---
title: "TheraNest Software Reviews, Demo & Pricing - 2026"
description: "Review of TheraNest Software: system overview, features, price and cost information. Get free demos and compare to similar programs."
source_url: "https://www.softwareadvice.com/medical/theranest-profile/"
page_type: "product"
language: "en"
---

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TheraNest

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.

Overview

[Reviews](https://www.softwareadvice.com/medical/theranest-profile/reviews/)[Alternatives](https://www.softwareadvice.com/medical/theranest-profile/alternatives/)

# TheraNest Review

From $29-$89/month Free trial 3 plans

Wondering if TheraNest is right for your practice?

Our Mental Health EHR Software selection experts can help you in 15 minutes or less.

On this page

-   Overview
    
-   User Interface
    
-   Popular Alternatives
    
-   Pros and Cons
    
-   Pricing and Plans
    
-   Features
    
-   Integrations
    
-   User Reviews
    
-   Popular Comparisons
    

## Overview

TheraNest

4.4

[(1059)](https://www.softwareadvice.com/medical/theranest-profile/reviews/)

Pricing

Starting at $29.00 per user per month

### About TheraNest

TheraNest is an HIPAA-compliant web-based mental health solution used by solo practitioners, large mental health practices, and nonprofit organizations. The solution is suited for therapists, psychologists, psychiatrists, and social workers.

TheraNest offers electronic medical records (EMR) software with a mobile app for Android and iOS. The solution also includes a client portal, patient scheduling, DSM/ICD codes, progress notes, treatment plans, and discharge notes. Users can review and cosign notes and build custom forms.

TheraNest's billing features include insurance claims, credit card services, and batch invoices. Users can generate reports, including payroll, staff billing, and invoice reports. Unlimited document storage and unlimited support are included.

TheraNest's client portal allows clients to schedule appointments, complete demographic information, enter insurance information and submit intake forms from within their own secure accounts. Everything entered in the client portal will sync to clients’ accounts in TheraNest. The system also includes voice, text and email reminders for patients.

Wondering if TheraNest is right for your practice?

Our Mental Health EHR Software selection experts can help you in 15 minutes or less.

## TheraNest User Interface

## Popular TheraNest Alternatives

Main Product

TheraNest

4.4

[(1056)](https://www.softwareadvice.com/medical/theranest-profile/reviews/)

Ratings Breakdown

-   4.30Ease of use
-   4.24Value for money
-   4.38Customer support
-   4.12Functionality

Pricing

Starting at $29.00 per month

Get Price

Alternative Product

[Carepatron](https://www.softwareadvice.com/medical/care-patron-profile/)

4.4

[(860)](https://www.softwareadvice.com/medical/care-patron-profile/reviews/)

Ratings Breakdown

-   4.50Ease of use
-   4.55Value for money
-   4.48Customer support
-   4.25Functionality

Pricing

Starting at $23.00 per month

Get Price

Alternative Product

[TherapyNotes, LLC](https://www.softwareadvice.com/medical/therapynotes-profile/)

4.7

[(972)](https://www.softwareadvice.com/medical/therapynotes-profile/reviews/)

Ratings Breakdown

-   4.67Ease of use
-   4.59Value for money
-   4.74Customer support
-   4.48Functionality

Pricing

Starting at $69.00 per month

Get Price

Alternative Product

[AdvancedMD for Mental Health](https://www.softwareadvice.com/mental-health/advancedmd-profile/)

4.0

[(7)](https://www.softwareadvice.com/mental-health/advancedmd-profile/#reviews)

Ratings Breakdown

-   3.43Ease of use
-   3.0Value for money
-   3.0Customer support
-   3.43Functionality

Pricing

Starting at $0.01 per month

Get Price

Alternative Product

[EHRYourWay](https://www.softwareadvice.com/medical/ehryourway-profile/)

4.9

[(529)](https://www.softwareadvice.com/medical/ehryourway-profile/reviews/)

Ratings Breakdown

-   4.83Ease of use
-   4.85Value for money
-   4.86Customer support
-   4.82Functionality

Pricing

Available upon request

Get Price

Alternative Product

[Zanda Health](https://www.softwareadvice.com/medical/power-diary-profile/)

4.6

[(217)](https://www.softwareadvice.com/medical/power-diary-profile/reviews/)

Ratings Breakdown

-   4.48Ease of use
-   4.39Value for money
-   4.57Customer support
-   4.40Functionality

Pricing

Starting at $19.00 per month

Get Price

## TheraNest Pros and Cons

We analyzed 1,059 verified reviews for TheraNest to find out what actual users really think.

Select to learn more

Intuitive And User-Friendly Design

The platform is widely regarded as easy to use, with an intuitive layout that helps users quickly learn and navigate its features. Reviewers appreciate the straightforward setup, logical organization, and the ability to manage tasks efficiently without a steep learning curve, making daily operations smoother for individuals and teams.

Responsive And Personal Assistance

Ensora Mental Health offers highly responsive and personal customer support. Users consistently mention quick answers, patient guidance, and multiple ways to access help. The support team is praised for being courteous, thorough, and receptive to feedback, making onboarding and troubleshooting much easier for both new and experienced users.

Tailored For Therapy Workflows

Ensora Mental Health is designed with therapists in mind, offering tools that streamline documentation, treatment planning, and administrative tasks. Users highlight its suitability for solo practitioners and group practices, noting that it supports efficient note-taking, practice management, and growth as client and therapist needs evolve.

Limited Client-Facing Features

Users note challenges with client intake, communication, and document management. The system lacks robust tools for family accounts, client messaging, and demographic history. Pricing based on client count is seen as expensive, and difficulties with telehealth, document signing, and exporting data add to user frustration.

Complex And Unreliable Billing Tools

Billing features are frequently described as difficult to set up, confusing, and prone to errors. Users report issues with claims, EFTs, and ERAs, as well as limited customization and integration with accounting. Many find the billing system unintuitive, leading to mistakes, lost revenue, and frustration with support responsiveness.

Restricted Record Customization Options

Reviewers point out limitations in customizing clinical documentation, assessments, and forms. The platform is seen as lacking flexibility for medical providers, with cumbersome group notes, limited telehealth functionality, and difficulties updating or sharing patient information, making record management less efficient.

## TheraNest Pricing and Plans

TheraNest has three plans. Essentials is $29.00/user/mo billed monthly. Advanced is $59.00/user/mo billed monthly. Premier is $89.00/user/mo billed monthly.

Free trial

Essentials

$29.00

per user, per month

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

Essentials plan 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

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

Advanced plan 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

Starting at $89 per therapist per month. A complete solution for established practices. …

Premier plan includes:

-   Unlimited text & phone reminders†
-   Wiley Practice Planner included
-   Unlimited Telehealth (Individual + Group)
-   Unlimited claims processing†
-   Unlimited eligibility checks†
-   Insurance billing automation

Confused about pricing? We've got you covered.

Get a personalized pricing breakdown tailored to your specific needs—no guesswork, no generic estimates.

### How does TheraNest pricing compare to alternatives?

TheraNest's starting price is $29.00/user/month. Explore how its pricing and plan options compare with top alternatives below.

| Product | Starting price | Free trial | Free version | Value for Money |
| --- | --- | --- | --- | --- |
| TheraNest4.4[(1,059)](https://www.softwareadvice.com/medical/theranest-profile/reviews/) | $29.00 /user/mo | Available | Not available | 4.2 |
| [Carepatron](https://www.softwareadvice.com/medical/care-patron-profile/)4.4[(860)](https://www.softwareadvice.com/medical/care-patron-profile/reviews/) | $23.00 /user/mo | Available | Available | 4.5 |
| [TherapyNotes, LLC](https://www.softwareadvice.com/medical/therapynotes-profile/)4.7[(972)](https://www.softwareadvice.com/medical/therapynotes-profile/reviews/) | $69.00 /user/mo | Available | Available | 4.6 |
| [AdvancedMD for Mental Health](https://www.softwareadvice.com/mental-health/advancedmd-profile/)4.0[(7)](https://www.softwareadvice.com/mental-health/advancedmd-profile/reviews/) | $0.01 /mo | Not available | Not available | 3.0 |
| [EHRYourWay](https://www.softwareadvice.com/medical/ehryourway-profile/)4.9[(529)](https://www.softwareadvice.com/medical/ehryourway-profile/reviews/) | Pricing available upon request | Not available | Not available | 4.8 |

TheraNest4.4[(1,059)](https://www.softwareadvice.com/medical/theranest-profile/reviews/)

* * *

Starting price

$29.00 /user/mo

Free trial

Available

Free version

Not available

Value For Money

4.2

-   [Carepatron](https://www.softwareadvice.com/medical/care-patron-profile/)4.4[(860)](https://www.softwareadvice.com/medical/care-patron-profile/reviews/)
    
    * * *
    
    Starting price
    
    $23.00 /user/mo
    
    Free trial
    
    Available
    
    Free version
    
    Available
    
    Value For Money
    
    4.5
    
-   [TherapyNotes, LLC](https://www.softwareadvice.com/medical/therapynotes-profile/)4.7[(972)](https://www.softwareadvice.com/medical/therapynotes-profile/reviews/)
    
    * * *
    
    Starting price
    
    $69.00 /user/mo
    
    Free trial
    
    Available
    
    Free version
    
    Available
    
    Value For Money
    
    4.6
    
-   [AdvancedMD for Mental Health](https://www.softwareadvice.com/mental-health/advancedmd-profile/)4.0[(7)](https://www.softwareadvice.com/mental-health/advancedmd-profile/reviews/)
    
    * * *
    
    Starting price
    
    $0.01 /mo
    
    Free trial
    
    Not available
    
    Free version
    
    Not available
    
    Value For Money
    
    3.0
    
-   [EHRYourWay](https://www.softwareadvice.com/medical/ehryourway-profile/)4.9[(529)](https://www.softwareadvice.com/medical/ehryourway-profile/reviews/)
    
    * * *
    
    Starting price
    
    Pricing available upon request
    
    Free trial
    
    Not available
    
    Free version
    
    Not available
    
    Value For Money
    
    4.8
    

## TheraNest Features

-   Popular features found in Mental Health EHR
    
    Appointment Scheduling
    
    E-Prescribing
    
    Initial Assessments
    
    Therapy Notes
    
    Treatment Planning
    
-   More features of TheraNest
    
    Access Controls/Permissions
    
    Accounting
    
    Activity Dashboard
    
    Activity Tracking
    
    Alerts/Notifications
    
    API
    
    Appointment Management
    
    Automated Scheduling
    
    Billing & Invoicing
    
    Bill Payment
    
    Calendar Management
    
    Calendar Sync
    
    Care Plan Management
    
    Care Summaries
    
    Case Notes
    
    Charting
    
    Chat/Messaging
    
    Claims Management
    
    Claims Scrubbing
    
    Client Database
    
    Client Management
    
    Client Portal
    
    Clinical Notes
    
    Clinic Interoperability
    
    Code & Charge Entry
    
    Coding Assistance
    
    Communication Management
    
    Compliance Management
    
    Compliance Tracking
    
    Confirmations/Reminders
    
    Contact Database
    
    Credit Card Processing
    
    Customer Database
    
    Customizable Branding
    
    Customizable Fields
    
    Customizable Forms
    
    Customizable Templates
    
    Data Import/Export
    
    Data Security
    
    Decision Support
    
    Document Management
    
    Document Storage
    
    Document Templates
    
    Drag & Drop
    
    Dunning Management
    
    Electronic Payments
    
    Electronic Signature
    
    Email Reminders
    
    Employee Management
    
    EMR/EHR
    
    File Sharing
    
    Financial Management
    
    For Group Therapy
    
    For Medical Purposes
    
    For Mental/Behavioral Health
    
    Forms Management
    
    For Substance Abuse Therapy
    
    Generative AI
    
    Goal Setting/Tracking
    
    Health Record Access
    
    HIPAA Compliant
    
    Historical Reporting
    
    Income/Expense Tracking
    
    Insurance Eligibility Verification
    
    Insurance Management
    
    Intake Management
    
    Invoice History
    
    Invoice Management
    
    Medical Billing
    
    Medical History Records
    
    Mobile Access
    
    Mobile App
    
    Multi-Location
    
    Multi-Physician
    
    Multi-Provider Practice
    
    Notes Management
    
    One-to-One Messaging
    
    Online Booking
    
    Online Forms
    
    Patient Communications
    
    Patient Database
    
    Patient Engagement
    
    Patient Intake
    
    Patient Monitoring
    
    Patient Portal
    
    Patient Records Management
    
    Patient Scheduling
    
    Payment Collection
    
    Payment Processing
    
    Physician Management
    
    Physician Scheduling
    
    Practice Management
    
    Progress Notes
    
    Progress Reports
    
    Quotes/Estimates
    
    Real-Time Notifications
    
    Real-Time Reporting
    
    Records Management
    
    Referral Tracking
    
    Registration Management
    
    Reminders
    
    Remittance Advice
    
    Remote Treatment Planning
    
    Reporting/Analytics
    
    Reporting & Statistics
    
    Revenue Management
    
    Role-Based Permissions
    
    Scheduling
    
    Search/Filter
    
    Secure Data Storage
    
    Secure Messaging
    
    Self Service Portal
    
    Session Notes
    
    SMS Messaging
    
    SSL Security
    
    Staff Management
    
    Surveys & Feedback
    
    Task Scheduling
    
    Telemedicine
    
    Teletherapy
    
    Template Management
    
    Time Tracking
    
    Training Management
    
    Two-Way Audio & Video
    
    Video Conferencing
    
    Video Consultations
    
    Virtual Waiting Room
    
    Workflow Management
    

## TheraNest Integrations

Google Calendar

Integration rated 4.4 from 15 reviews

iCloud

Integration rated undefined from -1 review

Microsoft Outlook

Integration rated undefined from -1 review

## TheraNest User Reviews

## TheraNest customer ratings

- Overall rating: 4.4/5
- Total reviews: 1,059

### Rating distribution

- 5 stars: 599 reviews (57%)
- 4 stars: 322 reviews (30%)
- 3 stars: 86 reviews (8%)
- 2 stars: 23 reviews (2%)
- 1 star: 29 reviews (3%)

### Secondary ratings

- Ease of use: 4.3/5
- Value for money: 4.2/5
- Customer support: 4.4/5
- Functionality: 4.1/5

---

### TheraNest Makes Client Documentation Easy

- Overall rating: 4/5
- Reviewer: Krys M.
- Industry: Mental Health Care
- Company size: 11-50 employees
- Reviewed: November 2026
- Review source details: This reviewer was invited by the software vendor to submit an honest review and offered a nominal incentive as a thank you.

TheraNest makes it significantly easier for me to complete my notes on time with its format.

#### Ratings breakdown

- Ease of use: 4/5
- Customer support: 4/5

#### Pros

TheraNest is relatively easy to use, especially with the client documentation piece.

#### Cons

Some things can feel a bit cyclical; I would love for there to be more ease regarding family and couples cases.

---

### TheraNest solution for daily practice operations

- Overall rating: 5/5
- Reviewer: Verified Reviewer
- Industry: Health, Wellness and Fitness
- Company size: 501-1000 employees
- Product usage: less than 1 year · weekly
- Reviewed: October 2026
- Review source details: This reviewer was invited by us to submit an honest review and offered a nominal incentive as a thank you.

Overall it’s a great platform for managing appointments, documentation, billing, health practices. Although customer support and workflow features could be improved

#### Ratings breakdown

- Ease of use: 5/5
- Value for money: 4/5
- Customer support: 4/5
- Functionality: 5/5

#### Pros

It’s user friendly features helps manage appointments scheduling along with reminders convenient.It has efficient billing and payment integration.

#### Cons

Sometimes customers support take more than usual time. For new businessss prices are higher. Staff and workflow interface can be improved

#### Vendor response

Thank you for the kind words, Arsalan! We're glad the scheduling, reminders, and billing integration have been working well for you. The feedback on support response times, pricing for new businesses, and the workflow interface are all noted and we'll make sure they get to the right team. If you ever want to share more, don't hesitate to reach out at feedback@ensorahealth.com (put 'Madison' in the subject line to route to me directly). Madison TheraNest by Ensora Health

Replied October 2026

---

### Gestionale perfetto per gli studi di psicologia, ma inutile al di fuori del settore clinico

- Overall rating: 4/5
- Reviewer: Verified Reviewer
- Industry: Internet
- Company size: Self-Employed
- Product usage: less than 1 year · monthly
- Reviewed: September 2026
- Review source details: This review was submitted organically. No incentive was offered

Esattamente come ShareCRF, è un software di nicchia. Fa benissimo il suo lavoro per chi gestisce uno studio di psicoterapia, consulenza o riabilitazione, aiutando a tenere separata la burocrazia dalla pratica clinica. Tuttavia, per un utente normale o uno studente in cerca di un'app di produttività generale, è assolutamente fuori contesto.

#### Ratings breakdown

- Ease of use: 3/5
- Value for money: 3/5
- Customer support: 4/5
- Functionality: 4/5

#### Pros

Se ti capita di fare un lavoretto part-time come segretario in uno studio medico o stai affrontando un tirocinio universitario in ambito clinico, questo software ti fa capire esattamente come si gestisce il lavoro nel mondo reale. Raccoglie in un solo posto l'agenda degli appuntamenti, le cartelle dei pazienti e la fatturazione. Lo strumento per prendere appunti dopo le sessioni (le famose "progress notes") è molto ordinato e garantisce che i dati sensibili siano protetti a dovere.

#### Cons

È un programma ultra-specifico e totalmente inflessibile. Non puoi adattarlo per gestire progetti universitari, liste di cose da fare o lavori di gruppo, perché ogni campo è pensato per i "pazienti" e le "terapie". Inoltre, molte automazioni legate alla fatturazione e alle assicurazioni sanitarie sono palesemente tarate sul sistema americano, il che lo rende un po' macchinoso da configurare se lo si deve utilizzare in Italia.

#### Vendor response

Thank you for the thoughtful and honest review, Giovanni! You hit the nail on the head; TheraNest is purpose-built for clinical practices, so it's not the right fit for general productivity or university projects. We're glad it gave you a clear window into how a real clinical setting operates, and that the progress notes and patient management features made an impression. Thanks for sharing your perspective! Madison TheraNest by Ensora Health

Replied September 2026

---

### Inconsiderate

- Overall rating: 1/5
- Reviewer: Verified Reviewer
- Industry: Mental Health Care
- Company size: 2-10 employees
- Product usage: 3-5 years · daily
- Reviewed: September 2026
- Review source details: This review was submitted organically. No incentive was offered

Just a heads up for other private practice owners considering TheraNest. Our practice signed up for an annual plan while we were in the process of transitioning to Jane. We realized TheraNest didn't have the functionality our practice needed long-term, so we began migrating our client files and only needed TheraNest for another month or two while we completed the transition. Once the migration was finished, we reached out multiple times to ask if they would allow us to end the contract early or work with us on a reasonable solution. They declined every request and are requiring us to pay for the full remaining year. As a result, our small private practice is now paying for two EHR systems at the same time—Jane, which we actively use every day, and TheraNest, which we no longer use at all. What has been most disappointing isn't simply the annual contract itself. It's that, despite multiple good-faith requests, TheraNest was unwilling to offer any flexibility or reasonable accommodation for a small practice that no longer needed the platform. I'm sharing our experience because I think other therapists deserve to know what to expect before signing an annual agreement. If there's any chance your practice may outgrow the platform or you're considering it as a temporary solution while transitioning to another EHR, make sure you're comfortable with the possibility of paying for the entire year regardless. Please read the annual contract carefully before choosing TheraNest.

#### Ratings breakdown

- Ease of use: 3/5
- Value for money: 1/5
- Customer support: 1/5
- Functionality: 3/5

#### Pros

Before the company became Ensora Health, there was an option to request a refund for the unused portion of a plan. This was especially helpful for small businesses that needed to cancel their subscription before the plan period ended. Having the ability to recover payment for unused services provided a greater sense of fairness and flexibility. After the transition to Ensora Health, however, this option appears to have changed or become unavailable. It would be helpful if the company continued offering refunds for unused plan periods, particularly when customers cancel their subscriptions and no longer need the services they paid for.

#### Cons

The interface feels outdated, and the customer support experience has been disappointing. There also seems to be little consideration for small businesses. Even after canceling the plan, they may continue billing you, and the system does not allow you to remove the card on file. This means they can continue charging the card if you forget to cancel a separate subscription, even after you have canceled the main plan.

#### Vendor response

Thank you for sharing your experience so openly. We're really sorry the transition period was so hard, and we completely understand how frustrating it must be to pay for two systems at the same time. We never want any practice, especially a small one, to feel like they're stuck without options. To give some context for others reading this: our annual plans are priced lower than month-to-month because they're built around a full-term commitment, and those terms, including the 90-day notice and non-refundable policy, are outlined before signing. That said, we always want practices to go into that decision with full clarity, and we're sorry if that wasn't the case here. Please reach out at feedback@ensorahealth.com (put 'Madison' in the subject line to route to me directly) and we'd love the chance to talk through your situation. Madison TheraNest by Ensora Health

Replied September 2026

---

### TheraNest of problems

- Overall rating: 2/5
- Reviewer: Andrea N.
- Industry: Mental Health Care
- Company size: Self-Employed
- Product usage: less than 1 year · daily
- Reviewed: September 2026
- Review source details: This review was submitted organically. No incentive was offered

Support staff is not capable of meeting workflow issues in a timely manner. The chat support service is a runaround to having to put in a ticket anyway.

#### Ratings breakdown

- Ease of use: 2/5
- Value for money: 1/5
- Customer support: 1/5
- Functionality: 2/5

#### Pros

At first I was very happy with the AI function as I had surgery which made typing very difficult. They helped with transferring my client files from Thera-link to TheraNest.

#### Cons

I did receive one year free since I switched from Thera-Link to Thera-Nest. The support group was initially helpful but after a month I was told the representative that did my onboarding to the software did not have enough bandwidth for my issues and I needed to start using the Hub. I have contacted them on multiple occasions because their calendar only pushes out it does not accept incoming info when it syncs with my Google calendar. I was simply told that was not going to get addressed until next year so I would have to deal with it. Forget my workflow and double bookings. Now in addition I have begun using their billing tool, which they charge an add on fee to use, when I wrote TheraNest to indicate that I was having issues with not being able to sign my note or change the status of the session, [sensitive content hidden], their support person, wrote me back and indicated: " In this case you will need to remove the payment from the invoice, delete the invoice, edit the statues, then create the invoice again and reapply the payment." Once again I am being asked to deal with/fix their software bugs because they don't want to or don't have the qualified people to do it. I called and asked to speak to a supervisor and was told none was available today cause yeah, it's Friday. The needs of my clients and the needs of my company are not important to TheraNest, and they will send my concerns to management which will contact me at THEIR earliest convenience. I will not be renewing with TheraNest.

#### Vendor response

Andrea, thank you for sharing this and we're truly sorry. You came to TheraNest during a really difficult time personally, and the last thing you should have experienced was being passed around and told to wait until next year for a fix that was affecting your daily workflow. That's not okay, and we hear you. The calendar sync issue, the billing tool workaround, and not being able to reach a supervisor when you needed one are all things that deserved better attention than you received. We'd really like the chance to make this right. Please reach out at feedback@ensorahealth.com (put 'Madison' in the subject line to route to me directly) and I will personally make sure your concerns are escalated to the right people right away. Madison TheraNest by Ensora Health

Replied September 2026

---

### Basic practice management, but we quckly outgrew it

- Overall rating: 1/5
- Reviewer: Verified Reviewer
- Industry: Mental Health Care
- Company size: 51-200 employees
- Product usage: 3-5 years · daily
- Reviewed: September 2026
- Review source details: This review was submitted organically. No incentive was offered

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.

#### Ratings breakdown

- Ease of use: 3/5
- Value for money: 1/5
- Customer support: 1/5
- Functionality: 1/5

#### 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.

#### Vendor response

Fourteen years means a lot to us, and we're truly sorry your experience ending the subscription left such a bitter taste. Growing from a solo clinician to a 50+ person practice is no small feat, and we wish we had done a better job supporting that growth and your transition out. The concerns you've raised around the billing charges and having to download files individually are things we want to understand better. Please reach out at feedback@ensorahealth.com (put 'Madison' in the subject line to route to me directly) and I will personally make sure your account is reviewed and your concerns are taken seriously. Madison TheraNest by Ensora Health

Replied September 2026

---

### Overall a good experience

- Overall rating: 4/5
- Reviewer: Verified Reviewer
- Industry: Health, Wellness and Fitness
- Company size: Self-Employed
- Product usage: 1-3 years · monthly
- Reviewed: July 2026
- Review source details: This reviewer was invited by us to submit an honest review and offered a nominal incentive as a thank you.

Overall, my experience has been good. I do value excellent customer service and I do feel like Theranest has this.

#### Ratings breakdown

- Ease of use: 4/5
- Value for money: 3/5
- Customer support: 5/5
- Functionality: 4/5

#### 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.

---

### Great Company

- Overall rating: 5/5
- Reviewer: Verified Reviewer
- Industry: Mental Health Care
- Company size: 2-10 employees
- Product usage: 3-5 years · daily
- Reviewed: July 2026
- Review source details: This reviewer was invited by us to submit an honest review and offered a nominal incentive as a thank you.

I've been with TheraNest for many years. I've always love using the platform and the customer service is excellent.

#### Ratings breakdown

- Ease of use: 5/5
- Value for money: 5/5
- Customer support: 5/5
- Functionality: 5/5

#### 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.

---

### CSPG appreciation

- Overall rating: 4/5
- Reviewer: Verified Reviewer
- Industry: Mental Health Care
- Company size: 2-10 employees
- Product usage: less than 1 year · weekly
- Reviewed: July 2026
- Review source details: This reviewer was invited by us to submit an honest review and offered a nominal incentive as a thank you.

Overall, the EHR helped me begin my business with a professional look and a sense of order and structure.

#### Ratings breakdown

- Ease of use: 4/5
- Value for money: 5/5
- Customer support: 5/5
- Functionality: 5/5

#### 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.

---

### A Valuable Experience with Important Lessons Learned

- Overall rating: 5/5
- Reviewer: Verified Reviewer
- Industry: Health, Wellness and Fitness
- Company size: 2-10 employees
- Product usage: less than 1 year · daily
- Reviewed: July 2026
- Review source details: This reviewer was invited by us to submit an honest review and offered a nominal incentive as a thank you.

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.

#### Ratings breakdown

- Ease of use: 4/5
- Customer support: 5/5
- Functionality: 5/5

#### 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.

---

Showing 1 - 10 of 1059 Reviews

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