Best Therapy practice management software for 2026

Practice management and EHR for therapists, counselors, psychologists and mental health group practices: scheduling, notes, telehealth, insurance billing and a client portal. Below: the names buyers expect to see, the newer tools gaining ground, and how their key features and prices compare. How we pick; nobody pays for a place here.

Feature SimplePractice Category leader TheraNest Category leader TherapyNotes Category leader Valant Category leader Oasys Rising
Pricing$49/month$29/therapist/mo$69/monthContact salesFree plan
$79/mo (billed annually)
Best forSolo therapists and small group practices that want one tool for notes, telehealth, insurance claims and a client portal.Solo to growing group mental health practices that want unlimited clients and flexible forms, with per-therapist pricing.Solo and group behavioral health practices that bill insurance and need supervision and co-signing built in.Psychiatry and therapy practices from small to large that want outcome measures, ePrescribing and optional outsourced billing in one EHR.Group therapy practices with interns or associates that need supervision sign-off and role-based access.
Team size1–500 people1–500 people1–500 people2–500+ people2–500 people
Scheduling YesYesYesYesYes
Progress notes YesYesYesYesYes
Telehealth YesYesYesYesYes
Insurance billing YesYesYesYesYes
Client portal YesYesYesYesYes
HIPAA compliance YesYesYesYesYes
VisitVisit Visit Visit Visit Visit

The best-known therapy practice management tools: the ones most buyers shortlist.

Therapy practice management Category leader

SimplePractice

$49/month 1–500 people

All-in-one EHR and practice management for therapists

Key features

  • Scheduling
  • Progress notes
  • Telehealth
  • Insurance billing
  • Client portal
  • HIPAA compliance

Therapy practice management Category leader

TheraNest

$29/therapist/mo 1–500 people

Mental health EHR for solo and group practices, by Ensora Health

Key features

  • Scheduling
  • Progress notes
  • Telehealth
  • Insurance billing
  • Client portal
  • HIPAA compliance

Therapy practice management Category leader

TherapyNotes

$69/month 1–500 people

Behavioral health EHR with notes, billing, scheduling and telehealth

Key features

  • Scheduling
  • Progress notes
  • Telehealth
  • Insurance billing
  • Client portal
  • HIPAA compliance

Therapy practice management Category leader

Valant

Contact sales 2–500+ people

Behavioral health EHR with billing, telehealth and outcome measures

Key features

  • Scheduling
  • Progress notes
  • Telehealth
  • Insurance billing
  • Client portal
  • HIPAA compliance

Newer tools with real traction and a clear difference from the leaders.

Therapy practice management Rising

Oasys

Free plan· $79/mo (billed annually) 2–500 people

AI-native practice management built for therapy group practices

Key features

  • Scheduling
  • Progress notes
  • Telehealth
  • Insurance billing
  • Client portal
  • HIPAA compliance

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