How Much Does TherapyNotes Cost in 2026?

TherapyNotes is the 25+ year mental health EHR specialist — THE category's deepest mental-health-specific workflow depth. For insurance-heavy mental health practices + behavioral health organizations where insurance claims workflow determines practice viability, TherapyNotes is category's purpose-built choice. Founded 1998 (pre-dating SimplePractice 2012 + newer entrants), TherapyNotes has refined mental-health-specific EHR capabilities over 25+ years with unmatched specialization. Insurance billing workflow is TherapyNotes' strategic moat: electronic claims submission via EDI clearinghouses (mature integrations with all major mental health payers including Optum/United Behavioral Health, Anthem, Cigna Behavioral Health, Aetna Behavioral Health, Medicaid state plans), real-time eligibility verification, denial management + appeals workflow, fee schedule management, pre-authorization tracking. For practices earning majority revenue from insurance (most US mental health practices), TherapyNotes billing maturity reduces claim denials + accelerates reimbursement. Mental-health-specific progress notes + treatment plans are purpose-built (vs general practice EHRs adapted for therapy). Note templates align with therapy modalities (CBT, DBT, EMDR, psychodynamic, family systems, etc.). Treatment plan templates match behavioral health medical necessity documentation requirements for insurance reimbursement. Compared to SimplePractice's broader patient-engagement focus, TherapyNotes optimizes for clinical documentation + billing accuracy. Industry estimates: Solo $59/month first clinician + $30/month additional clinician scales predictably. 10-clinician group practice: $59 + 9 × $30 = $329/month = $3,948/year. Competitive with Sessions Health ($3,600/year) + materially cheaper than SimplePractice Plus (~$8,280/year). For price-comparable mental-health-specialist capability, TherapyNotes is economic value leader. Independent vendor positioning vs SimplePractice PE-owned creates pricing stability advantages. No PE consolidation pricing pressure patterns. For long-term commitments, independent TherapyNotes preferred over PE-managed alternatives. Mental health community focus: TherapyNotes resources + training + community forums are therapist-specific. Strong alignment with mental health clinical practice + continuing education. Supervision + group documentation features support training programs + supervised practice requirements — critical for post-graduate therapists building independent licensure hours. Assessments library (PHQ-9 for depression, GAD-7 for anxiety, PCL-5 for PTSD, AUDIT for alcohol use, many others) with automated scoring + progress tracking. Category-leading for outcome-focused therapy. Integrated HIPAA-compliant telehealth included all tiers — no separate telehealth add-on fees. Compare Sessions Health Telehealth $10/practitioner add-on — TherapyNotes bundling saves $10/practitioner/month. Secure client portal + messaging for patient engagement. Less sophisticated than SimplePractice category-leading client portal but functional for most practice needs. 30-day free trial no credit card enables genuine evaluation. Pricing page didn't display specific rates in our audit — UNVERIFIED specifics. Industry knowledge estimates from customer disclosures + review sites. Where TherapyNotes wins: 25+ years mental health specialization (UNIQUE — category's deepest mental-health-specific workflow depth), category-leading insurance billing workflow for mental health payers, independent vendor positioning (not PE-owned) for pricing stability, per-clinician pricing more economical than SimplePractice ($3,948 vs $8,280/year for 10-clinician group practice), mental-health-specific progress notes + treatment plans purpose-built. Where it loses: no transparent pricing on public page (procurement friction), less broad integration ecosystem than SimplePractice 50+ integrations, less sophisticated client portal than SimplePractice category-leading patient engagement, less AI capability than Jane App established AI Scribe, multi-disciplinary practices better served by Jane App (TherapyNotes purely mental health).