TheraNest vs ICANotes

TheraNest8.5Visit ICANotes8.4Visit

Higher score TheraNest #3 in Therapy Notes Software 8.5/10 21-day trial Free trial✓ 2 of 4 features Visit TheraNest

vs

ICANotes #4 in Therapy Notes Software 8.4/10 Free plan · 30-day trial Free planFree trial✓ 2 of 4 features Visit ICANotes

• TheraNest fits best

  Practices needing flexible scheduling and billing

• ICANotes fits best

  Clinicians who want behavioral-health documentation depth

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Side by side

Feature	TheraNest 8.5/10 Visit ↗	ICANotes 8.4/10 Visit ↗
At a glance
Editor score	8.5	8.4
Ranking	#3 in Therapy Notes Software	#4 in Therapy Notes Software
Best for	Practices needing flexible scheduling and billing	Clinicians who want behavioral-health documentation depth
Pricing model	Paid	Free plan + paid
Starting price	$319/user/yr	$25/user/mo
Free plan	—	✓ (best)
Free trial	21 days	30 days
Free trial length	21 days · no card needed	30 days · no card needed
Deployment	Cloud	Cloud
Platforms	Web	Web
Support	Email, Phone, Docs · 24/7	Email, Live chat, Phone, Tickets, Docs · 24/7
Compliance	HIPAA, 2FA	HIPAA
Integrations	5 integrations	4 integrations
Built for	Solo, Small business, Mid-market, Enterprise	Solo, Small business, Mid-market, Enterprise
Features TheraNest 2/4 · ICANotes 2/4
Note templates	Not checked yet	Not checked yet
Treatment plans	Not checked yet	Not checked yet
Client portal	✓	✓
Telehealth	✓	✓
Specs
Mobile access	Not checked yet	Not checked yet
Our review
Pros	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	Behavioral-health templates, treatment plans, and clinical rating scales Scheduling, client portal, telehealth, claims, and payment tools Electronic prescribing, lab integration, and AI-assisted documentation
Cons	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	Prescribing plans cost $138 or $213 per user monthly No mobile apps; deployment is cloud-based with web and API access Notes-only tiers focus on documentation rather than broader practice tools
Our verdict	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 →	ICANotes is a cloud-based electronic health record and practice-management platform for behavioral-health professionals, including therapists, psychiatrists, social workers, and group practices. Its core documentation tools include… Read the review →

Strengths and trade-offs

• 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

• ICANotes — where it wins

  • Behavioral-health templates, treatment plans, and clinical rating scales
  • Scheduling, client portal, telehealth, claims, and payment tools
  • Electronic prescribing, lab integration, and AI-assisted documentation

  Where it doesn't

  • Prescribing plans cost $138 or $213 per user monthly
  • No mobile apps; deployment is cloud-based with web and API access
  • Notes-only tiers focus on documentation rather than broader practice tools

• TheraNest8.5/10 · 21-day trial

  Therapy practice software that brings scheduling, clinical records, billing, and telehealth together.

  Visit TheraNestFull verdict →
• ICANotes8.4/10 · Free plan · 30-day trial

  Deep behavioral-health documentation with scheduling, telehealth, claims, and prescribing options.

  Visit ICANotesFull verdict →