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

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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…

TherapyNotes

4.8(1,000 reviews)

Starting at $40.00 per month

  • Free Trial
  • Large Enterprises
  • Small Business

TherapyNotes is a top-notch EHR software tailored specifically for behavioral health professionals, providing a comprehensive suite of tools for managing practices efficiently. Going beyond the limitations of traditional…

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…

TherapyNotes leads on user satisfaction with a 4.8-star rating across 1,000 reviews.

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

FeatureICANotesTherapyNotesEnsora Mental Health (formerly TheraNest)
Rating4.1 / 54.8 / 5
Reviews951,000
Starting price$155.00 per month$40.00 per month$26.58 therapist/month
Free trial Yes Yes 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)SaaS/Web/Cloud
APIAvailable
Support modesOnline24/7 (Live rep), Business Hours, OnlineBusiness Hours, Online, 24/7 (Live rep)
CertificationsHIPAASOC 2, HIPAA, GDPRSOC 2, HIPAA
Data residencyUSUSUS

Key differences between ICANotes and TherapyNotes

  • Pricing: ICANotes starts at $155.00 per month, while TherapyNotes starts at $40.00 per month.
  • User satisfaction: TherapyNotes scores higher with a 4.8-star average.
  • Deployment: ICANotes supports Browser Based (Cloud); TherapyNotes supports Browser Based (Cloud).

Compare ICANotes vs TherapyNotes 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
TherapyNotes
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.

TherapyNotes

Best EHR for behavioral health practices needing efficient note-taking and billing.

Choose if
  • You run a small to medium behavioral health or therapy practice.
  • You want a user-friendly, streamlined system focused on mental health workflows.
  • You value exceptional, patient customer support with knowledgeable representatives.
Consider alternatives if
  • You require extensive customization without onboarding or guided support.
  • You need a wide variety of third-party app integrations and marketplace options.

Ensora Mental Health (formerly TheraNest)

Best for

Large Enterprises, Medium Business

ICANotes: Best for behavioral health practices needing specialized, pre-configured EHR templates. TherapyNotes: Best EHR for behavioral health practices needing efficient note-taking and billing.

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

TherapyNotes is a top-notch EHR software tailored specifically for behavioral health professionals, providing a comprehensive suite of tools for managing practices efficiently. Going beyond ... Read More about TherapyNotes

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
  • Starts from $40.00 , Billed Yearly
  • Starts from $26.58 , yearly

Free Trial Availability

User Ratings

Based on verified Spotsaas reviews

4.1

(95)

Best Company Size

Small BusinessLarge Enterprises
Small businessMedium business
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.

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

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

Total Features

0 Features

12 Features

8 Features

Unique Features

No features

No unique features

No unique features

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Get Quote

Compare ICANotes, TherapyNotes 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
        • $40.00 , Billed Yearly
        • $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
        TherapyNotes 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
        • Not Available
        • Not Available
        Get help choosing
        Get help choosing

        Security & Compliance

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

        SOC 2

        ✓ Yes

        HIPAA

        ✓ Yes
        ✓ Yes

        GDPR

        ✓ Yes

        ISO 27001

        ✗ No

        Single Sign-On (SSO)

        ✓ Yes

        Multi-Factor Auth (MFA)

        ✓ Yes

        Data Encryption

        ✓ Yes
        ✓ Yes

        Audit Logs

        ✓ Yes

        Data Residency

        🇺🇸 US
        🇺🇸 US

        ICANotes vs TherapyNotes User Reviews & Rating Comparison

        User Ratings

        4.1

        (based on 95 reviews)

        No reviews available for the product

        Rating Distribution

        0

        0

        0

        0

        0

        310

        20

        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

        Users consistently praise TherapyNotes for its intuitive interface and outstanding customer support, though some find customization and integration options limited.

        What buyers like

        • Ease of use
        • Customer service quality
        • Efficient note-taking

        Common complaints

        • Complexity of customization
        • Limited third-party integrations

        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

        • Exceptional and patient customer support with knowledgeable representatives

        • User-friendly and intuitive EHR system that enhances efficiency

        • Efficient note-taking and billing support tailored for behavioral health

        • Customization options can be overwhelming for new users without guidance

        • Limited variety of apps and connectors in the marketplace

        • 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

        Positive Reviews

        No reviews available for the product

        No reviews available for the product

        No reviews available for the product

        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

        No screenshots available.

        Videos

        video-0

        4 Videos

        video-0

        3 Videos

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        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 TherapyNotes?
        TherapyNotes edges out the other on user ratings (4.8 vs 4.1). That said, the best pick depends on your use case — use the comparison tables above to evaluate each dimension.
        Do ICANotes and TherapyNotes offer a free trial?
        Yes, both ICANotes and TherapyNotes offer a free trial.
        What is the starting price of ICANotes vs TherapyNotes?
        ICANotes starts at $155.00 per month. TherapyNotes starts at $40.00 per month.
        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 TherapyNotes?
        Top alternatives to TherapyNotes include Ensora Mental Health (formerly TheraNest), TheraNest, ICANotes, FitIQ, Mediar.

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