TheraNest by Ensora Health

Disclaimer: The pricing is subject to change. 

• TheraNest uses a simple per-therapist monthly pricing model across its three plans.
• The Essentials plan covers the core needs of a practice with AI notes enhancement, calendar sync, secure client portal, basic intake forms, credit card payments, and an optional Telehealth add-on
• The Advanced plan builds on this by adding group practice reports, online booking, secure messaging, and custom intake forms for more operational control
• Advanced also includes 30 free uses/practice/month for claims processing, eligibility checks, and text or phone reminders
• The Premier plan is designed for billing-heavy and telehealth-focused practices. It covers unlimited Telehealth (individual and group), insurance billing automation, unlimited claims processing, eligibility checks, reminders, and access to the Wiley Practice Planner
• This tiered structure makes it easier for mental health practices to start with essential clinical tools and scale into full billing, communication, and telehealth capabilities as their needs grow

Here’s how each of the TheraNest features differ by plan: 

Disclaimer: The pricing is subject to change.

To choose the right plan for your practice, it is essential to match each tier’s features to your team’s needs. The sections below break down every TheraNest plan, including who it’s best for, what it includes, its limitations, and sample pricing to estimate costs.

Essentials

Ideal For: This plan is best for Solo therapists and very small practices beginning to formalize administrative workflows (practices managing up to ~30 active clients).

What To Know About This Plan: This plan works best for clinicians who want simple and reliable practice management to handle various aspects of their clinics. This can include scheduling, secure client interactions, and basic documentation without paying for advanced automation. The Essential plan helps reduce administrative burden on the therapists and keeps the costs predictable.

Essentials Features:

• Credit card payments simplify billing and accelerate payments
• Scheduling management helps keep appointments organized and minimizes scheduling conflicts
• Calendar sync helps ensure the schedule is updated across devices
• AI notes enhancement speeds up documentation
• Basic intake forms and notes help standardize client information collection
• Secure client portal facilitates confidential communication with clients
• Optional telehealth add-on enables remote sessions when needed

Limitations:

• No online booking, advanced forms, or reports, which requires users to rely more on manual work as the practice grows
• Claims and eligibility checks are not included
• No insurance billing automation, so more hands-on effort is needed for billing
• Credit card payments and the telehealth add-on are subject to additional fees

Advanced

Ideal For: This plan works well for small mental health practices that are ready to add automation and basic insurance handling to their workflow (for practices with ~30–50 active clients).

What To Know About This Plan: The Advanced plan is designed to streamline client access and communication. It also caters to moderate billing processes. This plan is ideal when users are ready to move beyond basic workflows of the clinic, need to manage higher client volumes, and want to handle routine insurance tasks with greater efficiency.

Advanced Features:

Everything included in Essentials, plus

• Online booking and secure messaging features make it easier for clients to schedule appointments and communicate safely
• Custom intake forms and notes let practices tailor client documentation to specific needs
• Group practice reports provide insights into practice performance and team productivity
• Claims processing (30 free/month) speeds up insurance reimbursements while minimizing manual billing tasks
• Eligibility checks (30 free/month) confirm client insurance coverage in real-time
• Text and phone reminders (30 free/month) reduce no-shows

Limitations: Claims, checks, and reminders are limited monthly before extra usage fees apply. Moreover, insurance billing automation is not included in the Advanced plan.

Premier

Ideal For: The Premier tier suits established group practices that require full automation and predictable administrative workflows (for practices handling 50+ (up to ~80+) active clients).

What To Know About This Plan: Premier is TheraNest’s most comprehensive tier. It is designed to help practices automate billing and eligibility checks, manage client communications, and larger, multi-clinician teams. It offers unlimited reminders and telehealth capabilities, along with detailed reporting and scalable workflows.

Premier Features:

Includes everything in the Advanced plan, plus: 

• Insurance billing automation reduces manual billing work and speeds reimbursements
• Unlimited claims processing supports high-volume insurance submissions
• Unlimited reminders minimize no-shows with automated texts and calls
• Wiley Practice Planner helps simplify structured treatment planning
• Unlimited eligibility checks confirm insurance coverage at scale
• Unlimited telehealth enables remote individual and group sessions without restrictions

There’s no true free tier. While many features are labeled ‘unlimited,’ they are subject to a Fair Usage Policy to ensure responsible use and maintain reliable service for everyone. Additional add-ons, such as eRx, RCM, or extra admin accounts, come at an extra cost.

Disclaimer: The pricing is subject to change. 

Users generally appreciate TheraNest’s straightforward per‑therapist pricing, which allows practices to easily scale costs as they add clinicians. As one reviewer noted, "they are very fair in their pricing and you can archive and unarchive clients easily in order to keep the cost down."

However, most users' concerns emerge around frequent rate increases and additional fees for features like telehealth. Despite these concerns, approximately 80% of reviewers view TheraNest as a good value for money, particularly for small practices that need a comprehensive platform without hidden costs.

To select the right TheraNest plan, it is essential to base the decision on your current workload, administrative complexity, and growth goals. Understanding each plan, and how add-ons and fees affect the total cost, will help you pick the solution that works best for your practice. Here’s what to keep in mind:

• Start With Practice Size And Structure: For therapists working alone or just starting their practice, the Essentials plan is a good fit. It provides core scheduling, documentation, and client-portal tools at the most affordable rate per therapist.
• Assess Administrative Needs: Therapists who handle multiple clients or have an intake team may find the Advanced plan more suitable. It includes online booking, secure client messaging, customizable forms, and basic reporting features for the practice.
• Factor in Telehealth And Remote Care: For those offering telehealth sessions, consider the Telehealth add-on with the Essentials plan, or select the Premier plan, which includes telehealth at no extra monthly cost.
• Evaluate Optional Add‑Ons For Clinical Efficiency: Practitioners can use add-ons such as the Wiley Treatment Planner, AI session assistants, eRx and PDMP, or enhanced payment features to streamline their practice workflows.
• Reevaluate As The Practice Grows: TheraNest allows therapists to upgrade or downgrade plans as their practice evolves. Selecting a plan that fits current workflows while leaving room to scale can deliver long-term value.

Deciding whether TheraNest is a good investment comes down to how it performs in key areas such as interface, usability, support, and available features. Below are the summarized user feedback to highlight both its strengths and areas for improvement.

Ease Of Use

TheraNest scores 4 out of 5 ratings for ease of use. Users often describe it as intuitive, with a clean and organized interface that makes scheduling, documentation, and billing simple. Many point out that it is particularly well-suited for small or solo practices.

Customer Support

The platform has a customer support rating of 4 out of 5. Users’ experiences with the software’s customer support are mixed, with some praising responsive, patient, and knowledgeable staff who help with onboarding and troubleshooting issues. Overall, support quality appears excellent for some users and slow for others.

Functionality

TheraNest has a functionality rating of 4 out of 5. Its users generally appreciate how it meets the core needs of small mental health practices, with many highlighting its integrated scheduling as particularly helpful. On the other hand, some mention that features like customizable forms can feel somewhat less flexible. Overall, the platform offers a strong set of essential features, though there is room for improvement in terms of depth and customization.

Disclaimer: The pricing is subject to change.

Based on user feedback and feature verification, TheraNest scores:

• Overall rating: 4/5
• Ease of use: 4/5
• Value for money: 4/5
• Customer Support: 4/5
• Functionality: 4/5

To make the final decision, start by listing your practice’s essential needs, such as scheduling, billing, documentation, client communications, and telehealth capabilities. Consider the active client load and team size, as well as add-on costs for optional features like AI notes, telehealth, or RCM services. Use the 21-day trial to test workflows, reminders, reporting, and documentation tools in real scenarios. Finally, choose a plan that meets the clinic’s current needs and allows the practice to scale efficiently as client numbers and administrative demands grow.

Is TheraNest available for free?

No, TheraNest does not offer a free version that can be used indefinitely. Users must subscribe to a paid plan once any trial period ends.

Who is TheraNest best for?

TheraNest is best suited for solo therapists, small practices, and growing group practices that need a scalable and HIPAA‑compliant EHR and practice management solution.

Does TheraNest have a free trial?

Yes, TheraNest offers a 21‑day free trial on the Premium plan that lets users explore the platform without entering credit card information.

Is TheraNest an EHR?

Yes, TheraNest (now part of Ensora Health) functions as a cloud‑based EHR and practice management system, with features for clinical documentation, billing, scheduling, and telehealth tailored to mental health professionals.

Methodology

The pricing and plan information in this guide was gathered from TheraNest’s official resources as of February 2026. We reviewed costs, core fees, optional add-ons, and included features to provide a clear picture of what each plan offers.

In addition, verified user reviews were analyzed to provide readers with a picture of real-world experiences. The focus was on cost transparency, ease of use, support responsiveness, and impact on daily workflows. This approach helps readers understand the advantages and limitations of each plan, which is helpful in choosing the option that best fits their needs.