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

Last updated:

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…

SplashMD

Starting at Contact for pricing

  • Individuals
  • Large Enterprises

Introducing SplashMD, the ultimate solution for mental health practice management. Powered by the latest web and cloud technology, this user-friendly software makes it effortless to run your practice. Say goodbye to comp…

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…

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…

TheraNest leads on user satisfaction with a 2.9-star rating across 104 reviews.

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

FeatureTheraNestSplashMDICANotesEnsora Mental Health (formerly TheraNest)
Rating2.9 / 54.1 / 5
Reviews10495
Starting price$32.50 /MonthContact for pricing$155.00 per month$26.58 therapist/month
Free trial Yes No Yes Yes
Free version No No No No
Best forLarge Enterprises, Medium Business, Small BusinessIndividuals, Large Enterprises, Medium BusinessLarge Enterprises, Small Business, Medium BusinessLarge Enterprises, Medium Business
CategoryMental Health SoftwareMental Health SoftwareMental Health SoftwareMental Health Software
PlatformsSaaS/Web/Cloud, Mobile - Android, Mobile - iOSSaaS/Web/CloudBrowser Based (Cloud)SaaS/Web/Cloud
APIAvailable
Support modesBusiness Hours, OnlineOnlineOnlineBusiness Hours, Online, 24/7 (Live rep)
CertificationsSOC 2, HIPAA, GDPRHIPAA, GDPRHIPAASOC 2, HIPAA
Data residencyUSUSUSUS

Key differences between TheraNest and SplashMD

  • Pricing: TheraNest starts at $32.50 /Month. SplashMD pricing is not publicly listed.
  • Free trial: TheraNest offers a free trial; SplashMD does not.
  • Target audience: TheraNest is built for Large Enterprises and Medium Business, while SplashMD targets Individuals and Large Enterprises.
  • Deployment: TheraNest supports SaaS/Web/Cloud, Mobile - Android, Mobile - iOS; SplashMD supports SaaS/Web/Cloud.

Compare TheraNest vs SplashMD vs ICANotes 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.

TheraNest - New SaaS Software
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SplashMD - New SaaS Software
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Talk to an expert
ICANotes
Talk to an expert
Talk to an expert

Free PDF comparison

Download this TheraNest vs SplashMD vs ICANotes vs Ensora Mental Health (formerly TheraNest) comparison

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Biggest differences

Start here before you go deeper into features.

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.

SplashMD

Best for managing Psychiatric Rehabilitation Programs with cloud-based ease.

Choose if
  • You run a Psychiatric Rehabilitation Program needing specialized practice management.
  • You want to avoid complex server setups and IT maintenance.
  • You prefer a user-friendly, cloud-based mental health software solution.
Consider alternatives if
  • You require software for general mental health practices outside PRP specialization.
  • You need detailed user ratings or proven market validation before purchase.

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.

Ensora Mental Health (formerly TheraNest)

Best for

Large Enterprises, Medium Business

TheraNest: Best for small to medium behavioral health practices needing streamlined billing. SplashMD: Best for managing Psychiatric Rehabilitation Programs with cloud-based ease.

Description

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

Introducing SplashMD, the ultimate solution for mental health practice management. Powered by the latest web and cloud technology, this user-friendly software makes it effortless to run ... Read More about SplashMD

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

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 $32.50 , Billed Yearly
  • Not Available
  • Starts from $155.00 , Billed Yearly
  • Starts from $26.58 , yearly

Free Trial Availability

  • No free trial

User Ratings

Based on verified Spotsaas reviews

4.1

(95)

Best Company Size

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

SplashMD

No best-fit guidance available yet.

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

TheraNest

No alternatives guidance available yet.

SplashMD

No alternatives guidance available yet.

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

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

No software demo available

SplashMD 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.

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  • Independent advice — matched to your business
  • Understand the tradeoffs before you talk to vendors
  • Free 15-min call with a software advisor.

Step 1 of 4

How big is your team?

We tailor recommendations to companies your size.

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

Total Features

7 Features

8 Features

0 Features

8 Features

Unique Features

No unique features

No unique features

No features

No unique features

Get Quote
Get Quote
Get Quote

Compare TheraNest, SplashMD, ICANotes 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

          • $32.50 , Billed Yearly
          • Not Available
          • $155.00 , Billed Yearly
          • $26.58 , yearly

          Pricing Plans

          • TheraNest

            • Up to 30 active clients

            • Unlimited staff members

            • World class customer support, including live phone support

            Show more +

          • 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

          TheraNest pricing

          Pricing information not available

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

          API Support

          • Not Available
          • Not Available
          • Available
          • Not Available
          Get help choosing
          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
          ✓ Yes

          GDPR

          ✓ Yes
          ✓ Yes

          ISO 27001

          ✗ No

          Single Sign-On (SSO)

          ✓ Yes

          Multi-Factor Auth (MFA)

          ✓ Yes

          Data Encryption

          ✓ Yes
          ✓ Yes
          ✓ Yes

          Audit Logs

          ✓ Yes

          Data Residency

          🇺🇸 US
          🇺🇸 US
          🇺🇸 US

          TheraNest vs SplashMD vs ICANotes User Reviews & Rating Comparison

          User Ratings

          No reviews available for the product

          4.1

          (based on 95 reviews)

          No reviews available for the product

          Rating Distribution

          118

          66

          9

          8

          36

          No reviews available for this product

          0

          0

          0

          0

          0

          No reviews available for this product

          Spotsaas Editor’s POV generated by AI

          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

          No expert review available for this product

          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

          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

          • 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

          No pros or cons available for this product

          • 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

          • 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

          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

          No reviews available for the product

          List of Customers

          Customers

          No Customers information available.

          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

          Secure Messaging Client Inbox

          2 Screenshots

          No screenshots available.

          Patient Portal

          1 Screenshots

          Videos

          No videos available.

          No videos available.

          video-0

          4 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, TheraNest or SplashMD?
          TheraNest edges out the other on user ratings (2.9 vs -1.0). That said, the best pick depends on your use case — use the comparison tables above to evaluate each dimension.
          Do TheraNest and SplashMD offer a free trial?
          TheraNest offers a free trial. SplashMD does not.
          What is the starting price of TheraNest vs SplashMD?
          TheraNest starts at $32.50 /Month. SplashMD starts at Contact for pricing.
          What are the top alternatives to TheraNest?
          Top alternatives to TheraNest include Ensora Mental Health (formerly TheraNest), TherapyAppointment, TherapySync, WebABA Professional, Qualified.
          What are the top alternatives to SplashMD?
          Top alternatives to SplashMD include Ensora Mental Health (formerly TheraNest), TherapyAppointment, WebABA Professional, My Clients Plus, Qualified.

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