--- title: "TheraNest Software Pricing, Alternatives & More 2026 | Capterra" description: "With the help of Capterra, learn about TheraNest Software - reviews, pricing plans, popular comparisons to other Mental Health EHR products and more." source_url: "https://www.capterra.com/p/130400/TheraNest-Mental-Health/" page_type: "product" language: "en" --- # TheraNest Software Review 2026: Features, Integrations, Pros & Cons Last updated on September 17, 2026 Provider data verified by our Software Research team, and reviews moderated by our Reviews Verification team. [Description](#description)[Use cases](#use-cases)[Alternatives](#alternatives)[FAQs](#faqs)[Users](#users)[Pros and Cons](#pros-cons)[Features](#features)[Pricing](#pricing)[Integrations](#integrations)[Support](#support)[Reviews](#reviews) TheraNest ## What is TheraNest? TheraNest by Ensora Health is a comprehensive management software built for mental health professionals, including therapists, psychologists, social workers, and counselors. It streamlines your entire workflow, from HIPAA-compliant telehealth to integrated insurance billing and credit card processing. Key features include: • Secure Telehealth with no downloads required • Robust Documentation (including Wiley Practice Planners) • Client Portal for engagement and digital intake • Automated Reminders & multi‐provider scheduling • Streamlined Claims and simplified billing workflows Whether you’re a solo practitioner or running a large organization, TheraNest helps reduce admin overhead, improve clinical outcomes, and boost client satisfaction so you can focus on delivering quality mental health care. ## What is TheraNest used for? [Mental Health](https://www.capterra.com/mental-health-software/)[Therapy Notes](https://www.capterra.com/therapy-notes-software/)[Mental Health EHR](https://www.capterra.com/mental-health-ehr-software/) Recognitions Shortlist Overall rating Based on 1,052 user reviews Reviews sentiment Positive 87% Neutral 8% Negative 5% Pros & cons Streamlined, intuitive experience Continuous user-driven enhancements Frequent technical glitches disrupt work Manual and unreliable data saving Starting price $29 Per User, Per Month Free trial available Capterra Shortlist charts the highest-rated and most popular products... - Patient Portal / 2025 Our "Best of" badge program showcases products with the highest ratings... Our "Best of" badge program showcases products with the highest ratings... ## TheraNest alternatives Highest Rated [4.8 (534)](https://www.capterra.com/p/178984/Jane-App/reviews/) Starting price $54.00 Per User, Per Month Pricing Options Free Trial Free Version User Rating 97% of reviewers rated it above 4 stars [4.6 (2,827)](https://www.capterra.com/p/130710/SimplePractice/reviews/) Starting price $49.00 Per User, Per Month Pricing Options Free Trial Free Version User Rating 94% of reviewers rated it above 4 stars [4.7 (970)](https://www.capterra.com/p/118981/TherapyNotes-com/reviews/) Starting price $69.00 Per User, Per Month Pricing Options Free Trial Free Version User Rating 94% of reviewers rated it above 4 stars [4.7 (830)](https://www.capterra.com/p/124769/CounSol-com/reviews/) Starting price $49.95 Per User, Per Month Pricing Options Free Trial Free Version User Rating 98% of reviewers rated it above 4 stars [View all alternatives](https://www.capterra.com/p/130400/TheraNest-Mental-Health/alternatives/) ## FAQs about TheraNest Overview ### What problems does TheraNest solve? TheraNest solves fragmented private-practice workflows by centralizing scheduling, progress notes, treatment plans, billing, claims, reminders, and client intake in one secure system. It reduces paperwork, duplicate data entry, missed documentation deadlines, and billing friction. Solo therapists, group practices, office managers, and behavioral health clinicians benefit most from its streamlined day-to-day operations. Answer based on 422 reviews Overview ### Which roles and teams benefit most from TheraNest? TheraNest is most used by mental health clinicians, practice owners, and administrative teams managing therapy operations. Therapists, counselors, psychologists, and social workers rely on it for scheduling, notes, treatment plans, and billing, while owners, directors, and office managers use it to oversee caseloads, streamline workflows, and support multi-provider practice management. Answer based on 888 reviews Overview ### What company size and industries is TheraNest built for? TheraNest serves small therapy and counseling organizations, with 98% of reviewers from small businesses and 72% from mental health care. It is built for solo practitioners, group therapy practices, counseling centers, social service organizations, faith-based groups, psychology practices, schools, and universities, with additional use in health and wellness and hospital settings. Answer based on 1051 reviews Features and Usability ### What are the key features of TheraNest? TheraNest includes core practice management features like appointment scheduling, calendar reminders, billing and invoicing, insurance claims, and patient records. Differentiating features include customizable forms and templates, a client portal for intake and payments, telehealth with secure video, and mobile access for notes, schedules, and documents. Answer based on 343 reviews Pricing ### How much does it cost and what fees or limitations are included? TheraNest starts at $29/user/month for Essentials, with Advanced at 59 and Premier at 89, plus a free trial. Reviewers often call it affordable and a good fit for small practices, though some mention extra charges for add-ons like portal features or reminders and a learning curve around billing setup. Answer based on 122 reviews Integrations ### Which third-party tools and platforms does TheraNest integrate with? TheraNest integrates with Google Calendar, Microsoft Outlook, iCloud, Zoom Workplace, Google Workspace, WileyPLUS, and Square Point of Sale. Calendar syncing is the most frequently mentioned connection, while video, productivity, treatment planning, and payment tools appear in reviewer feedback as additional third-party platforms used alongside TheraNest. Answer based on 157 reviews Getting Started and Support ### How easy is it to onboard and train a team on TheraNest? TheraNest offers live online sessions, webinars, videos, and documentation, which give teams several ways to learn. Many therapists, trainees, and small practices get up to speed quickly on basic tasks with limited training. Admins and teams handling billing, claims, or custom setup typically need more time due to a noticeable learning curve. Answer based on 114 reviews Getting Started and Support ### What customer support options does TheraNest offer, and how do users rate the experience? TheraNest offers email/help desk, FAQ/forum, a knowledge base, phone support, and chat. Users often describe support as responsive, patient, and helpful, especially during setup and troubleshooting. Some reviewers report uneven response times, difficulty reaching a live person, and a more automated experience when issues are complex or ongoing. Answer based on 522 reviews Security ### How does TheraNest handle data security and access control? TheraNest uses secure online record storage, a secure client portal, secure messaging, secure document sharing, encrypted credit card handling, staff permissions, and HIPAA-compliant telehealth and email through the portal. Some reviewers note gaps, including limited permission granularity, no Duo push, and insecure or cumbersome emailing of statements, invoices, and superbills. Answer based on 41 reviews ## Who uses TheraNest? Based on Capterra reviews from the past 2 years Talk to a software expert to get a free software list tailored to your business needs ## Pros and Cons Streamlined, intuitive experience 94% positive reviews out of 197 Most reviewers report ease of use, intuitive navigation, and reduced administrative burden across essential practice tasks. Frequent technical glitches disrupt work 62% negative reviews out of 99 Some reviewers report recurring bugs, system slowdowns, and unresolved technical issues that interrupt daily operations. Maria S. LMHC, 1 employee. "They have created a financial loss because of a glitch in their system and are unable to explain why this has occurred and still occasionally occurs." Continuous user-driven enhancements 95% positive reviews out of 57 Most reviewers describe improvements as frequent, user-driven, and directly responsive to feedback and evolving needs. Manual and unreliable data saving 58% negative reviews out of 79 Some reviewers say data saving requires frequent manual action, risking lost work and workflow interruptions if forgotten. D'Nicole M. Therapist, 11 - 50 employees. "I do not like how this program does not automatically save my work. If I am not saving notes/assessments (short and or long documents) periodically and there is an issue with TheraNest or the internet connection, all is lost, and I need to start over." Integrated and intuitive interface 94% positive reviews out of 35 Most reviewers find the user interface clean, easy to navigate, and well-integrated for daily mental health workflows. Limited and complex form customization 64% negative reviews out of 39 Some reviewers describe custom forms as difficult to create, restrictive, and lacking seamless integration with other features. ## Features AI summary Based on 1,280 Mental Health EHR reviews Capterra reviewers point to these as the top priorities when choosing a Mental Health EHR: - **HIPAA Compliant** (**82%** of reviewers rated this feature as critical) - **Therapy Notes** (**67%**) - **EMR/EHR** (**68%**) TheraNest supports all three of the features buyers rate most highly: **HIPAA Compliant**, **Therapy Notes**, and **EMR/EHR**. Together, these capabilities help mental health practices protect patient data, document care accurately, and maintain complete electronic health records, allowing teams to manage clinical and administrative work more efficiently. HIPAA Compliant 4.8 (137) 87.59% of 137 reviewers that rated this feature as important or highly important TheraNest gives you peace of mind by keeping client data secure and meeting HIPAA requirements. Reviewers appreciate the strong privacy protections, easy compliance for mental health records, and the confidence it brings when handling sensitive information. Therapy Notes 4.6 (65) 96.92% of 65 reviewers that rated this feature as important or highly important Tools to help therapists document, record, and recall patient encounters EMR/EHR 4.2 (91) 68.13% of 91 reviewers that rated this feature as important or highly important TheraNest offers a streamlined way to document, store, and access client records securely. Reviewers indicate it’s easy to use, supports efficient clinical documentation, and helps organize practice workflows. Many value the accessibility and organization it brings to daily operations. Charting 4.5 (90) 85.56% of 90 reviewers that rated this feature as important or highly important Manage patient documentation describing all clinical interactions, diagnoses, procedures, medications, etc. Document Management 4.2 (130) 82.31% of 130 reviewers that rated this feature as important or highly important You benefit from organized, secure document storage and flexible note-taking options. Reviewers appreciate the ability to upload, search, and manage documents easily, though some say template customization and client signature collection could be more user-friendly. Appointment Scheduling 4.3 (117) 70.94% of 117 reviewers that rated this feature as important or highly important With this capability, you can efficiently manage and adjust client appointments. Users think scheduling is intuitive, quick, and helps prevent double-booking. Some reviewers feel recurring appointments and telehealth scheduling have improved, though a few mention minor glitches or limited customization. TheraNest 143 features ### All Features - Access Controls/Permissions: Define levels of authorization for access to specific files or systems - Accounting: Built-in accounting to manage ledger, accounts payable/receivable, financial reports, etc. - Activity Dashboard: Dashboard to view the status of ongoing processes, identify current incidents and track past activities - Activity Tracking: Track and document all activities across devices, networks, and other systems - Alerts/Notifications: Alerts or notifications of various types such as pop-up messages, sounds, banners, or badges - API: Application programming interface that allows for integration with other systems/databases - Appointment Management: Manage various aspects of appointments including booking, rescheduling, canceling - Appointment Scheduling: With this capability, you can efficiently manage and adjust client appointments. Users think scheduling is intuitive, quick, and helps prevent double-booking. Some reviewers feel recurring appointments and telehealth scheduling have improved, though a few mention minor glitches or limited customization. - Attendance Management: Manage attendance for classes, shifts, meetings, or events - Automated Scheduling: Automatically create schedules based on business needs or employee availability and qualifications - Bill Payment: Complete outstanding payments - Billing & Invoicing: Create, manage, and send invoices or bills to customers - Calendar Management: Track and manage schedules and meetings via an integrated calendar - Calendar Sync: Synchronize with other calendars to view mutual availability and schedules - Cancellation Tracking: Track cancellations of policies, accounts, orders, appointments, etc. - Care Plan Management: Manage the treatment plan and coordination between care providers and patients with special health care needs - Care Summaries: Electronic patient health records - Case Notes: Access and track notes regarding case activities and updates within case files - Charting: Manage patient documentation describing all clinical interactions, diagnoses, procedures, medications, etc. - Chat/Messaging: Communicate using direct chat or messages within the system - Claims Management: Process of submitting and following up on claims with insurance companies - Claims Scrubbing: Clean up of claims prior to their submission and validating to determine claims are appropriate and accurate - Client Database: Electronic storage of stakeholder contact information - Client Management: Manage contact details and communication with clients - Client Portal: Private online space that lets businesses securely share documents and provide information access to clients - Clinic Interoperability: Securely transfer, access, exchange, integrate or use data with different providers or systems - Clinical Notes: Record and organize clinical notes and progress notes for each patient after interaction with a physician - Code & Charge Entry: Assigning monetary value to patients' accounts as per medical codes and appropriate fee schedule - Coding Assistance: Automatically generates E/M codes based on information collected during patient charting - Communication Management: Manage and track all internal and external communication conducted via calls, email, text, or chat - Compliance Management: Track and manage adherence to policies for any service, product, process, or supplier - Compliance Tracking: Track and report regulatory data to either internal management or external stakeholders - Confirmations/Reminders: Automated reminders and confirmations for booked appointments and events via text or email - Contact Database: Centralized database of stakeholders and their contact information such as names, address, phone number etc. - Credit Card Processing: Accept and process credit card transactions - Customer Database: A collection of customer information such as contact details, demographics, previous interactions, etc. - Customizable Branding: Add customized logos and colors to align with company branding - Customizable Fields: Customize data fields to support various needs and use cases - Customizable Forms: Customize contracts and forms to collect specific information - Customizable Templates: Pre-designed layouts that can be customized to match preferences and requirements - Data Import/Export: Import and export data to and from software applications - Data Security: Protect sensitive data for digital privacy - Decision Support: Tools that provide relevant information at specific times to support judgments and courses of action - Document Management: You benefit from organized, secure document storage and flexible note-taking options. Reviewers appreciate the ability to upload, search, and manage documents easily, though some say template customization and client signature collection could be more user-friendly. - Document Storage: Store and organize documents in a centralized system - Document Templates: Customizable sample documents that contain placeholder text or a standard layout that can be repeated for each new file - Drag & Drop: Assemble applications and processes by dragging over and arranging pre-built components - Dunning Management: Process of automatically notifying clients when payments fail to ensure invoices are paid - Electronic Payments: It helps you process payments quickly and reliably, reducing delays and manual work. Some reviewers find accepting credit cards and generating receipts easy, while others mention fees and occasional difficulties with refunds or payment portal setup. - Electronic Signature: Digitally sign online documents - Eligibility Verification: Identifying if all conditions that entitle a client to certain benefits are met - Email Reminders: Reminders sent via email - Employee Management: Track employee schedules, availability, and performance across projects and tasks - EMR/EHR: TheraNest offers a streamlined way to document, store, and access client records securely. Reviewers indicate it’s easy to use, supports efficient clinical documentation, and helps organize practice workflows. Many value the accessibility and organization it brings to daily operations. - Faculty/Staff Management: Track and manage staff profiles, recruitment, schedules, productivity, career development and performance - File Sharing: Public or private sharing of digital files such as documents, audio/video, images, and more - Financial Management: Plan, manage, and track the financial activities of an individual or organization - For Group Therapy: For mental health professionals providing therapy to multiple patients at the same time - For Medical Purposes: Intended for medical use such as diagnosis, treatment, and consultation - For Mental/Behavioral Health: For mental/behavioral health specialties such as psychiatry, therapy/counseling, substance abuse, etc. - For Nonprofits: Software specialized for non-profit organizations - For Substance Abuse Therapy: For mental health professionals that specialize in substance abuse therapy/programs - Forms Management: Store, manage and track all forms in a centralized location - Generative AI: Use AI to generate content in the form of text, images, videos, etc. - Goal Setting/Tracking: Establish measurable goals and objectives and track their progress over a specific period of time - Health Record Access: Gaining access to confidential health documents and information - HIPAA Compliant: TheraNest gives you peace of mind by keeping client data secure and meeting HIPAA requirements. Reviewers appreciate the strong privacy protections, easy compliance for mental health records, and the confidence it brings when handling sensitive information. - Historical Reporting: Information, data and reports that are being tracked over time - Income/Expense Tracking: Detailed log and record of financial earnings & costs. - Initial Assessments: Conduct intake assessments to determine patient health status, medical history, conditions, etc. - Insurance Eligibility Verification: Checking eligibility of patients for different insurance claims - Insurance Management: Involves selling of insurance solutions, managing policies, handling claims & assessing risk and coverage - Intake Management: Activities related to the initial admission of a charge into the organization's care - Invoice History: Store and view prior invoices for each account/client - Invoice Management: Captures invoice data and maintains comprehensive records for auditing and reporting purposes - Medical Billing: Manage billing and payments for a healthcare provider - Medical History Records: Records of patients' medical history - Mobile Access: Access software remotely via mobile devices - Mobile App: Access the system via a mobile application - Multi-Factor Authentication: Request two or more credentials to prove user's identity before granting access to systems - Multi-Location: Manage and support multiple locations - Multi-Physician: Supports practices with multiple healthcare professionals - Multi-Provider Practice: For practices with multiple providers - No-Show Tracking: Track and monitor patient no-show rates - Notes Management: Allow users to create, edit, and sort multiple notes - On Call Scheduling: Track and organize on-call shifts - One-to-One Messaging: Send personal messages to clients or attendees - Online Booking: Book meetings and appointments through a website or digital platform - Online Forms: Create new forms and/or use ready-made online form templates - Patient Communications: Allow communication between the company and patients via messages, SMS, emails, phone, and more - Patient Database: A repository of patient data, including their past and current health issues, treatment history, and more - Patient Engagement: Allows medical providers to engage patients in a variety of ways to ensure their health. - Patient Intake: Patients can register for appointments in advance online - Patient Management: Managing and tracking patient health, progress, communication, and treatment plans - Patient Monitoring: Observing and tracking a patient's health status, condition, and wellbeing - Patient Portal: Online portal where patients can access information such as health records, treatment plants, etc. - Patient Records Management: Managing different types of patient records, including paper documents, digital files, billing information, and scheduling details - Patient Scheduling: Book and manage patient appointments and follow-ups - Payment Collection: Tracking, managing, and initiating the transfer of funds for overdue customer payments - Payment Processing: Accept, record, and reconcile financial transactions - Physician Management: Track and organize physician schedules and pertinent information - Physician Scheduling: Manage physician availability and schedules - Practice Management: Managing day-to-day operations of a medical practice such as scheduling appointments, generating reports and more - Progress Notes: Customizable notes that help healthcare professionals document and track patient progress - Progress Reports: Document and report the progress of ongoing projects - Quotes/Estimates: Generate quotes or estimates for customers - Real-Time Notifications: Notifications that are delivered to users as soon as an event occurs - Real-Time Reporting: Active reporting of data and metrics - Records Management: Ability to record, store, update, and retrieve information - Recurring Appointments: Schedule repeating appointments based on a duration of time - Referral Management: Log and store the source of contacts/leads - Referral Tracking: Log and store the source of contacts/leads - Registration Management: Oversee and coordinate the registration of attendees, visitors, customers, events, activities, etc. - Reminders: Timed notification for any upcoming task, deadline, appointment, or activity - Remittance Advice: Document insurance payer providing an explanation of benefits (EOB). - Remote Treatment Planning: Remotely create and access treatment plans tailored to individual patients based on symptoms - Reporting & Statistics: Collection, analysis, and representation of numerical data and generation of reports to understand various patterns - Reporting/Analytics: View and track pertinent metrics to find patterns and gain insights from data - Revenue Management: Monitor sales and make necessary adjustment in order to increase demand and revenue - Role-Based Permissions: Set & manage permission levels based on user roles and restrict access to only authorized individuals - Scheduling: Plan availability and assign specific time slots for tasks and resources - Search/Filter: Search and filter data across systems to locate required information by entering keywords or certain criteria - Secure Data Storage: Securely stores data to prevent data loss or breaches - Secure Messaging: Exchange messages in a secure and encrypted manner - Self Service Portal: Online portal through which end users can access the system, manage tasks, or obtain information - Session Notes: Private client session notes for coaching, therapy, etc. - SMS Messaging: Send messages via SMS - SSL Security: Security protocol that ensures secure, encrypted communication over the internet, safeguarding sensitive data from unauthorized access - Staff Management: Schedule shifts for staff/employees, track hours worked, and manage staff payroll - Surveys & Feedback: Gauge satisfaction and receive information for improvement and success - Task Scheduling: Track and manage the scheduling of tasks - Telemedicine: Meet with patients remotely - Teletherapy: Provide online therapy to patients/clients through secure video sessions - Template Management: Create, save, and re-purpose templates for emails, forms, etc. - Therapy Notes: Tools to help therapists document, record, and recall patient encounters - Time Tracking: Measure and track time including hours worked and paid time off (PTO) - Training Management: Track employee/learner's progression through training programs - Treatment Planning: Create treatment plans that document interventions and outcomes to track patient progress - Two-Way Audio & Video: Presenter can see and hear participants and vice versa - Video Conferencing: Connect with meeting participants remotely over video - Video Consultations: Speaking to a doctor or healthcare professional using online video tools - Virtual Waiting Room: Monitor wait time and abandonment for incoming requests that have not been routed - Workflow Management: Create, design and manage workflows for repetitive tasks --- Get Advice We can help you find the software with the features you need. Features 4.1 (830) 4.1 Based on 830 reviews ## Pricing Value for money 4.3 (719) Free Trial [View pricing plan details](https://www.capterra.com/p/130400/TheraNest-Mental-Health/pricing/) Essentials $29.00 Per User,Per Month It includes: - Scheduling Management - Secure client portal - Calendar sync - Basic intake forms and notes - Ensai notes enhancement - Hassle-free credit card payments\* - Optional Telehealth add-on\* Advanced $59.00 Per User,Per Month It includes: - Online booking & secure messaging - Custom intake forms & notes - Unlimited Telehealth (Individual + Group) - Get 50 free each per practice per month\*: - \- Claims processing - \- Eligibility checks - \- Text & phone reminders Premier $89.00 Per User,Per Month It includes: - Insurance billing automation - Wiley Practice Planner included - Unlimited Telehealth (Individual + Group) - Unlimited claims processing† - Unlimited eligibility checks† - Unlimited text & phone reminders† Value for money 4.3 (719) 4.3 Based on 719 reviews ## Integrations [ Google Calendar](https://www.capterra.com/p/213340/Google-Calendar/)[ Microsoft Outlook](https://www.capterra.com/p/227138/Microsoft-Outlook/)[ iCloud](https://www.capterra.com/p/204717/iCloud/) Connect with a Capterra advisor for a free 15-minute consultation Get a personalized software list aligned to your business needs with guidance from our expert advisors. Our team has helped 1 million+ businesses like yours find options that fit their needs. ## Support, customer service and training options Customer Service 4.4 (981) Support - Email/Help Desk - FAQs/Forum - Knowledge Base - Phone Support - 24/7 (Live rep) - Chat Training - In Person - Live Online - Webinars - Documentation - Videos Deployment - Web - Android - iPhone/iPad Typical users - Freelancers - Small businesses - Mid size businesses - Enterprises Customer Service 4.4 (981) 4.4 Based on 981 reviews ## User reviews Overall rating 4.4 Based on 1,052 reviews Filter by rating 5(594) 4(320) 3(87) 2(23) 1(28) Mentioned topic Sorted by most recent Zina Ortiz F. Management Mental Health Care ### "Basic practice management, but we quckly outgrew it" 1.0 Overall Rating 1.0 1.0 Ease of Use 3.0 3.0 Features 1.0 1.0 Customer Service 1.0 1.0 Likelihood to Recommend 0/10 September 6, 2026 I used Theranest for 14 years and used it for a few of those years for my growing behavioral health group practice. It served us reasonably well during an earlier stage of the practice, particularly for basic scheduling, documentation, client records, and general EHR functions. The platform is relatively easy to learn, and clinicians can usually become comfortable with the core functions without an extensive onboarding process. Though much of it is manual, and outdated. The interface had not changed much since the beginning of my subscription. For a solo clinician or smaller practice with fairly straightforward workflows, TheraNest may provide many of the basic tools needed to manage day-to-day operations, with some minor issues. Theranest has a bad reputation as an RCM and claims submission platform, it doesn't support API and lacks visibility of data. I know of fellow clinicians who lost thousands of dollars to their claims submission feature, claims got lost, some of them weren't even submitted and no way to resolve denials. Where we began running into limitations was as our organization became larger and operationally more complex. Managing a group practice with multiple clinicians, supervisors, billing staff, insurance workflows, credentialing considerations, documentation oversight, and a high volume of claims required more visibility and automation than the platform provided. As I mentioned earlier it is limited, outdated and lacks core features needed for a successful RCM. They do offer claims "support" for an extra fee, I just never trusted it. We found ourselves relying increasingly on manual processes and outside systems to monitor things such as documentation completion, supervisory workflows which is non existent, treatment plan and assessment deadlines missing, clinician performance missing, insurance and billing issues missing, and other administrative tasks. At scale, having information available somewhere in an EHR is very different from having that information organized in a way that allows an administrator to immediately see what needs attention. Billing was another area where we eventually needed greater transparency and workflow control. Our practice processes a significant volume of insurance claims, and over time we needed much stronger claim tracking, operational dashboards, automated alerts, reconciliation tools, and visibility across the revenue cycle. TheraNest was useful during one stage of our practice's growth, and I can see it continuing to work well for solo clinicians with relatively simple workflows. For a larger, insurance-heavy behavioral health organization, however, we ultimately needed a platform with deeper automation, stronger revenue-cycle visibility, more sophisticated supervision tools, and a system designed around the operational realities of managing a growing group practice. Pros TheraNest covers the fundamental functions of a behavioral health EHR fairly well. Scheduling, client records, clinical documentation, and telehealth. The learning curve for clinicians is also relatively manageable if you're ok with clicking "save" buttons on every page and form. Cons The limitations become more noticeable as a practice grows. Group-practice administration, supervision oversight, advanced billing workflows, reporting, automation, and real-time operational visibility is non existent. We frequently found that important information existed in the system but still required administrators to manually search for it, track it elsewhere, or create additional processes around it. We ended up created spreadsheets and had to hire billing staff, which defeated the purpose of purchasing a limited subscription. By the way when I de activated the clinicians in my group I was charge the full fee for the subscription, which was over $1000. They declined a reimbursement even when the platform was not being used. They also declined to help with help downloading all 2000 clinical files after over 12 years of use. They suggested these files be downloaded manually one by one, which my staff and I had to end up doing. As I mentioned earlier everything in Theranest is manual, outdated, in other words the platform has not changed much since I began the subscription back in 2014. Also, it is slow, it locks and freezes. The fees charged are just insulting for such a primitive software. Review source Non-incentivized review: any software user can leave a review for any product listed on our site. All submitted reviews are subject to our verification process prior to publication. CR Candice R. Psychotherapist Health, Wellness and Fitness ### "Overall a good experience " 4.0 Overall Rating 4.0 4.0 Ease of Use 4.0 4.0 Features 4.0 4.0 Customer Service 5.0 5.0 Likelihood to Recommend 8/10 July 31, 2026 Overall, my experience has been good. I do value excellent customer service and I do feel like Theranest has this. Pros I sincerely appreciate the fact that Theranest makes writing treatment plans simple because of their incorporation of Wiley Treatment Planners. Cons I dislike the cost at times and I feel like the coast is best suited for group practices vs. solo practitioners. Review source Incentivized review: software users are invited to submit an honest review and offered a nominal incentive for their time and effort. All incentivized reviews are subject to our verification process prior to publication. YVONNE L. Founder and Managing Director Mental Health Care ### "CSPG appreciation" 4.0 Overall Rating 4.0 4.0 Ease of Use 4.0 4.0 Features 5.0 5.0 Customer Service 5.0 5.0 Likelihood to Recommend 10/10 July 8, 2026 Overall, the EHR helped me begin my business with a professional look and a sense of order and structure. Pros I like the color options on the calendar, so staff members know their app'ts without having to search. I also like the ease by which I can move between each page or tab on the screen. Cons The limitation of creating forms. It could be because I do not get along with technology, but I am unable to create side by side items or to add boxes for checking, or adding lines to separate sections. Alternatives considered [TherapyNotes, LLC](https://www.capterra.com/p/118981/TherapyNotes-com/) [SimplePractice](https://www.capterra.com/p/130710/SimplePractice/) Reasons for choosing TheraNest Cost was the largest factor and the ease of use. Review source Incentivized review: software users are invited to submit an honest review and offered a nominal incentive for their time and effort. All incentivized reviews are subject to our verification process prior to publication. TW Teresa W. Owner - Licensed Professional Counselor Mental Health Care ### "Great Company" 5.0 Overall Rating 5.0 5.0 Ease of Use 5.0 5.0 Features 5.0 5.0 Customer Service 5.0 5.0 Likelihood to Recommend 10/10 July 7, 2026 I've been with TheraNest for many years. I've always love using the platform and the customer service is excellent. Pros The quick response from customer service. I've always had great customer service. When there is a problem or question they are always ready and willing to help. Cons Navigating and remembering the changes that they make. Sometimes it is difficult to keep up with the changes. However, the knowledge base is always helpful. Alternatives considered [SimplePractice](https://www.capterra.com/p/130710/SimplePractice/) Reasons for choosing TheraNest Better customer service and price. TheraNest made it easy to setup and use. Review source Incentivized review: software users are invited to submit an honest review and offered a nominal incentive for their time and effort. All incentivized reviews are subject to our verification process prior to publication. DJ Dr. Joyce M. Outpatient Therapist Health, Wellness and Fitness ### "A Valuable Experience with Important Lessons Learned" 5.0 Overall Rating 5.0 5.0 Ease of Use 4.0 4.0 Features 5.0 5.0 Customer Service 5.0 5.0 Likelihood to Recommend 9/10 July 2, 2026 Overall, my experience with the TheraNest was positive. The EHR system and client portal were easy to use, reliable, and met my practice's needs. The customer support team was responsive and helpful whenever I had questions. While the billing process presented challenges, particularly regarding insurance network requirements, the overall platform and service experience were good. Pros What I like most about yourTheraNest is the excellent customer support. Having the convenience of speaking with a live person is incredibly valuable, as it allows me to ask questions, receive clear guidance, and have my concerns resolved quickly and efficiently. The responsiveness and willingness of your team to provide assistance have made my experience much more positive. Cons What I liked least about the TheraNest was learning, after several months, that the RCM service would not be able to process my insurance billing because I was out of network. I wish this had been communicated earlier, as it would have allowed me to make informed decisions and avoid unnecessary time, expense, and frustration. Switched from [EHR 24/7](https://www.capterra.com/p/134091/EHR-24-7/) I wanted to try TheraNest at the time Ensora, because I thought they had more to offer. Alternatives considered [Secure Telehealth](https://www.capterra.com/p/158464/Secure-Telehealth/) [Stripe Billing](https://www.capterra.com/p/178774/Stripe-Billing/) [Credit Card Terminal](https://www.capterra.com/p/171168/Credit-Card-Terminal/) Reasons for choosing TheraNest At the time I thought TheraNest had a lot to offer. Review source Incentivized review: software users are invited to submit an honest review and offered a nominal incentive for their time and effort. All incentivized reviews are subject to our verification process prior to publication. KL Kaman L. CEO and therapist Mental Health Care ### "TheraNest Review" 4.0 Overall Rating 4.0 4.0 Ease of Use 4.0 4.0 Features 4.0 4.0 Customer Service 5.0 5.0 Likelihood to Recommend 2/10 June 30, 2026 It was helpful to have a colleague share their experience with me. The initiative financial referral got me hooked. Pros Good customer support. I can easily email them with concern and they will respond within 24 hours. I like that I can easily submit claims. Cons There’s a learning curve with learning different functions. In terms of self-learning to navigate the system, the learning library include other medical functions that the mental health system do not need. I feel like that was confusing when searching how to navigate the learning system. I think the cost to using the system is not easily accessible. There seems to be an additional cost to extra claim submissions, which isn’t an issue for me practice volume at this time. However, this was not clarified during the initial demo and illustration and expectation of cost for the customer. Review source Incentivized review: software users are invited to submit an honest review and offered a nominal incentive for their time and effort. All incentivized reviews are subject to our verification process prior to publication. Faith L. Therapist Mental Health Care ### "Progress in the making" 4.0 Overall Rating 4.0 4.0 Ease of Use 3.0 3.0 Features 3.0 3.0 Customer Service 5.0 5.0 Likelihood to Recommend 3/10 June 30, 2026 Pros The customer service chat and how quickly I receive a response from someone when I have a question is nice. Cons I have issues with clients not being able to log onto a Telehealth session. Sometimes it will say that they are connecting, or they haven't joined and they've been in the waiting room the whole time. It would be nice to have reminders about missing notes on the task page and not have to fill it out myself. Switched from [TherapyNotes, LLC](https://www.capterra.com/p/118981/TherapyNotes-com/) Our admin wanted a cheaper option, and be able to have interns to shadow sessions. Review source Incentivized review: software users are invited to submit an honest review and offered a nominal incentive for their time and effort. All incentivized reviews are subject to our verification process prior to publication. MS Melissa S. Operations Director Mental Health Care ### "Theranest has pulled it out!" 4.0 Overall Rating 4.0 4.0 Ease of Use 5.0 5.0 Features 4.0 4.0 Customer Service 5.0 5.0 Likelihood to Recommend 9/10 June 29, 2026 I will remain with Theranest for cost, ease of use, and the Clinical Group program. The only reason I gave 4 star instead of 5 is the NP notes but will upgrade review once this changes in the future. Pros Theranest has been through a lot but has finally smoothed out since Ensora aquired Theranest. I love the ease of use, they allow me to be a part of the feedback called Clinical Group where I get to test the updated applications before being rolled out to the general clinicians. I also make requests for added applications or to change applications. I love the subscription model where we pay per client group and not per individual clinicians. This has HELPED ME TREMENDOUSLY! I was with another EHR in the past and it was outrageous the price. I returned to Theranest after Ensora aquired Theranest and have not looked back. I also love that on the case notes I can modify the notes to meet my group's needs. Customer service is better today than in the past. I have not had any issues in the last 2 years with customer service. Cons The session/progress notes for the nurse practitioner is very limiting and did not meet our NP's needs. We had to do a lot of work arounds. This may be in the process of fixing not sure. Switched from [TherapyNotes, LLC](https://www.capterra.com/p/118981/TherapyNotes-com/) COST! Also as the biller TherapyNotes made it a lot more difficult than it needs to be. Too many steps for simple tasks. Review source Incentivized review: software users are invited to submit an honest review and offered a nominal incentive for their time and effort. All incentivized reviews are subject to our verification process prior to publication. JG Joesy G. Office Manager Mental Health Care ### "Theranest review from an Office Manager " 4.0 Overall Rating 4.0 4.0 Ease of Use 4.0 4.0 Features 4.0 4.0 Customer Service 5.0 5.0 Likelihood to Recommend 8/10 June 29, 2026 It has been great and easy to use and i have not had many problems and when I do they get resolved quickly. Pros it helps me when it comes to keeping track out Billing and Payments and my therapist busy schedules! Customer support is always super helpful when I've reached out or when there is a problem they are on it getting it fixed as quickly as they can! Cons I wish it would save the info automictically sometimes I get going and forget to hit save in the midst of it all and lose everything I typed in! Review source Incentivized review: software users are invited to submit an honest review and offered a nominal incentive for their time and effort. All incentivized reviews are subject to our verification process prior to publication. JC Jaylee C. Owner Mental Health Care ### "Excellent EHR for Growing Therapy Practices" 4.0 Overall Rating 4.0 4.0 Ease of Use 4.0 4.0 Features 4.0 4.0 Customer Service 4.0 4.0 Likelihood to Recommend 7/10 June 25, 2026 Overall, I had a very positive experience with TheraNest and would recommend it to therapists looking for a reliable electronic health record and practice management system. It helped me successfully grow and manage my practice for years. While I eventually outgrew it as my business model changed, I still believe it is an excellent choice for private practices that primarily provide therapy services. Pros TheraNest was easy to learn and gave me everything I needed to run my therapy practice efficiently. Scheduling, documentation, billing, and client management were all in one place, which made it much easier to focus on my clients instead of administrative work. As my practice grew into a group practice, it continued to be dependable and user-friendly. Cons As my business expanded beyond traditional therapy into coaching, education, and digital programs, I found TheraNest wasn’t built for those needs. I would have loved more flexibility with client journeys, automations, and integrations for businesses that offer both clinical services and coaching. Some workflows also felt limited compared to newer all-in-one business platforms. Alternatives considered [SimplePractice](https://www.capterra.com/p/130710/SimplePractice/) Reasons for choosing TheraNest Price was less with this product so did not go with the other Review source Incentivized review: software users are invited to submit an honest review and offered a nominal incentive for their time and effort. All incentivized reviews are subject to our verification process prior to publication. [View all Reviews](https://www.capterra.com/p/130400/TheraNest-Mental-Health/reviews/) ## Top-rated software of 2026 ### Fill out the form and we'll send a list of the top-rated software based on real user reviews directly to your inbox. 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