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TheraNest vs TherapyNotes 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…

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…

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…

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

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

FeatureTheraNestTherapyNotesICANotesEnsora Mental Health (formerly TheraNest)
Rating2.9 / 54.8 / 54.1 / 5
Reviews1041,00095
Starting price$32.50 /Month$40.00 per month$155.00 per month$26.58 therapist/month
Free trial Yes Yes Yes Yes
Free version No No No No
Best forLarge Enterprises, Medium Business, Small BusinessLarge Enterprises, Small Business, 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 - iOSBrowser Based (Cloud)Browser Based (Cloud)SaaS/Web/Cloud
APIAvailable
Support modesBusiness Hours, Online24/7 (Live rep), Business Hours, OnlineOnlineBusiness Hours, Online, 24/7 (Live rep)
CertificationsSOC 2, HIPAA, GDPRSOC 2, HIPAA, GDPRHIPAASOC 2, HIPAA
Data residencyUSUSUSUS

Key differences between TheraNest and TherapyNotes

  • Pricing: TheraNest starts at $32.50 /Month, while TherapyNotes starts at $40.00 per month.
  • User satisfaction: TherapyNotes scores higher with a 4.8-star average.
  • Deployment: TheraNest supports SaaS/Web/Cloud, Mobile - Android, Mobile - iOS; TherapyNotes supports Browser Based (Cloud).

Compare TheraNest vs TherapyNotes 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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TherapyNotes
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ICANotes
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Talk to an expert

Free PDF 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.

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.

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

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

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

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
  • Starts from $40.00 , Billed Yearly
  • Starts from $155.00 , Billed Yearly
  • Starts from $26.58 , yearly

Free Trial Availability

User Ratings

Based on verified Spotsaas reviews

4.1

(95)

Best Company Size

Small businessesMedium businesses
Small businessMedium business
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

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.

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

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Step 1 of 4

How big is your team?

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

Total Features

7 Features

12 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, TherapyNotes, 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
          • $40.00 , Billed Yearly
          • $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
          TherapyNotes pricing
          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
          ✓ Yes

          HIPAA

          ✓ Yes
          ✓ Yes
          ✓ Yes

          GDPR

          ✓ Yes
          ✓ Yes

          ISO 27001

          ✗ No
          ✗ No

          Single Sign-On (SSO)

          ✓ Yes
          ✓ Yes

          Multi-Factor Auth (MFA)

          ✓ Yes
          ✓ Yes

          Data Encryption

          ✓ Yes
          ✓ Yes
          ✓ Yes

          Audit Logs

          ✓ Yes
          ✓ Yes

          Data Residency

          🇺🇸 US
          🇺🇸 US
          🇺🇸 US

          TheraNest vs TherapyNotes vs ICANotes User Reviews & Rating Comparison

          User Ratings

          4.1

          (based on 95 reviews)

          No reviews available for the product

          Rating Distribution

          118

          66

          9

          8

          36

          310

          20

          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 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

          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

          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

          • 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

          • 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.

          video-0

          3 Videos

          video-0

          4 Videos

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          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, TheraNest or TherapyNotes?
          TherapyNotes edges out the other on user ratings (4.8 vs 2.9). That said, the best pick depends on your use case — use the comparison tables above to evaluate each dimension.
          Do TheraNest and TherapyNotes offer a free trial?
          Yes, both TheraNest and TherapyNotes offer a free trial.
          What is the starting price of TheraNest vs TherapyNotes?
          TheraNest starts at $32.50 /Month. TherapyNotes starts at $40.00 per month.
          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 TherapyNotes?
          Top alternatives to TherapyNotes include Ensora Mental Health (formerly TheraNest), TheraNest, ICANotes, FitIQ, Mediar.

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