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TherapyNotes review (2026): is it worth $69 a month?

Behavioral health EHR with notes, insurance billing and client portal

Free trial · from $69/moTherapy & ClinicsChecked Oct 24, 2026 · graded Oct 24, 2026 by ToolGPA
Visit therapynotes.comFree guide

TherapyNotes report card

2.2GPA

Fair · out of 4.0 · graded Oct 24, 2026

Best for behavioral health practices that bill insurance

TherapyNotes handles notes, insurance claims, eligibility checks, a client portal and telehealth, with 24/7 phone support on every plan. Solo is $69 a month, among the dearest starts here, Group rises to $89 plus $60 a clinician from 1 December 2026, and checks, claims, reminders and AI are all charged on top.

Who TherapyNotes is for

  • Fits if you're a solo therapist billing insurance who wants a phone line answered at any hour
  • Works for behavioral health groups with many billers and schedulers, as non-clinical users aren't charged

Who TherapyNotes is not for

  • Pricey if you're solo, as $69 a month is near the top of what this category charges
  • Watch out: Group and Enterprise rise to $89 plus $60 per extra clinician from 1 December 2026
  • Watch out: eligibility checks and reminders are 14¢ each, e-claims 25¢ from December, mailed claims $1, cards 3.1% + 30¢
  • Pricey if you want more than the basics: TherapyFuel AI is $40 a clinician, ePrescribe $65, and HD or group telehealth $15
  • Watch out: Enterprise needs at least 30 users, and full medical billing and credentialing go through partners at unpublished prices
See the alternatives

Why TherapyNotes gets a 2.2

Five grades, each with its reason. The GPA is their average: an A is 4 points, an F is none.

  • DValue for moneySolo is $69 a month for one user, in the dearest tenth of this category, which starts at $59.90. Much is then per use: 14¢ an eligibility check or reminder, 25¢ an e-claim from December. Group goes from $79 plus $50 a clinician to $89 plus $60 on 1 December 2026.
  • CFree plan and trialA 30-day free trial on every plan, and no free plan. The listing doesn't say whether the trial asks for a card. Classroom accounts are free, but they leave out billing.
  • BFeaturesNotes you can rearrange, a group note wizard, an outcome measure library, electronic and paper claims, eligibility checks, ERAs, a client portal, telehealth and a mobile app. The therapy-practice job is covered; full medical billing goes through partners.
  • CEase of useNo App Store rating on record. Note templates, payers and claims take setting up, though 24/7 live phone and email support comes with every plan.
  • BPlatforms and integrationsWeb, plus an iPhone, iPad and Android companion app for the agenda, messages and telehealth. No desktop app, and the listing names no integrations or API.

What these grades rest on. Graded from this listing, whose facts were read from TherapyNotes' own pages on 24 October 2026. Its pricing article turned our reader away on 24 October 2026; its December 2026 pricing post agrees with the listing. Not based on using the product, and shorter than our full reviews. How we review and grade.

Make TherapyNotes? Put this grade on your site
TherapyNotes: 2.2 GPA on ToolGPA

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<a href="https://toolgpa.com/tools/therapynotes#review"><img src="https://toolgpa.com/badge/therapynotes.svg" alt="TherapyNotes: 2.2 GPA on ToolGPA" width="196" height="56"></a>

Where TherapyNotes stands among therapy and clinic software

TherapyNotes's GPA of 2.2 is higher than 2 of the 12 other therapy and clinic software we grade, and level with 5.

It stands best on platforms and integrations (B, above 3 of 12) and worst on value for money (D, above 0).

Its paid plans start at $69 a month, against a middle price of $39 for the category: 10 of the 10 others that charge start lower.

On features, ease of use and platforms it scores 2.7 out of 4. 1 tool scores higher and costs less.

Each grade against the category

Every bar is all 13 therapy and clinic software we grade, cut by the letter each got. TherapyNotes’s own letter is outlined.

  • DValue for moneyAbove 0 of 12, level with 3
  • CFree plan and trialAbove 2 of 12, level with 9
  • BFeaturesAbove 1 of 12, level with 11
  • CEase of useAbove 0 of 12, level with 11
  • BPlatforms and integrationsAbove 3 of 12, level with 9

Price against what you get

Each dot is one of 11 therapy and clinic software. Further left costs less, and higher up scores better on features, ease of use and platforms. Point at a dot to see which tool it is.

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 lessTherapyNotes

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, and the best therapy and clinic software at every price

Keep TherapyNotes, or make your own?

Keep it

To replace TherapyNotes you would be making insurance claims sent to payers through a clearinghouse. That is not a weekend's work, with an AI app builder or without one.

That makes this kind of software worth paying for, not this one in particular: 5 of the 12 other therapy and clinic software grade higher. It costs $828 a year.

What you could make

  • Clinical notes: an app builder makes this well.

What you could not

  • Insurance claims sent to payers through a clearinghouse.
  • Video sessions that meet health privacy rules.
  • Speech turned into text you can trust.
  • A real app for iOS and Android. Something home-made would be a web page.
  • AI features, unless you pay a model provider for each request yourself.
  • The depth: we grade its features B, which means it covers the whole job.

What this rests on. TherapyNotes’s listing: what it does, where it runs, what it plugs into and what it costs. It is a judgement about the kind of software this is. We have not built a replacement for it, and making your own means looking after it too. How we decide, and every tool’s verdict.

What is TherapyNotes?

TherapyNotes is practice management and EHR software for behavioral health practices, from solo clinicians to groups and agencies. It covers scheduling, structured clinical notes, insurance claims and eligibility checks, a client portal and telehealth, with 24/7 phone and email support on every plan. AI documentation, ePrescribe and premium telehealth are paid extras.

Worth knowing

  • 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.

Key features

Clinical notes and outcome measures
Progress, intake and consultation notes whose sections can be rearranged or added to, a group progress note wizard, a play therapy template and an outcome measure library.
TherapyFuel AI tools
A $40-per-clinician add-on whose Scribe transcribes sessions to draft notes. Once one clinician has it, the whole practice can generate client history summaries and contact notes.
Insurance billing
Electronic and paper claims, secondary claims, real-time eligibility checks and electronic remittance advice, each charged per use, with card payments that can be charged automatically overnight.
TherapyPortal
A custom client portal for secure messages, documents, forms and outcome measures, which can be sent to every active client at once.
Telehealth
Basic telehealth is free for two participants in standard definition. Premium, at $15 per clinician a month, allows 16 participants in full HD with screen sharing and captions.
Mobile app and support
An iPhone, iPad and Android companion app for the agenda, client details offline, messaging and telehealth, plus 24/7 live phone and email support for every user.

TherapyNotes pricing

As of Oct 24, 2026, TherapyNotes is a paid product with a free trial, starting at $69 per month (Solo, one user).

Starts at
$69 per month (Solo, one user)
Free plan
None
Free trial
30-day free trial on every plan
Solo$69per month for 1 userFor a provider who is the only user on the account. Unlimited clients, appointments and notes, client portal, basic telehealth and 24/7 support.
Group$79per month, plus $50 per additional clinicianUnlimited non-clinical users such as billers and schedulers. Rises to $89 plus $60 per additional clinician from 1 December 2026.
Enterprise$79per month, plus $50 per additional clinicianGroup rates for accounts of at least 30 users, with a designated account manager. Same 1 December 2026 rise as Group.

Read from support.therapynotes.com on Oct 24, 2026. Prices change, so confirm with TherapyNotes before you buy.

Pricing in detail

Ways to pay less

  • EducationFree classroom accounts

    TherapyNotes is free for simulated practices in a classroom, whatever the class size; these accounts leave out insurance and other billing features.

    Stated on support.therapynotes.com

TherapyNotes alternatives

All TherapyNotes alternatives comparedAll therapy and clinic software

Common questions

Does TherapyNotes have a Windows app?

No Windows app was listed when its pages were read on Oct 24, 2026. TherapyNotes is listed for Web, iOS and Android.

Does TherapyNotes have a macOS app?

No macOS app was listed when its pages were read on Oct 24, 2026. TherapyNotes is listed for Web, iOS and Android.

Is TherapyNotes open source?

TherapyNotes is not described as open source on its own site, as read on Oct 24, 2026.

Sources for this page

The prices, plans, platforms and features above were read from these pages on Oct 24, 2026.