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Head-to-head · Therapy Scheduling Software

TherapyNotes vs TheraNest

  • Updated Oct 2026
  • Both researched from official sources
  • 6 checks side by side
Higher score TherapyNotes #6 in Therapy Scheduling Software 8.8/10 30-day trial Free trial✓ 1 of 5 features Visit TherapyNotes
TheraNest #7 in Therapy Scheduling Software 8.7/10 21-day trial Free trial✓ 5 of 5 features Visit TheraNest

TherapyNotes leads on 0 checks, TheraNest on 0, and 6 are even. Who comes out ahead on the 6 yes/no, price and count checks where we have data for both products. The editor score weighs everything else too.

Our verdict

  • Highest scoreTherapyNotes · 8.8/10
  • Free trialboth
  • Most featuresTheraNest · 5 of 5

TherapyNotes scores higher on our rubric for therapy scheduling software: 8.8 against 8.7 out of 10; our editors rank them #6 and #7.

TherapyNotes is the better fit for therapists prioritizing clinical notes and billing. TheraNest is the better fit for growing practices with multi-session scheduling.

  • TherapyNotes fits best

    Therapists prioritizing clinical notes and billing

  • TheraNest fits best

    Growing practices with multi-session scheduling

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 TherapyNotes 8.8/10 Visit ↗ TheraNest 8.7/10 Visit ↗
At a glance
Editor score 8.8 8.7
Ranking #6 in Therapy Scheduling Software #7 in Therapy Scheduling Software
Best for Therapists prioritizing clinical notes and billing Growing practices with multi-session scheduling
Pricing model Paid Paid
Starting price — $319/user/yr
Free plan — —
Free trial 30 days 21 days
Free trial length 30 days 21 days · no card needed
Deployment Cloud, Mobile Cloud
Platforms Web, iOS, Android Web
Support Phone, Email · 24/7 Email, Phone, Docs · 24/7
Compliance HIPAA, 2FA HIPAA, 2FA
Built for Solo, Small business, Mid-market, Enterprise Solo, Small business, Mid-market, Enterprise
Features TherapyNotes 1/5 · TheraNest 5/5
Integrated telehealth ✓ ✓
Client portal Not checked yet ✓ (best)
Insurance claims Not checked yet ✓ (best)
Payment processing Not checked yet ✓ (best)
Calendar sync Not checked yet ✓ (best)
Specs
Mobile app coverage Not checked yet None
Our review
Pros
  • Combines scheduling, reminders, intake, telehealth, billing, and claims
  • Supports customizable clinical notes, signatures, and TherapyFuel AI tools
  • Offers web, iOS, and Android access with a client portal
  • Handles individual, group, recurring, multi-staff, and multi-location sessions
  • Combines scheduling, portals, telehealth, payments, claims, forms, and reporting
  • Supports Google Calendar and Apple Calendar synchronization
Cons
  • No free standard plan; the free trial lasts 30 days
  • Some reminders, payments, claims, and telehealth features add fees
  • Enterprise requires at least 30 users
  • No free plan is available
  • The product is web-only, with no mobile apps
  • Advanced billing and reminder automation require higher-tier plans
Our verdict

TherapyNotes is a web-based behavioral health EHR and practice-management platform for solo clinicians, group practices, agencies, clinics, and educational settings. Its scope covers one-time and recurring appointments, automated email,…

Read the review →

TheraNest is a cloud-based EHR and practice management platform for therapists, counselors, psychologists, social workers, and mental health practices. Its scheduling supports individual, group, recurring, multi-staff, and multi-location…

Read the review →
  1. TherapyNotesTherapy Scheduling Software 8.830-day trial
  2. TheraNestTherapy Scheduling Software 8.721-day trial

Strengths and trade-offs

  • TherapyNotes — where it wins

    • Combines scheduling, reminders, intake, telehealth, billing, and claims
    • Supports customizable clinical notes, signatures, and TherapyFuel AI tools
    • Offers web, iOS, and Android access with a client portal

    Where it doesn't

    • No free standard plan; the free trial lasts 30 days
    • Some reminders, payments, claims, and telehealth features add fees
    • Enterprise requires at least 30 users

  • TheraNest — where it wins

    • Handles individual, group, recurring, multi-staff, and multi-location sessions
    • Combines scheduling, portals, telehealth, payments, claims, forms, and reporting
    • Supports Google Calendar and Apple Calendar synchronization

    Where it doesn't

    • No free plan is available
    • The product is web-only, with no mobile apps
    • Advanced billing and reminder automation require higher-tier plans

More comparisons

All therapy scheduling software comparisons → · Full ranking →

Reviewed by iTechGuides Editors · Editorial team · Updated Oct 2026

Last updated · How we research and update