier add telehealth and insurance billing automation

    Where it doesn't

    • No free plan; access starts with paid plans, though a 21-day trial is offered
    • The $27 monthly equivalent requires annual billing
    • Available on the web, with no mobile apps

More comparisons

All therapy notes software comparisons → · Full ranking →

Reviewed by iTechGuides Editors · Editorial team · Updated Oct 2026

Last updated · How we research and update