NEWJoin 1M+ SaaS Professionals|Get Weekly Insights, Trends & Expert PicksSubscribe Free →

Spotsaas logo

ICANotes vs BestNotes vs Ensora Mental Health (formerly TheraNest) Comparison

Last updated:

ICANotes

4.1(95 reviews)

Starting at $155.00 per month

  • Free Trial
  • Large Enterprises
  • Small Business

Introducing ICANotes: The Ultimate Solution for Behavioral Health Electronic Health Records Experience the pinnacle of clinical excellence with ICANotes, the leading Behavioral Health EHR (Electronic Health Record) that…

BestNotes

4.1(73 reviews)

Starting at Contact for pricing

  • Large Enterprises
  • Small Business

Introducing BestNotes, an exceptional EHR and EMR Mental Health Software System tailored specifically for mental health and addiction treatment practitioners. Renowned for its excellence, BestNotes stands out as the top-…

Ensora Mental Health (formerly TheraNest)

Starting at $26.58 therapist/month

  • Free Trial
  • Large Enterprises
  • Medium Business

Ensora Mental Health is a dedicated, cloud-based EHR and practice management solution tailored specifically for behavioral health providers. Designed to simplify scheduling, documentation, billing, and telehealth, it hel…

ICANotes vs BestNotes vs Ensora Mental Health (formerly TheraNest) — at a glance

FeatureICANotesBestNotesEnsora Mental Health (formerly TheraNest)
Rating4.1 / 54.1 / 5
Reviews9573
Starting price$155.00 per monthContact for pricing$26.58 therapist/month
Free trial Yes No Yes
Free version No No No
Best forLarge Enterprises, Small Business, Medium BusinessLarge Enterprises, Small Business, Medium BusinessLarge Enterprises, Medium Business
CategoryMental Health SoftwareMental Health SoftwareMental Health Software
PlatformsBrowser Based (Cloud)Browser Based (Cloud), Mobile - Android, Mobile - iOS, Installed - Windows, Installed - MacSaaS/Web/Cloud
APIAvailableAvailable
Support modesOnlineOnlineBusiness Hours, Online, 24/7 (Live rep)
CertificationsHIPAAHIPAASOC 2, HIPAA
Data residencyUSUSUS

Key differences between ICANotes and BestNotes

  • Pricing: ICANotes starts at $155.00 per month. BestNotes pricing is not publicly listed.
  • Free trial: ICANotes offers a free trial; BestNotes does not.
  • Deployment: ICANotes supports Browser Based (Cloud); BestNotes supports Browser Based (Cloud), Mobile - Android, Mobile - iOS, Installed - Windows, Installed - Mac.

Compare ICANotes vs BestNotes vs Ensora Mental Health (formerly TheraNest) — and walk away knowing which one fits.

01

Which tool fits your team best

02

Which is actually cheaper for your team size

03

Where each product wins, per real buyers

Most Mental Health Software tools look identical on paper. This comparison cuts to the differences that matter — pricing structure, team fit, and what real buyers found after signing up.

ICANotes
Talk to an expert
Talk to an expert
BestNotes
Talk to an expert
Talk to an expert

Biggest differences

Start here before you go deeper into features.

ICANotes

Best for behavioral health practices needing specialized, pre-configured EHR templates.

Choose if
  • You run a behavioral health or addiction treatment practice requiring tailored EHR workflows.
  • You want strong clinical documentation tools designed specifically for mental health clinicians.
  • You prefer an enterprise-focused EHR with comprehensive, ready-to-use behavioral health templates.
Consider alternatives if
  • You need a highly customizable EHR beyond pre-configured behavioral health templates.
  • You are a general medical practice outside behavioral health seeking a broad EHR solution.

BestNotes

BestNotes excels as a specialized EHR for mental health and addiction treatment.

Choose if
  • You operate a mental health or addiction treatment clinic needing tailored EHR features.
  • Your team requires collaborative tools to improve communication and productivity.
  • You represent a small or large behavioral health practice seeking a flexible, configurable system.
Consider alternatives if
  • You need transparent, low-cost, or free EHR solutions due to budget constraints.
  • Your organization is outside mental health or behavioral health specialties.

Ensora Mental Health (formerly TheraNest)

Best for

Large Enterprises, Medium Business

ICANotes: Best for behavioral health practices needing specialized, pre-configured EHR templates. BestNotes: BestNotes excels as a specialized EHR for mental health and addiction treatment.

Description

Introducing ICANotes: The Ultimate Solution for Behavioral Health Electronic Health Records Experience the pinnacle of clinical excellence with ICANotes, the leading Behavioral Health EHR ... Read More about ICANotes

Introducing BestNotes, an exceptional EHR and EMR Mental Health Software System tailored specifically for mental health and addiction treatment practitioners. Renowned for its excellence, ... Read More about BestNotes

Ensora Mental Health is a dedicated, cloud-based EHR and practice management solution tailored specifically for behavioral health providers. Designed to simplify scheduling, documentation, ... Read More about Ensora Mental Health (formerly TheraNest)

Entry Level Pricing

  • Starts from $155.00 , Billed Yearly
  • Not Available
  • Starts from $26.58 , yearly

Free Trial Availability

  • No free trial

User Ratings

Based on verified Spotsaas reviews

4.1

(95)

4.1

(73)

Best Company Size

Small BusinessLarge Enterprises
Small BusinessLarge Enterprises
1-50 employees51-250 employees
Get pricing help
Get pricing help

Where each option fits best

See where each product is strongest, which teams it fits, and what causes buyers to keep looking — before you commit.

Based on buyer reviews and verified product data collected by Spotsaas.

Strengths

Key strengths

Ensora Mental Health (formerly TheraNest)

  • Designed Exclusively for Mental Health Workflows: Ensora stands out by offering features purpose-built for therapists, counselors, and behavioral health practices—including dynamic forms, HIPAA-compliant telehealth, and customizable treatment note templates tailored to therapy use cases.
  • Automated Revenue Cycle Management: With integrated billing automation, denial management, and claims tracking, Ensora helps reduce revenue leakage and administrative burden, making it easier for providers to get paid on time with minimal effort.
  • Scalable and Easy to Use: Whether it’s a solo practitioner or a large behavioral health organization, Ensora offers intuitive tools, secure telehealth, and scalable compliance features—making it accessible for users at every level of technical expertise.
Best fit

Best fit

ICANotes

No best-fit guidance available yet.

Ensora Mental Health (formerly TheraNest)

  • 1–250 employees
  • Mental Health Services, Behavioral Health Clinics, Psychology Practices, Pediatric Therapy, Counseling Centers, Rehabilitation Services, Community Health Organizations, Teletherapy Startups
  • Mental Health Counselors, Therapists, Psychologists, Clinical Directors, Practice Managers, Licensed Clinical Social Workers (LCSWs), Office Managers, Revenue Cycle Managers, Behavioral Health Administrators, Telehealth Coordinators
Watchouts

Reasons buyers look elsewhere

ICANotes

No alternatives guidance available yet.

BestNotes

No alternatives guidance available yet.

Ensora Mental Health (formerly TheraNest)

  • While Ensora offers strong internal functionality, users requiring deep integrations with external EHRs, lab systems, or advanced analytics platforms may find it limiting compared to more open, API-driven platforms.
  • For organizations conducting academic or longitudinal research, Ensora's reporting and data export capabilities might fall short compared to more research-oriented mental health EHRs with custom analytics or raw data access.
  • Though AI-powered progress note automation is “coming soon,” it’s not yet available—users needing immediate AI documentation assistance may prefer platforms like Elation or Augmedix that already offer this functionality.

Software Demo

Demo

Need a second opinion?

Get shortlist help from a software advisor

Share your priorities, budget, and team needs, and we’ll help you narrow the options and understand the tradeoffs before you talk to vendors.

How do ICANotes, BestNotes and Ensora Mental Health (formerly TheraNest) Compare on Features?

Total Features

0 Features

0 Features

8 Features

Unique Features

No features

No features

No unique features

Get Quote
Get Quote

Compare ICANotes, BestNotes and Ensora Mental Health (formerly TheraNest) on pricing

Review starting price, plan structure, and free-trial access side by side so you can see which option fits your budget and buying process.

Pricing Option

        Starting From

        • $155.00 , Billed Yearly
        • Not Available
        • $26.58 , yearly

        Pricing Plans

        • Not Available
        • Not Available
        • Essentials

          $29

          therapist/month

          • What’s included:

          • Scheduling management

          • Secure client portal

          Show more +

        • Advanced

          $59

          therapist/month

          • Everything in Essentials; plus:

          • Online booking & secure messaging

          • Custom intake forms & notes

          Show more +

        • Premier

          $89

          therapist/month

          • Everything in Advanced; plus:

          • Insurance billing automation

          • Wiley Practice Planner included

          Show more +

        Pricing Page

        ICANotes pricing
        BestNotes pricing
        Ensora Mental Health (formerly TheraNest) pricing

        Other Details

        Organization Types supported

        • Large Enterprises
        • Small Business
        • Medium Business
        • Freelancers
        • Individuals
        • Large Enterprises
        • Small Business
        • Medium Business
        • Freelancers
        • Individuals
        • Large Enterprises
        • Small Business
        • Medium Business
        • Freelancers
        • Individuals

        Platforms Supported

        • Browser Based (Cloud)
        • Mobile - Android
        • Mobile - iOS
        • Installed - Windows
        • Installed - Mac
        • Browser Based (Cloud)
        • Browser Based (Cloud)
        • Mobile - Android
        • Mobile - iOS
        • Installed - Windows
        • Installed - Mac
        • Browser Based (Cloud)
        • Browser Based (Cloud)
        • Mobile - Android
        • Mobile - iOS
        • Installed - Windows
        • Installed - Mac
        • Browser Based (Cloud)

        Modes of support

        • 24/7 (Live rep)
        • Business Hours
        • Online
        • 24/7 (Live rep)
        • Business Hours
        • Online
        • 24/7 (Live rep)
        • Business Hours
        • Online

        API Support

        • Available
        • Available
        • Not Available
        Get help choosing
        Get help choosing

        Security & Compliance

        Certifications, data handling, and security controls for IT and compliance evaluators.

        SOC 2

        HIPAA

        ✓ Yes
        ✓ Yes

        Data Encryption

        ✓ Yes
        ✓ Yes

        Data Residency

        🇺🇸 US
        🇺🇸 US

        ICANotes vs BestNotes User Reviews & Rating Comparison

        User Ratings

        4.1

        (based on 95 reviews)

        4.1

        (based on 73 reviews)

        No reviews available for the product

        Rating Distribution

        0

        0

        0

        0

        0

        0

        0

        0

        0

        0

        No reviews available for this product

        Spotsaas Editor’s POV generated by AI

        Buyer sentiment

        Users appreciate ICANotes for its specialized behavioral health templates and clinical focus but note pricing opacity and complexity as drawbacks.

        What buyers like

        • Specialized behavioral health templates
        • Clinical documentation quality
        • Industry-specific design

        Common complaints

        • Pricing transparency
        • User interface complexity

        Buyer sentiment

        Overall positive sentiment highlights BestNotes as a specialized and effective mental health EHR, with some concerns about pricing transparency and usability complexity.

        What buyers like

        • Specialization for mental health
        • Collaborative features
        • Productivity enhancement

        Common complaints

        • Pricing opacity
        • Learning curve

        Buyer sentiment

        Buyers appreciate Ensora's specialized mental health features and billing automation but note a learning curve and limited AI automation currently.

        What buyers like

        • Customization for mental health workflows
        • Billing and revenue cycle automation
        • Security and compliance

        Common complaints

        • Lack of immediate AI-powered automation
        • Complexity of setup for new users

        Pros and Cons

        • Comprehensive pre-configured templates tailored for behavioral health

        • Industry-specific focus on behavioral health and addiction treatment

        • Strong clinical documentation capabilities

        • Pricing is not publicly disclosed, requiring sales contact

        • May have a learning curve due to enterprise-level features

        • Tailored specifically for mental health and addiction treatment

        • Collaborative tools that enhance communication and productivity

        • Highly rated within the behavioral EHR software category

        • Pricing is quotation based and not publicly disclosed

        • Limited information on integration capabilities

        • Purpose-built for behavioral health with customizable clinical notes and dynamic intake forms

        • Integrated billing automation including insurance claims and denial management

        • Enterprise-grade security with HITRUST certification, HIPAA compliance, SSO, and MFA

        • AI-powered note generation is not yet available, limiting automation

        • Steep learning curve for new users to configure dynamic forms and workflows

        List of Customers

        Customers

        No Customers information available.

        No Customers information available.

        ALTA Pediatrics

        ALTA Pediatrics

        Vision Source

        Vision Source

        RL Pediatric Therapy

        RL Pediatric Therapy

        Media and Screenshots

        Screenshots

        Patient Portal

        1 Screenshots

        Appointment Options

        3 Screenshots

        Videos

        video-0

        4 Videos

        video-0

        3 Videos

        Expand your shortlist

        Add another option to compare side by side

        Search by product name to compare pricing, fit, and buyer feedback in one view.

        Disclaimer: This research has been collated from a variety of authoritative sources. We welcome your feedback at [email protected].

        Frequently asked questions

        Which is better, ICANotes or BestNotes?
        ICANotes and BestNotes are closely matched with equal user ratings of 4.1. The right choice depends on your team size, budget, and specific Mental Health Software needs.
        Do ICANotes and BestNotes offer a free trial?
        ICANotes offers a free trial. BestNotes does not.
        What is the starting price of ICANotes vs BestNotes?
        ICANotes starts at $155.00 per month. BestNotes starts at Contact for pricing.
        What are the top alternatives to ICANotes?
        Top alternatives to ICANotes include Ensora Mental Health (formerly TheraNest), TherapyNotes, Sharenote, NextStep Behavioral Health Integrated Care Software, B Care.
        What are the top alternatives to BestNotes?
        Top alternatives to BestNotes include Ensora Mental Health (formerly TheraNest), Sigmund AURA, Ginger, One Step Software, PIMSY.

        Grow your pipeline with buyers who are already looking for you

        254,000+ buyers use Spotsaas every month to evaluate and shortlist software. Get in front of them — for free, or with a managed growth plan built around your category.