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Head-to-head · Therapy Notes Software

TheraNest vs Owl Practice

  • Updated Oct 2026
  • Both researched from official sources
  • 3 checks side by side
Higher score TheraNest #3 in Therapy Notes Software 8.5/10 21-day trial Free trial✓ 2 of 4 features Visit TheraNest
Owl Practice #8 in Therapy Notes Software 7.9/10 14-day trial Free trial✓ 1 of 4 features Visit Owl Practice

TheraNest leads on 0 checks, Owl Practice 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 scoreTheraNest · 8.5/10
  • Free trialboth
  • Most featuresTheraNest · 2 of 4

TheraNest scores higher on our rubric for therapy notes software: 8.5 against 7.9 out of 10; our editors rank them #3 and #8.

TheraNest is the better fit for practices needing flexible scheduling and billing. Owl Practice is the better fit for small practices prioritizing scheduling and client access.

  • TheraNest fits best

    Practices needing flexible scheduling and billing

  • Owl Practice fits best

    Small practices prioritizing scheduling and client access

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Side by side

Feature TheraNest 8.5/10 Visit ↗ Owl Practice 7.9/10 Visit ↗
At a glance
Editor score 8.5 7.9
Ranking #3 in Therapy Notes Software #8 in Therapy Notes Software
Best for Practices needing flexible scheduling and billing Small practices prioritizing scheduling and client access
Pricing model Paid Paid
Starting price $319/user/yr —
Free plan — —
Free trial 21 days 14 days
Free trial length 21 days · no card needed 14 days · no card needed
Deployment Cloud Cloud
Platforms Web Web
Support Email, Phone, Docs · 24/7 Email, Live chat, Docs
Compliance HIPAA, 2FA GDPR, 2FA
Integrations 5 integrations 3 integrations
Built for Solo, Small business, Mid-market, Enterprise Solo, Small business, Mid-market
Features TheraNest 2/4 · Owl Practice 1/4
Note templates Not checked yet Not checked yet
Treatment plans Not checked yet Not checked yet
Client portal ✓ (best) Not checked yet
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
  • Online booking, recurring appointments, rescheduling, and waitlist management
  • Client portal supports forms, secure messaging, and document sharing
  • Combines session notes, payments, and telehealth with practice management
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
  • Web-only access may not fit teams seeking a desktop or mobile app
  • Group pricing is custom rather than presented as a standard plan
  • HIPAA compliance is not among its stated compliance features
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 →

Owl Practice is a cloud-based practice management system for psychologists, social workers, therapists, and mental health clinics, with a focus on Canadian practices. It brings scheduling, client records, session notes, intake forms,…

Read the review →
  1. TheraNestTherapy Notes Software 8.521-day trial
  2. Owl PracticeTherapy Notes Software 7.914-day trial

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

  • Owl Practice — where it wins

    • Online booking, recurring appointments, rescheduling, and waitlist management
    • Client portal supports forms, secure messaging, and document sharing
    • Combines session notes, payments, and telehealth with practice management

    Where it doesn't

    • Web-only access may not fit teams seeking a desktop or mobile app
    • Group pricing is custom rather than presented as a standard plan
    • HIPAA compliance is not among its stated compliance features

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