TherapyNotes Vs TheraNest: A Detailed Look At Two Leading EHRs

Starting Price: $59/month (one user)* Best For: Psychologists, Mental Health Practices Mobile App: Not Available Rating: 4.8 ★★★★★ Get Demo *Pricing is subject to change

Starting Price: $29/therapist/month* Best For: Mental Health Practices, Substance Use And Recovery Mobile App: iOS, Android Rating: 4 ★★★★★ Get demo *Pricing is subject to change

The behavioral health EHR (electronic health record) market is valued at $2.5 billion in 2025 and is expected to grow steadily over the next decade. As demand rises, mental health professionals face growing pressure to choose software that meets both clinical and administrative needs.

Among the widely used platforms are TherapyNotes and TheraNest (now Ensora Health), often compared for their usability, affordability, and feature sets. This guide takes a closer look at TherapyNotes vs TheraNest, exploring their features, pricing, pros and cons, and user feedback to help providers make informed choices.

TherapyNotes EHR is a cloud-based software built specifically for mental health professionals, offering a streamlined experience for solo providers, group practices, and clinics. The HIPAA-compliant platform covers essentials such as scheduling, documentation, billing, telehealth, e-prescribing, a custom client portal, and secure messaging, all designed with behavioral health workflows in mind. Every plan includes unlimited phone and email support, and users benefit from built-in compliance, automatic updates, and detailed help resources. TherapyNotes focuses on making clinical work efficient and accessible without overwhelming users with unnecessary extras.

TheraNest, now known as Ensora Health, is a comprehensive EHR and practice management system for mental and behavioral health providers. It supports a wide range of care settings, from solo therapists to rehab centers and CCBHCs, offering tools for patient scheduling, documentation, telehealth, billing, e-prescribing, and client engagement. The platform includes dynamic form templates, calendar sync, secure document sharing, and built-in compliance frameworks like HITRUST and ONC. With unlimited staff access and a system designed to scale, TheraNest positions itself as a flexible solution for growing practices.

TherapyNotes offers several pricing tiers to accommodate various practice sizes, all beginning with a 30-day free trial that requires no credit card, contracts, or setup fees. The Solo Plan is available at $59/month for individual providers. The Group Plan costs $69/month for the first clinician, with each additional clinician billed at $40/month, and includes unlimited access for non-clinical staff. For larger teams, the Enterprise Plan is available for organizations with 30 or more users, also priced at $69/month for the first clinician ($40/month/additional clinician), along with dedicated account management and unlimited non-clinical staff access.

TheraNest provides scalable pricing options tailored to solo practitioners, group practices, and growing organizations. Essentials plan starts at $29/therapist/month, Advanced Plan starts at $59/therapist/month, and the Premier Plan starts at $89/therapist/month with features and pricing expanding based on the number of users and the needs of the practice. Custom pricing is available for teams seeking more advanced tools, different modules, integrations, or specialized support.

Disclaimer: Pricing is subject to change.

Many users praise TherapyNotes for being dependable, efficient, and thoughtfully priced. Therapists find the platform easy to use. Many also highlight its customer service for its minimal response time and consistently helpful support, with real people available by phone when needed. Users commend the platform for covering AMA CPT code royalties instead of passing those fees onto practitioners, a gesture many found rare and refreshing. Although the platform enforces rigid task execution, many users acknowledge that its overall functionality and system capabilities makes up for it. Features like dropdowns and optional AI tools help streamline documentation, and users value that they are not forced to use every feature, only the ones that work best for their practice.

Many users describe TheraNest as easy to navigate and well-suited for solo and small group practices. They appreciate features like customizable forms, integrated telehealth, and intuitive note-taking tools that help streamline daily tasks. While some users feel the platform could better accommodate scenarios like managing divorced-parent client profiles, most agree that its overall value, onboarding experience, and responsive support team make it a practical choice. The platform’s affordability, especially for part-time staff and self-paid clients, also stands out as a key benefit.

TherapyNotes and TheraNest both offer capable, mental health-focused EHRs with reliable billing, documentation, and telehealth features. TherapyNotes leans into an all-in-one, clinical-first experience with integrated tools and fast documentation, while TheraNest (now Ensora Health) gives users modular flexibility across specialties and care settings. However, TheraNest’s feature access often depends on enabling separate modules, which can be a plus for selective use but may require closer cost and configuration planning.

For practices seeking simplicity and strong integration, TherapyNotes may offer a more turnkey solution. For those wanting scalable tools with adjustable components, TheraNest remains a strong, adaptable alternative. Ultimately, the right fit depends on what your practice values most.