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SimplePractice vs TheraNest vs Ensora Mental Health (formerly TheraNest) Comparison

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SimplePractice

3.8(987 reviews)

Starting at $39 /Month

  • Free Trial
  • Large Enterprises
  • Medium Business

SimplePractice is your ideal practice management and EHR partner, integrating online appointment requests, telehealth and paperless intakes. A perfect choice for over 10,000 practitioners and 44M+ clients, this software…

TheraNest

2.9(104 reviews)

Starting at $32.50 /Month

  • Free Trial
  • Large Enterprises
  • Medium Business

TheraNest is the perfect practice management tool for behavioral health professionals! How tedious and time consuming are invoice creation and billing tasks for your practice? TheraNest relieves this burden in an easier…

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…

SimplePractice leads on user satisfaction with a 3.8-star rating across 987 reviews.

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

FeatureSimplePracticeTheraNestEnsora Mental Health (formerly TheraNest)
Rating3.8 / 52.9 / 5
Reviews987104
Starting price$39 /Month$32.50 /Month$26.58 therapist/month
Free trial Yes Yes Yes
Free version No No No
Best forLarge Enterprises, Medium Business, Small BusinessLarge Enterprises, Medium Business, Small BusinessLarge Enterprises, Medium Business
CategoryEHR SoftwareMental Health SoftwareMental Health Software
PlatformsSaaS/Web/Cloud, Mobile - Android, Mobile - iOSSaaS/Web/Cloud, Mobile - Android, Mobile - iOSSaaS/Web/Cloud
API
Support modesOnlineBusiness Hours, OnlineBusiness Hours, Online, 24/7 (Live rep)
CertificationsSOC 2, HIPAASOC 2, HIPAA, GDPRSOC 2, HIPAA
Data residencyUSUSUS

Key differences between SimplePractice and TheraNest

  • Pricing: SimplePractice starts at $39 /Month, while TheraNest starts at $32.50 /Month.
  • User satisfaction: SimplePractice scores higher with a 3.8-star average.
  • Deployment: SimplePractice supports SaaS/Web/Cloud, Mobile - Android, Mobile - iOS; TheraNest supports SaaS/Web/Cloud, Mobile - Android, Mobile - iOS.

Compare SimplePractice vs TheraNest 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 EHR 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.

SimplePractice - New SaaS Software
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TheraNest - New SaaS Software
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Biggest differences

Start here before you go deeper into features.

SimplePractice

Best for

Large Enterprises, Medium Business, Small Business

TheraNest

Best for small to medium behavioral health practices needing streamlined billing.

Choose if
  • You run a small or medium behavioral health or mental health practice.
  • You need simple, efficient invoice creation and billing for individual, group, or Telehealth sessions.
  • You want integrated session management that reduces missed billing opportunities.
Consider alternatives if
  • You represent a large enterprise requiring extensive customization or advanced features.
  • You need transparent pricing and comprehensive functionality beyond basic practice management.

Ensora Mental Health (formerly TheraNest)

Best for

Large Enterprises, Medium Business

SimplePractice typically suits Large Enterprises and Medium Business. TheraNest tends to fit Large Enterprises and Medium Business better. The right choice depends on your team size, workflow, and whether a free trial matters.

Description

SimplePractice is your ideal practice management and EHR partner, integrating online appointment requests, telehealth and paperless intakes. A perfect choice for over 10,000 practitioners ... Read More about SimplePractice

TheraNest is the perfect practice management tool for behavioral health professionals! How tedious and time consuming are invoice creation and billing tasks for your practice? TheraNest ... Read More about TheraNest

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 $39
  • Starts from $32.50 , Billed Yearly
  • Starts from $26.58 , yearly

Free Trial Availability

  • Free Trial available

User Ratings

Based on verified Spotsaas reviews

Best Company Size

1 – 50 employees
Small businessesMedium businesses
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

SimplePractice

  • Streamlined Practice Management in One Platform: Offers appointment scheduling, telehealth, secure communication, paperless intake, reminders, document storage, and AutoPay — all under one clean interface.
  • Reliable for Virtual and In-Person Services: Built to support hybrid care delivery with consistent tools for solo or group practitioners across both virtual and physical care models.
  • Secure Client Portal and Automated Workflows: Provides clients with a secure space for messaging, intake, scheduling, and payments while automating admin tasks for the provider.

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

SimplePractice

  • 1 – 50 employees
  • Mental Health, Counseling, Speech Therapy, Life Coaching, Nutrition, Wellness Services, Behavioral Health
  • Therapists, Psychologists, Social Workers, Coaches, Practice Owners, Billing Coordinators, Administrative Assistants

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

SimplePractice

  • Many users find the platform’s templates and workflows too rigid, with few options for custom fields, branding, or flexible intake flows.
  • Reported issues include occasional telehealth lags, syncing disruptions, and problems with ERA (Electronic Remittance Advice) payments, which can interrupt clinical and billing workflows.
  • SimplePractice offers limited integrations with external billing systems, lab tools, or insurance platforms, which can be a constraint for growing practices with broader ecosystem needs.

TheraNest

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

No software demo available

TheraNest has not given any software demo yet

If you're the owner of this profile, add your demo.Contact us

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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 SimplePractice, TheraNest and Ensora Mental Health (formerly TheraNest) Compare on Features?

Total Features

7 Features

7 Features

8 Features

Unique Features

No unique features

No unique features

No unique features

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Get Quote

Compare SimplePractice, TheraNest 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

        • $39
        • $32.50 , Billed Yearly
        • $26.58 , yearly

        Pricing Plans

        • Not Available
        • TheraNest

          • Up to 30 active clients

          • Unlimited staff members

          • World class customer support, including live phone support

          Show more +

        • 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

        Pricing information not available

        TheraNest 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

        • Not 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
        ✓ Yes

        HIPAA

        ✓ Yes
        ✓ Yes

        GDPR

        ✗ No
        ✓ Yes

        ISO 27001

        ✗ No
        ✗ No

        Single Sign-On (SSO)

        ✓ Yes
        ✓ Yes

        Multi-Factor Auth (MFA)

        ✓ Yes
        ✓ Yes

        Data Encryption

        ✓ Yes
        ✓ Yes

        Audit Logs

        ✓ Yes
        ✓ Yes

        Data Residency

        🇺🇸 US
        🇺🇸 US

        SimplePractice vs TheraNest User Reviews & Rating Comparison

        User Ratings

        No reviews available for the product

        Rating Distribution

        980

        450

        82

        38

        92

        118

        66

        9

        8

        36

        No reviews available for this product

        Spotsaas Editor’s POV generated by AI

        Buyer sentiment

        Buyer sentiment is mixed to positive across 1642 reviews, with clear strengths and a few common watchouts.

        What buyers like

        • Comprehensive EHR features
        • Telehealth capabilities
        • User-friendly client portal

        Common complaints

        • Learning curve for new users
        • Limited customization options
        • Higher pricing for advanced features

        Buyer sentiment

        Users appreciate the streamlined billing and appointment management but express dissatisfaction with overall functionality and value.

        What buyers like

        • Ease of billing and invoicing
        • Appointment scheduling flexibility
        • Telehealth session support

        Common complaints

        • Limited features for larger practices
        • Pricing transparency concerns

        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

        • **Streamlined Practice Management in One Platform:** Offers appointment scheduling, telehealth, secure communication, paperless intake, reminders, document storage, and AutoPay — all under one clean interface.

        • **Reliable for Virtual and In-Person Services:** Built to support hybrid care delivery with consistent tools for solo or group practitioners across both virtual and physical care models.

        • **Secure Client Portal and Automated Workflows:** Provides clients with a secure space for messaging, intake, scheduling, and payments while automating admin tasks for the provider.

        • New users may face a learning curve.

        • Customization options are somewhat limited.

        • Simplifies invoice creation and billing tasks

        • Supports individual, group, Telehealth, and multi-staff appointments

        • Helps avoid missing session billing

        • Low overall user rating (2.9 out of 5)

        • Limited publicly available pricing information

        • 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

        Negative 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

        SimplePractice Account

        6 Screenshots

        Secure Messaging Client Inbox

        2 Screenshots

        Videos

        video-0

        3 Videos

        No videos available.

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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, SimplePractice or TheraNest?
        SimplePractice edges out the other on user ratings (3.8 vs 2.9). That said, the best pick depends on your use case — use the comparison tables above to evaluate each dimension.
        Do SimplePractice and TheraNest offer a free trial?
        Yes, both SimplePractice and TheraNest offer a free trial.
        What is the starting price of SimplePractice vs TheraNest?
        SimplePractice starts at $39 /Month. TheraNest starts at $32.50 /Month.
        What are the top alternatives to SimplePractice?
        Top alternatives to SimplePractice include NextGen Healthcare EHR, Athenahealth EHR, Carepatron, TherapyAppointment, PracticeStudio.
        What are the top alternatives to TheraNest?
        Top alternatives to TheraNest include Ensora Mental Health (formerly TheraNest), TherapyAppointment, TherapySync, WebABA Professional, Qualified.

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