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Alternatives · Therapy & Clinics

TherapyNotes alternatives

As of Oct 24, 2026, the best TherapyNotes alternative for most people is SimplePractice (2.8 GPA), first in our ranking of therapy and clinic software. The best free one is Carepatron (2.6 GPA).

TherapyNotes compared with 6 alternatives: SimplePractice, TheraNest, Tebra, Carepatron, Owl Practice and 1 more.

TherapyNotes is a paid product with a free trial, starting at $69 per month (Solo, one user). 2 of the 6 alternatives are free or have a free plan. 3 more offer a free trial.

Listings checked up to Oct 24, 2026 · Where the facts come from

At a glance

ToolPriceFree planRuns on
TherapyNotesThis toolFree trial · from $69/moTrial onlyWeb, iOS, Android
SimplePracticeFree trial · from $49/moTrial onlyWeb, iOS, Android
TheraNestFree trial · from $27/moTrial onlyWeb
TebraPaidNoWeb, iOS
CarepatronFree plan · from $31/moYesWeb, iOS, Android
Owl PracticeFree trial · from $60/moTrial onlyWeb
Sessions HealthFree plan · from $39/moYesWeb

Price against what you get

TherapyNotes starts at $69 a month and scores 2.7 out of 4 on features, ease of use and platforms. 1 of the 4 alternatives on this chart scores higher and starts lower: SimplePractice.

TheraNest, Carepatron and Sessions Health start lower without scoring higher.

Features, ease of use and platforms, averaged

C2.0B3.0A4.0$10$20$50$100More for lessCosts more, scores moreCosts less, scores lessCosts more, scores lessTherapyNotesSimplePracticeTheraNestCarepatronSessions Health

What paid plans start at, a month (each step along is roughly double) →

  • The best score at each price
  • Has a free plan
  • No free plan
The full chart of therapy and clinic software, and the best at every price

How each one differs from TherapyNotes

  1. SimplePractice

    Practice management and EHR for private-practice therapists

    • SimplePractice starts at $49 per month (Starter), after a first 3 months at $24.50.
    • SimplePractice also covers appointment booking.

    Suits: Solo therapists and counselors in the US who bill insurance

  2. TheraNest

    Mental health EHR with claims, telehealth and credentialing help

    • TheraNest starts at $27 per therapist / month, billed yearly ($29 billed monthly).
    • TheraNest lists no iOS and Android apps, which TherapyNotes has.
    • TheraNest also covers appointment booking.

    Suits: Insurance-based therapists who want claims bundled into the plan

  3. Tebra

    EHR, medical billing and patient marketing for independent practices

    • Tebra lists no Android app, which TherapyNotes has.
    • Tebra also covers appointment booking and review collection.
    • Tebra does not cover transcription, which TherapyNotes does.

    Suits: Independent medical and mental health practices that bill insurance

  4. Carepatron

    Practice management with a free plan, AI scribe and telehealth

    • Carepatron starts at $31 per user / month, billed yearly ($39 billed monthly).
    • Carepatron has a free plan, which TherapyNotes lacks.
    • Carepatron also covers appointment booking.

    Suits: Solo practitioners who want to start on a free plan

  5. Owl Practice

    Web-based practice management built for mental health therapists

    • Owl Practice starts at CA$60 per month plus tax (Growth, up to 20 sessions a month).
    • Owl Practice lists no iOS and Android apps, which TherapyNotes has.
    • Owl Practice also covers appointment booking.
    • Owl Practice does not cover transcription, which TherapyNotes does.

    Suits: Therapists who see couples, families or groups

  6. Sessions Health

    Mental health EHR with a free plan and low-cost insurance claims

    • Sessions Health starts at $39 per month for the first practitioner.
    • Sessions Health has a free plan, which TherapyNotes lacks.
    • Sessions Health lists no iOS and Android apps, which TherapyNotes has.
    • Sessions Health also covers appointment booking.

    Suits: Insurance-based therapists who file many claims

Limits worth knowing in TherapyNotes

  • Group and Enterprise rates rise to $89 for the first clinician plus $60 per additional from 1 December 2026; Solo stays at $69.
  • Much is billed per use: 14¢ per eligibility check or text and voice reminder, 25¢ per e-claim from December, $1 per mailed claim, 3.1% + 30¢ per card payment.
  • TherapyFuel AI is $40 per clinician a month, ePrescribe $65 per prescriber a month, and Premium Telehealth $15 per clinician a month.
  • Enterprise needs at least 30 users. Full medical billing and credentialing come through partners, at prices not published.
TherapyNotes pricing and details

Common questions

What are the alternatives to TherapyNotes?

The alternatives to TherapyNotes in this directory are SimplePractice, TheraNest, Tebra, Carepatron, Owl Practice and Sessions Health. Each one has a side-by-side comparison with TherapyNotes.

Is there a free alternative to TherapyNotes?

Yes. Carepatron and Sessions Health have a free plan alongside paid ones.

When were these prices checked?

Every listing on this page was checked on Oct 24, 2026, against the pages it cites. Vendors change prices without notice, so confirm on their site before you buy.