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SimplePractice vs TheraNest

SimplePractice vs. TheraNest: 2026 Comparison

Updated July 8, 2025 at 1:16 AM

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Written by Lisa Morris

Associate Principal Analyst

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Edited by Caroline Rousseau

Senior Editor

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On this page
  • Introduction
  • Comparison Snapshot
  • Pricing Comparison
  • Reviewers Perspective
  • Key Features Comparison
  • Bottom Line
  • Other Popular Comparisons
SimplePractice

This product is mostly used by small practices, and 60% of users are mental health providers.

Starting Price: $49.00 per month

Pros:

  • Comprehensive practice management
  • Efficient appointment scheduling
  • Extensive video tutorials

Cons:

  • Lack of phone support
Pros & Cons
VS
TheraNest

Reviews data shows that 98% of Ensora Mental Health users are small mental health practices.

Starting Price: $29.00 per month

Pros:

  • Streamlined counseling management
  • Active user feedback integration
  • Continuous growth and updates

Cons:

  • Limited form customization
Pros & Cons
Why You Can Trust Our Comparison

3,809 verified reviews evaluated

196 features analyzed

8 integrations considered

Comparison Snapshot

SimplePractice
SimplePractice
TheraNest
TheraNest

Starting Price

$49.00

per month, flat rate

$29.00

per month, per user

Overall Rating

4.6
(2813)
4.4
(996)
Integrations
Google Calendar
Google Calendar
Stripe
Stripe
Microsoft Outlook
Microsoft Outlook
Google Calendar
Google Calendar
Microsoft Outlook
Microsoft Outlook
iCloud
iCloud
See All
Top Rated Features
Graphical Data Presentation
5.0
Document Storage
5.0
Faculty/Staff Management
5.0
Forms Management
5.0
Recurring Appointments
5.0
Reminders
5.0
See All

Pricing Comparison

SimplePractice
SimplePractice

Starting Price

$49.00 / month

All plans include an free, 30-day trial of the Plus plan. No credit card required. The tax charges are applicable.
Free trial
Free version

Starter

$49.00 / month

All plans include an free, 30-day trial of the Plus plan. No credit card required. The tax charges are applicable.

Essential

$79.00 / month

It includes an 30-day trial of the Plus plan.

Plus

$99.00 / month

Plus plan can be customized for group practices. Pricing includes two clinicians at $158/month starting with $99 first clinician and $59 each additional clinician.
See All Pricing Plans
TheraNest
TheraNest

Starting Price

$29.00 / month

Starting at $29 per month - perfect for solo therapists just starting out.
Free trial
Free version

Essentials

$29.00 / month

Starting at $29 per month - perfect for solo therapists just starting out.

Advanced

$59.00 / month

$59 per therapist per month. Ideal for practices ready for more automation.

Premier

$89.00 / month

Starting at $89 per therapist per month. A complete solution for established practices.
See All Pricing Plans

Ensora Mental Health is priced per therapist, per month. Their plans range from $26.58 up to $81.58, with free trials and demos available for every plan. There is also an offer in which users who sign up for an annual plan will get one month free.

SimplePractice also has three pricing plans, each paid monthly. Their plans range from $49 to $99 per month, with a 30-day free trial to explore their tools.

Ensora has more positive feed...

back from reviewers (79%) than SimplePractice (68%), thanks to its client-based pricing, which appeals to small and growing practices. Ensora users like the ability to adjust features, but they’re unhappy with frequent rate hikes and high fees for add-ons. In contrast, SimplePractice’s tiered plans and included essential features suit solo practitioners, although recent price increases and moving key features to higher tiers have frustrated users, especially those in group practices who find the cost of adding clinicians high.
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Reviewers Perspective

Ease of Use

SimplePractice

SimplePractice Reviewers Rating

4.4/ 5

"The interface is a little too busy and for some may be a bit overwhelming…"

3.0

Katerina P.
Therapist
Used for 1-2 years
VS
TheraNest

TheraNest Reviewers Rating

4.3/ 5

"Good user experience, easy import of client data, calendar integration..."

5.0

Ken M.
Founder
Used for less than 6 months

When comparing ease of use, both Ensora (114 reviews, 83% positive) and SimplePractice (185 reviews, 86% positive) receive high marks for their intuitive interfaces, but each has distinct strengths and weaknesses according to users.

What Ensora Mental Health users like:

  • User-friendly, clean, and modern interface
  • Pleasant color scheme and logical workflow
  • Customizable templates and layout
  • Easy setup for locations, payments, and bill...
ing - Integration of helpful features like Wiley Planner and Progress Notes - Responsive and helpful customer service What they dislike: - Small or inconvenient text boxes, requiring scrolling for longer entries - Telehealth platform performance issues on some mobile devices - Initial confusion with layout and a learning curve for new users - Limited customization for individual functions and templates - Lack of integration with national labs and inability to add adjustment reason codes What SimplePractice users like: - Clean, intuitive, and accessible interface across devices - Integration of essential features (payment processing, notes, intake forms) - Mobile app access and seamless web/mobile synchronization - Customizable options and regular updates based on feedback - Telehealth integration and streamlined practice management What they dislike: - Interface can feel busy, outdated, or less intuitive to some - Mobile app has fewer features than web version and can be slow to load - Some icons and functions are confusing - Limited customization in certain areas - Issues with integration of labs and Stripe - Mixed experiences with customer support Overall, both products do a good job of simplifying practice management, though users of each software point out areas where the interface or customization could be improved.

Value for Money

SimplePractice

SimplePractice Reviewers Rating

4.3/ 5

"It excels for solo providers...while being highly affordable."

5.0

Stacy B.
Virtual Medical Assistant and Advisor with marketing expertise
Used for 6-12 months
VS
TheraNest

TheraNest Reviewers Rating

4.2/ 5

"As my practice has grown, it has been easy to adjust my subscription..."

5.0

Brandi D.
Licensed Marriage and Family Therapist
Used for 6-12 months

Ensora (150 reviews, 79% positive) and SimplePractice (299 reviews, 68% positive) both offer flexible pricing models, but user satisfaction differs due to specific strengths and drawbacks.

What Ensora users like:

  • Pricing based on number of clients, not users—beneficial for small or fluctuating practices
  • Ability to start at a low cost and add/remove features as needed
  • Option to archive/unarchive clients to control costs
  • Telehealt...
h available for a nominal fee - Free trial helps users evaluate before committing What they dislike: - Frequent rate increases and rising costs for add-on features - Significant hikes in telehealth fees - No price reduction as client list grows, making it expensive for larger practices - High costs for treatment planners and credit card processing - Free trial is limited and doesn’t show all software capabilities What __SimplePractice users__ like: - Flexible, tiered pricing that allows starting small and upgrading as needed - Free month trial and annual payment discounts - Basic plan includes essentials like tele-therapy, scheduling, and secure emailing at no extra cost - Competitive pricing for solo practitioners and small businesses - Many included features that are extra on other EHR platforms What they dislike: - Recent price increases and restructuring have moved basic features to higher-priced tiers - Users feel forced to pay for features they don’t need - High cost of adding clinicians makes it less affordable for group practices - Lack of customization and perceived value for money - Some users are considering switching due to these changes Overall, Ensora is a flexible and cost-effective solution for smaller or growing practices but rising fees and limited scaling options are concerns. SimplePractice is valued for its competitive entry-level pricing and included features, but recent changes and higher costs for group practices have led to dissatisfaction for some users.

Customer Support

SimplePractice

SimplePractice Reviewers Rating

4.4/ 5

"...the customer service is simply amazing very helpful"

4.0

Jana S.
Photography
Used for less than 6 months
VS
TheraNest

TheraNest Reviewers Rating

4.4/ 5

"Customer service is attentive and knowledgeable..."

5.0

Jennifer L.
Therapist/Business Owner
Used for 2+ years

When it comes to customer support, Ensora (277 reviews, 81% positive) and SimplePractice (620 reviews, 75% positive) are both considered helpful and responsive, but users highlight important differences and recurring issues.

What Ensora users like:

  • Responsive and helpful support team, often available via convenient chat
  • Quick, efficient answers during business hours
  • Knowledgeable, courteous, and patient staff
  • Accessible support...
for all providers, including interns and residents - Useful self-help resources, like a knowledge base and how-to videos - Receptive to user suggestions for improvements What they dislike: - Long wait times for responses, especially for urgent issues - Occasional unhelpful or irrelevant answers - Some problems not fully resolved - Perceived decline in support quality after company merger - Lack of live support and reliance on automated responses - Inconsistent quality—some users get excellent help, others face delays What __SimplePractice users__ like: - Fast, friendly, and efficient support, often responding within a day or less - Helpful email support, video tutorials, and training resources - Personal and caring support experiences - Commitment to user feedback and ongoing improvements What they dislike: - No live phone or chat support, inconvenient for urgent needs - Occasional slow or unresponsive service - Canned or scripted replies that don’t resolve issues - Rigid support team, offering workarounds instead of solutions - Multiple email exchanges needed for problem resolution - Perception that the company prioritizes profit over customer needs Overall, both platforms offer responsive and knowledgeable support, but Ensora users note inconsistency and recent declines in quality, while SimplePractice users are frustrated by the lack of live support and impersonal responses for complex or urgent issues.

Expert Analysis of Features

Appointment scheduling

SimplePractice

SimplePractice Feature Rating

4.50 / 5

VS
TheraNest

TheraNest Feature Rating

4.30 / 5

According to reviewers, Ensora offers easy scheduling, recurring appointments, and reminders, making daily management straightforward. They appreciate the client self-scheduling option, though some find the interface confusing and report issues with separating clinician schedules and occasional calendar malfunctions. 

SimplePractice stands out for reducing administrative work and allowing patients to self-schedule, but users note some limitations, such as the inability to choose between virtual and in-person appointments and no overbooking alerts.

While Ensora provides strong scheduling tools with some usability concerns, SimplePractice receives slightly higher ratings for streamlining scheduling, though it could benefit from more flexible options.

Appointment scheduling in Ensora Mental Health

Appointment scheduling for Ensora Mental Health:

Of the 22 reviewers who gave detailed accounts of their use of the appointment scheduling feature, 100% rated it as important or highly important.

Appointment scheduling for SimplePractice:

Of the 15 reviewers who gave detailed accounts of their use of the appointment scheduling feature, 100% rated it as important or highly important.

EMR/EHR

SimplePractice

SimplePractice Feature Rating

4.40 / 5

VS
TheraNest

TheraNest Feature Rating

4.20 / 5

Ensora and SimplePractice both receive positive feedback for their electronic records features. Users like Ensora for its ease of use, customization, and features that streamline documentation, record access, and confidential communication. Users also appreciate the integration of clinical records with billing and the overall organization of client services, though some note a decline in product quality and dissatisfaction with support. 

SimplePractice stands out for its comprehensive, user-friendly EHR, customizable forms, and seamless integration with billing and scheduling. However, some users report challenges with accessibility for disabled users and occasional billing integration issues. 

While Ensora offers strong customization and documentation tools, SimplePractice earns higher marks for its all-in-one approach and ease of use, despite some accessibility concerns.

Therapy notes in Ensora Mental Health

EMR/EHR for Ensora Mental Health:

Of the 14 reviewers who gave detailed accounts of their use of the EMR/EHR feature, 100% rated it as important or highly important.

EMR/EHR for SimplePractice:

Of the 19 reviewers who gave detailed accounts of their use of the EMR/EHR feature, 95% rated it as important or highly important.

HIPAA compliance

SimplePractice

SimplePractice Feature Rating

4.60 / 5

VS
TheraNest

TheraNest Feature Rating

4.80 / 5

Ensora and SimplePractice are both recognized for their HIPAA compliance, a feature nearly all reviewers consider crucial for safeguarding client information. Ensora provides staff and clients with confidence in data security, adherence to legal standards, and HIPAA-compliant telehealth services. Some users, however, mention concerns about occasional errors in client profile visibility and document sharing. 

SimplePractice is valued for secure document storage and the sense of security it brings, but some users are uneasy about the lack of multi-factor authentication and reports of information breaches, which impact overall trust. 

While Ensora earns a slightly higher average rating for HIPAA compliance and is commended for its robust security features, SimplePractice is also trusted for confidentiality, though some users seek stronger security measures.

Client records with Ensora Mental Health

HIPAA compliance for Ensora Mental Health:

Of the 23 reviewers who gave detailed accounts of their use of the HIPAA compliance feature, 96% rated it as important or highly important.

HIPAA compliance for SimplePractice:

Of the 26 reviewers who gave detailed accounts of their use of the HIPAA compliance feature, 100% rated it as important or highly important.

Bottom Line:

All-in-one convenience

SimplePractice is ideal for solo practitioners and small practices wanting comprehensive management tools, efficient scheduling, and a user-friendly interface across devices. It offers tiered pricing with essential features included and video tutorials. However, users are frustrated by recent price increases, lack of phone support, limited customization, and higher costs for group practices.

Powerful for growing practices

Ensora Mental Health is best for small and growing mental health practices seeking flexible, client-based pricing and a user-friendly interface. It stands out for streamlined counseling management, active integration of user feedback, and strong HIPAA compliance. While users value its customizable templates and responsive support, some report rising costs and occasional support inconsistencies.

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Sources

  1. Our independent and objective research is based on market demand signals along with analysis of our proprietary data, including product information, verified user reviews, and advisor conversations with buyers. We did not consider client status when selecting products in this list.

  2. Product descriptions: In our descriptions of each featured product, we included the following details:

Most valued features: Our research team analyzed verified mental health software reviews on Software Advice to identify each product’s highest-rated features (among features with at least 5 reviews). We then summarized user sentiment using real reviews for each feature.
Review excerpts: Review excerpts are passages extracted from longer reviews written by verified reviewers. We obtain these excerpts by applying an algorithm that considers factors including, but not limited to, length, sentiment, topic coverage, and thematic relevance. Excerpts represent user opinion and do not represent the views of, nor constitute, an endorsement by Software Advice or its affiliates. Excerpts are trimmed for brevity.