Last Updated Feb 10, 2026

Key Takeaways

Generated from the text of customer reviews

An electronic health record solution, TherapyNotes is used by behavioral health providers, therapists, and counseling teams. Users appreciate its intuitive workflows, integrated scheduling, and reliable customer support, although some expressed concerns regarding billing complexity and reporting limitations. A recent update enhanced its ePrescribe experience through a new pharmacy network partnership.

Our Verdict

TherapyNotes EHR is a reliable choice for solo to medium-sized behavioral health practices seeking an intuitive system for managing documentation, billing, and telehealth. It offers solid value for independent clinicians, though larger organizations may experience lags and performance issues during peak hours. Overall, it’s best suited for practices prioritizing usability and compliance.

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Overall Rating

Based on 332 users reviews

4.7

Rating Distribution

Positive

94%

Neutral

4%

Negative

2%

Starting Price
$69

/month

TherapyNotes EHR Specifications

Appointment Management/Scheduling

e-Prescriptions

Lab Integration

Patient Portal

View All Specifications

What Is TherapyNotes?

TherapyNotes software is tailored for mental health practitioners looking for a unified platform for medical billing and e-prescription. Utilizing TherapyNotes, healthcare providers can optimize their workflow and enhance efficiency, ensuring the delivery of value-based patient care. The software's key features include a patient portal, appointment scheduling, telehealth, prescription management, notes management, electronic claims and billing.

What Is Therapynotes Best For?

The software stands out in clinical documentation, enabling the creation of detailed and organized clinical notes. Customizable note templates empower users to tailor documentation to their unique practice requirements, promoting efficiency and compliance. Healthcare practitioners can securely store and manage patient records, facilitating easy access to previous notes for reference and ensuring a comprehensive and well-documented patient history.

How Much Does TherapyNotes EHR Cost?

TherapyNotes EHR pricing starts from $69/user/month, with additional clinicians in group practices charged $50 per month each, depending on practice size and subscription tier. This range is intended for general budgeting purposes, as actual costs can differ based on the number of users, optional add-ons, and transaction volume. The plans include:

  • Group - $79/month (for the first clinician) + $50/month/additional clinician
  • Enterprise (30+ Users) - $79/month (for the first clinician) + $50/month/additional clinician

The software also offers a 30-day free trial period. In addition to the base subscription, organizations should account for the following expenses:

Implementation and Onboarding: $0 for standard setup and client import; ~$1,000–$5,000 for complex data migration or custom integrations

Optional Feature Add-Ons:

  • Premium Telehealth: $15/month per clinician
  • ePrescribe: $65/month per prescriber
  • TherapyFuel (AI Documentation Tools): $40/month per clinician
  • MIPS Reporting: $359/year/clinician
  • Electronic Billing: 14¢ per electronic claim, ERA claim, and eligibility request
  • Appointment Reminders: 14¢ per text or call, free email reminders
  • Payment Processing: 3.1% plus 30¢ per transaction
  • Paper Claim Mailing: $1 per claim

Users generally view TherapyNotes’ pricing as reasonable for behavioral health, with solo clinicians managing base subscriptions and add-ons, while group practices account for extra clinician fees and transactions. Heavy feature use can raise costs, but many find them justified by functionality and support.

For accurate pricing based on your organization’s needs, it’s recommended to request a custom TherapyNotes EHR pricing estimate.

Disclaimer: The pricing is subject to change. 

Therapynotes Integrations

The vendor supports integrations with the following third-party apps:

  • Google Calendar
  • Zee Medical Billing
  • OneLogin
  • DemandHub
  • CardConnect 

How Does Therapynotes Work?

Here's how you can get started with the software after logging in:

  • Access electronic health records for medication history, treatment plans and other patient data
  • Record session details and progress notes in the client's file
  • Schedule appointments and automated appointment reminders through the intuitive calendar feature
  • Streamline financial processes using billing and invoicing tools
  • Access a library of note templates for documentation, psychological evaluations and reports
  • Use comprehensive reports to acquire valuable insights into your practice’s performance
The Therapynotes demo takes you through these steps in more detail.

Which Specialties is TherapyNotes Perfect For?

The EHR software is well-suited for small to mid-sized organizations, be it a private practice or a hospital. It caters to the following medical specialties and settings:

  • Psychology
  • Mental and behavioral health
  • Family counseling
  • Education
  • Psychotherapy
  • Social work

TherapyNotes EHR Use Cases

Based on an analysis of verified user reviews and TherapyNotes’ capabilities, the following use cases highlight where the platform delivers the most value for behavioral health organizations and clinicians:  

Solo Practitioners Seeking A Unified Behavioral Health Platform

Independent therapists and counselors frequently cite TherapyNotes as an ideal fit for managing every aspect of their practice from a single interface. Users note that it eliminates the need for separate tools for scheduling, documentation, and billing. The platform’s intuitive workflow helps solo providers focus more on client sessions and less on administrative work, while its affordable single-user plan supports predictable monthly costs.  

Group Practices Standardizing Clinical Documentation And Billing

Many multi-clinician practices adopt TherapyNotes to maintain consistent note templates, treatment plans, and billing workflows across their teams. Reviews highlight that the platform enables administrators to easily monitor progress notes, manage shared calendars, and centralize claims processing without duplicating data entry. This makes it particularly effective for small-to-medium behavioral health groups aiming to improve compliance and operational efficiency across locations.

Telehealth-Driven Practices Transitioning From In-Person Care

Therapists who expanded virtual care during or after the pandemic often describe TherapyNotes as a seamless tool for maintaining client engagement remotely. The built-in telehealth module integrates directly with scheduling, notes, and billing; minimizing the friction of managing multiple systems. Users appreciate the HIPAA-compliant setup and the ability to conduct secure sessions without relying on third-party video platforms.  

Clinicians Managing Insurance-Based Workflows

User feedback from billing-focused practices indicates that TherapyNotes simplifies claims submissions, ERA posting, and insurance tracking. The system helps reduce manual errors and provides visibility into payment status, which is especially valuable for providers balancing private-pay and insurance clients. Practices transitioning from manual or paper-based billing note significant time savings once workflows are centralized within the platform.

TherapyNotes User Sentiments 

Most Positive Sentiments

Least Positive Sentiments

Ease Of Use & Workflow Billing & Insurance Complexity 
  • 75% were Positive
  • 10% were Negative 
  • 15% were Neutral
  • 10% were Positive
  • 75% were Negative  
  • 15% were Neutral 
Users consistently highlight TherapyNotes’ intuitive interface and streamlined workflow for managing sessions, notes, and billing. Once users become familiar with the platform, daily tasks like scheduling and note-taking flow efficiently.Users frequently mention challenges handling complex insurance billing workflows. Difficulties with claim corrections, secondary insurance handling, and extra steps are common complaints. 
Customer Support & Responsiveness Reporting & Data Customization 
  • 70% were Positive  
  • 10% were Negative 
  • 20% were Neutral
  • 10% were Positive
  • 70% were Negative  
  • 20% were Neutral

Reviewers repeatedly praise the TherapyNotes support team for being accessible, helpful, and knowledgeable. Many cite quick issue resolution and attention to detail. 

One user pointed out, “Customer service is top-note – responsive, friendly, and always follows up.” 

Users show their concern toward the lack of flexibility in reporting and analytics. The inability to customize templates and dashboards limits advanced insights.  

One user stated, “Reports are limited, and data alignment can be clunky.” 

Integrated Scheduling, Notes, & TelehealthValue for Money
  • 65% were Positive
  • 15% were Negative
  • 20% were Neutral
  • 5% were Positive    
  • 85% were Negative  
  • 10% were Neutral
Many practitioners appreciate having access to scheduling, telehealth, and documentation within one unified platform. The system’s consistency and data flow simplify practice operations.
As highlighted by a user, “Having notes, billing, and scheduling all in one place saves me hours each week.
Most users struggle with system stability and experience interface lags during updates. These issues occasionally affect workflows. As reported by one user, “Occasional crashes and lag make it frustrating when handling multiple sessions.

Is TherapyNotes EMR/EHR Right For You?

TherapyNotes presents a comprehensive and intuitive EHR solution for behavioral health providers, catering to their specific requirements. The software streamlines administrative tasks to enhance patient care quality.

Ensuring HIPAA compliance and PCI data security standards, TherapyNotes stores data in encrypted SAS 70 Type II certified centers. It is compatible with mobile phones, facilitating therapists to manage workflows from various locations. Its noteworthy partnerships include American Psychological Association (APA), Healthmonix, and NAMI making it a reliable solution.

Still not sure if it's the right choice for you? Contact us at (661) 384-7070 and let us assist you in making an informed decision.

TherapyNotes EHR Features

TherpayNotes telehealth functionality allows behavioral health therapists to conduct secure and HIPAA-compliant virtual therapy sessions with clients. Clinicians can remotely connect with patients using integrated video conferencing, offering therapy services unrestricted by physical location. It offers useful features like guest access, a virtual waiting room, participant management tools, and a call timer; enhancing the overall telehealth experience.

See How It Works

ePrescribing enables therapists to electronically transmit prescriptions to pharmacies, eliminating the need for manual paper prescriptions. This time-saving feature reduces the risk of errors associated with traditional prescription methods. Therapists can easily review and track their clients' prescribed medications. A new TherapyNotes partnership with DrFirst further enhances this feature, improving pharmacy connectivity, automating prior authorizations, and streamlining the prescribing workflow for faster, more efficient medication management.

See How It Works

Streamlining the medical billing process, this feature enables users to effortlessly generate and submit electronic insurance claims, alleviating the administrative load of manual submissions. Additionally, users can manage patient invoices and payments in a centralized location, efficiently tracking outstanding balances and received payments. The platform also ensures the security and compliance of the billing procedures.

See How It Works

This feature empowers therapists to efficiently schedule and organize client appointments, ensuring smooth practice operations. The user-friendly calendar interface allows therapists to have a quick overview and manage their schedules effortlessly, making it simple to book, reschedule, or cancel appointments as necessary. Additionally, automated reminders can be sent to clients via email or SMS.

See How It Works

Behavioral health practitioners can share essential documents, forms, and educational materials with clients. Clients can conveniently access and review these resources at their own pace, enhancing engagement and participation in therapy. Clients can also send messages to their therapists, inquire about aspects of therapy, or provide updates on their progress.

See How It Works

Pros And Cons of TherapyNotes EHR

Pros

  • Fewer duplicate entries because scheduling data carries into notes/billing

  • Lower no-show risk with automated reminders

  • Faster, more consistent documentation with SOAP/DAP/BIRP templates and customization

Cons

  • Missed-appointment tracking/reporting can be difficult, limiting operational insight

  • Secondary insurance billing can be hard, increasing rework in billing workflows

TherapyNotes EHR Reviews

Total 332 reviews

4.7

All reviews are from verified customers

Rating Distribution

5

Stars

80%

4

Stars

14%

3

Stars

3%

2

Stars

1%

1

Stars

2%

Share your experience

BB

Brenda B.

Mental Health Care, 1-10 employees

Less than a year

5.0
December 2025

Fantastic platform for therapy documentation

Pros

Over the past four years I have been using TherapyNotes regularly and in my experience the service is fantastic. Overall it consistently stands out as the best platform for managing therapy documentation.

Cons

Every so often I experience Telehealth interruptions during sessions but support typically acts quickly to fix the problem and explains the underlying cause clearly.

Rating Distribution

Ease of use

10

Value for money

8

Customer Support

10

Functionality

10

A

Anonymous

Medical Practice, 1-10 employees

Less than a year

5.0
December 2025

improved therapy management

Pros

Keeping tabs on my therapy is incredibly simple now. The user interface worked great across the board. Overall it's really improved how I approach therapy.

Cons

There is not much I dislike about it. I think adding AI features could make it even better, though beyond that, I don't have major complaints.

Rating Distribution

Ease of use

10

Value for money

10

Customer Support

10

Functionality

10

KL

Kristin L.

Mental Health Care, 1-10 employees

More than a year

4.0
December 2025

Simple scheduling

Pros

What I like most was how simple it made scheduling clients and the fact that I could jump from one note to another with a single click, which really saved me time and reduced friction during busy days.

Cons

I did miss several customization options I rely on like color-coding, the ability to set different billing rates per client, submitting forms electronically and I noticed there wasn't an online portal for clients to book or cancel appointments.

Rating Distribution

Ease of use

8

Value for money

6

Customer Support

8

Functionality

7

Frequently Asked Questions

TherapyNotes provides email, fax, live chat and phone support.

TherapyNotes software is suitable for behavioral and mental health practices of all sizes.

TherapyNotes supports the English and Spanish languages.

Yes, TherapyNotes software supports mobile devices.

Yes, TherapyNotes electronic health record software is cloud-based.

The implementation process for TherapyNotes behavioral health EHR and TherapyNotes billing software is quite simple and requires users to follow a few simple steps. You can also customize the software to fit the needs of your mental health practice. Schedule a free trial for a teaser of the tool.

Therapy Notes’ pricing is based on three pricing tiers: Solo ($59/month), Group ($69/month), and Enterprise ($69/month). The price is directly proportional to the number of clinicians. Reach out for custom quote.

TherapyNotes' integrated billing features allow mental health practitioners to manage their billing workflows and pay bills directly within the software. This eliminates the need to switch between multiple systems.

Yes, longtime users note in honest reviews that Therapy Notes constantly improves its suite of clinical documentation and therapy notes with new features and enhancements developed based on user feedback. Users appreciate the commitment to constant evolution.

Unfortunately, TherapyNotes does not provide any direct incentives for specific activities. However, the HIPAA-compliant mobile app does enable mental health practitioners to document therapy notes securely even when away from the office, including during a stroll through very spooky woods.

TherapyNotes cost includes three pricing plans such as Solo for $69/user/month, Group for $79/month, and Enterprise (30+ Users) for $79/month. You can request a custom TherapyNotes price quote.

No, TherapyNotes is not free. However, you can request a free trial for 30 days to check its compatibility with your workflows.

TherapyNotes EHR software supports integrations with Google Calendar, Zee Medical Billing, OneLogin, DemandHub, and CardConnect.

Yes, TherapyNotes provides API access.