SimplePractice vs. TheraNest: 2026 Comparison
Updated July 8, 2025 at 1:16 AM
Written by Lisa Morris
Associate Principal Analyst
Edited by Caroline Rousseau
Senior Editor
Software Advice offers objective insights based on verified user reviews and independent product and market research. When our advisors match you to a software provider, we may earn a referral fee.
Software Advice lists all providers across its website—not just those that pay us—so that users can make informed purchase decisions. Users can talk to our advisors for free to receive software recommendations matching their needs. Software providers pay us for sponsored profiles to reach users interested in their products.
Software Advice carefully verified over 2 million reviews to bring you authentic software experiences from real users. Our human moderators verify that reviewers are real people and that reviews are authentic. They use leading tech to analyze text quality and to detect plagiarism and generative AI.
Researchers at Software Advice use a mix of verified reviews, independent research, and objective methodologies to bring you selection and ranking information you can trust. While we may earn a referral fee when you visit a provider through our links or talk to an advisor, this has no influence on our research or methodology.

Talk with us for a free 15-min consultation
Expert advisors like Jacqueline, who have helped 1,000+ practices, can find the right software for your needs.
- Introduction
- Comparison Snapshot
- Pricing Comparison
- Reviewers Perspective
- Key Features Comparison
- Bottom Line
- Other Popular Comparisons

This product is mostly used by small practices, and 60% of users are mental health providers.
Pros:
- Comprehensive practice management
- Efficient appointment scheduling
- Extensive video tutorials
Cons:
- Lack of phone support
3,809 verified reviews evaluated
196 features analyzed
8 integrations considered
Comparison Snapshot
Starting Price
$49.00
Starting Price
$29.00
Pricing Comparison
Starting Price
$49.00 / month
Starter
$49.00 / month
Essential
$79.00 / month
Plus
$99.00 / month
Starting Price
$29.00 / month
Essentials
$29.00 / month
Advanced
$59.00 / month
Premier
$89.00 / month
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.
Confused about pricing? We've got you covered.
Get a personalized pricing breakdown tailored to your specific needs—no guesswork, no generic estimates.
Reviewers Perspective
Ease of Use
SimplePractice Reviewers Rating
"The interface is a little too busy and for some may be a bit overwhelming…"
3.0
TheraNest Reviewers Rating
"Good user experience, easy import of client data, calendar integration..."
5.0
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...
Value for Money
SimplePractice Reviewers Rating
"It excels for solo providers...while being highly affordable."
5.0
TheraNest Reviewers Rating
"As my practice has grown, it has been easy to adjust my subscription..."
5.0
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...
Customer Support
SimplePractice Reviewers Rating
"...the customer service is simply amazing very helpful"
4.0
TheraNest Reviewers Rating
"Customer service is attentive and knowledgeable..."
5.0
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...
Expert Analysis of Features
Appointment scheduling
SimplePractice Feature Rating
4.50 / 5
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 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 Feature Rating
4.40 / 5
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.
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 Feature Rating
4.60 / 5
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.
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:
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.
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.
Other Popular Comparisons

Stuck Between Options?
Our experts can help you compare top options, so you can find the best fit for your needs.
See what companies are saying about Software Advice
Sources
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.
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.




