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

> Behavioral health EHR with notes, insurance billing and client portal

Checked Oct 24, 2026 · graded Oct 24, 2026 by ToolGPA.

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.

- **Category:** Therapy & Clinic Software
- **Made by:** TherapyNotes, LLC
- **Website:** https://www.therapynotes.com
- **Runs on:** Web, iOS, Android
- **Who should skip it:** Pricey if you're solo, as $69 a month is near the top of what this category charges.
- **Facts last checked:** Oct 24, 2026

## Pricing

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

- **Pricing model:** Free trial
- **Free plan:** None.
- **Free trial:** 30-day free trial on every plan.

| Plan | Price | What you get |
| --- | --- | --- |
| Solo | $69 per month for 1 user | For a provider who is the only user on the account. Unlimited clients, appointments and notes, client portal, basic telehealth and 24/7 support. |
| Group | $79 per month, plus $50 per additional clinician | Unlimited non-clinical users such as billers and schedulers. Rises to $89 plus $60 per additional clinician from 1 December 2026. |
| Enterprise | $79 per month, plus $50 per additional clinician | Group rates for accounts of at least 30 users, with a designated account manager. Same 1 December 2026 rise as Group. |

Read from https://support.therapynotes.com/hc/en-us/articles/30661380110747-TherapyNotes-Pricing-and-Subscription-Options on Oct 24, 2026. Prices change, so confirm with TherapyNotes before buying.

## Ways to pay less

- **Free classroom accounts** (Education): TherapyNotes is free for simulated practices in a classroom, whatever the class size; these accounts leave out insurance and other billing features. Source: https://support.therapynotes.com/hc/en-us/articles/30661380110747-TherapyNotes-Pricing-and-Subscription-Options

## 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.

## Good for

- Solo therapists and counselors who bill insurance
- Behavioral health groups with many non-clinical staff, who are not charged
- Practices that want round-the-clock phone support

## 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.

## ToolGPA grades

**GPA: 2.2 out of 4**, graded Oct 24, 2026. 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.

- **Value for money: D.** Solo 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.
- **Free plan and trial: C.** A 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.
- **Features: B.** Notes 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.
- **Ease of use: C.** No 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.
- **Platforms and integrations: B.** Web, 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.

These are ToolGPA's own grades. 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.

## Where it 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.

The category's chart of price against score: https://toolgpa.com/charts/therapy-clinics

## Keep it, 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.

- You could make: Clinical notes: an app builder makes this well.
- You could not: Insurance claims sent to payers through a clearinghouse.
- You could not: Video sessions that meet health privacy rules.
- You could not: Speech turned into text you can trust.
- You could not: A real app for iOS and Android. Something home-made would be a web page.
- You could not: AI features, unless you pay a model provider for each request yourself.
- You could not: The depth: we grade its features B, which means it covers the whole job.

A judgement by ToolGPA from this listing, by rules that are the same for every tool. Nothing was built to test it.

**Tags:** Clinical notes, Insurance billing, Telehealth, AI features, Transcription

## Alternatives

- [SimplePractice](https://toolgpa.com/tools/simplepractice): Practice management and EHR for private-practice therapists. [Compare](https://toolgpa.com/compare/simplepractice-vs-therapynotes)
- [TheraNest](https://toolgpa.com/tools/theranest): Mental health EHR with claims, telehealth and credentialing help. [Compare](https://toolgpa.com/compare/theranest-vs-therapynotes)
- [Tebra](https://toolgpa.com/tools/tebra): EHR, medical billing and patient marketing for independent practices. [Compare](https://toolgpa.com/compare/tebra-vs-therapynotes)
- [Carepatron](https://toolgpa.com/tools/carepatron): Practice management with a free plan, AI scribe and telehealth. [Compare](https://toolgpa.com/compare/carepatron-vs-therapynotes)
- [Owl Practice](https://toolgpa.com/tools/owl-practice): Web-based practice management built for mental health therapists. [Compare](https://toolgpa.com/compare/owl-practice-vs-therapynotes)

## Sources

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

- https://support.therapynotes.com/hc/en-us/articles/30661380110747-TherapyNotes-Pricing-and-Subscription-Options
- https://blog.therapynotes.com/therapynotes-2025-pricing-update
- https://blog.therapynotes.com/2026-pricing-updates
- https://blog.therapynotes.com/introducing-therapynotes-mobile-your-practice-on-the-go
- https://apps.apple.com/us/app/therapynotes-mobile/id6749870103

Page: https://toolgpa.com/tools/therapynotes
Listed by ToolGPA (toolgpa.com).