Top 10 EHR & Practice Management Software for Private-Practice Therapists (2026)
Last updated October 11, 2026. Ranked by our scoring system against the published rubric and reviewed by an editor.
Quick answer: the top 10
| Rank | Product | Score /10 | Best for | Solo price (list, monthly) |
|---|---|---|---|---|
| 1 | SimplePractice | 8.4 | solo therapists who want the most complete all-in-one | $49-$99/mo [SPR1] |
| 2 | Jane | 8.3 | clinics that want polished online booking | $59/mo (Balance) [JN1] |
| 3 | Sessions Health | 8.2 | cost-conscious solo therapists | Freemium; $39/mo [SH1] |
| 4 | TherapyNotes | 8.2 | insurance-heavy practices that want strong billing | $69/mo solo (support article) [TN1] |
| 5 | IntakeQ / PracticeQ | 7.7 | intake-form-heavy practices | $84.90/mo (Practice Mgmt) [IQ1] |
| 6 | Practice Better | 7.5 | coaching-adjacent and nutrition practices | $35/mo (Starter) [PBT1] |
| 7 | Healthie | 7.3 | wellness and integrative practices with programs | $19.99/mo (Core) [HL1] |
| 8 | TherapyAppointment | 7.2 | new practices ramping up caseloads | $10-$59/mo (volume-based) [TA1] |
| 9 | TheraNest | 7.1 | therapists who want low per-therapist pricing with telehealth | $29/therapist/mo (third-party) [TH2] |
| 10 | Owl Practice | 6.9 | Canadian therapists (our judgement, not a vendor claim) | Not published [OW1] |
Rankings on this page are unpaid. There are no affiliate links yet. Disclosure.
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How we ranked them (method and rubric)
- Candidates: 11 products compared for this list. Acuity Scheduling, Headway and Alma were left out (see appendix). Owl Practice and Valant are included with prices not published.
- Core-job requirement: the product must provide clinical documentation (notes) in a HIPAA-oriented EHR, not just scheduling or credentialing. Security is still weighted at the standard 5%, because the gate already enforces HIPAA readiness.
- Evaluation: Desk research only. Every product was researched, not hands-on tested. How the scores are calculated is on the methodology page.
- Reviews: G2 and Capterra ratings checked 2026-10-11 [VR]. How those ratings become a score is on the methodology page.
- Typical user, for pricing: a solo licensed therapist seeing 20-25 clients a week, billing some insurance.
Weights (standard SaaS rubric, unchanged)
| Criterion | Weight |
|---|---|
| Features & fit (EHR, scheduling and billing for a private therapy practice) | 25% |
| Pricing & value | 20% |
| Ease of use | 15% |
| Review sentiment | 15% |
| Integrations | 10% |
| Support & reliability | 10% |
| Security & compliance | 5% |
Features checklist: ★clinical notes/templates · ★scheduling & reminders · ★client portal/intake forms · ★billing & payments · ★HIPAA BAA · insurance claims · telehealth · AI notes · group practice support · ePrescribe
Per-criterion scores
| Product | Features | Price | Ease | Reviews | Integrations | Support | Security | Overall | Evaluated via | Checked |
|---|---|---|---|---|---|---|---|---|---|---|
| SimplePractice | 10 | 7 | 9 | 7.9 | 8 | 8 | 8 | 8.4 | desk research | 2026-10-11 |
| Jane | 9 | 7 | 9 | 9.0 | 7 | 8 | 8 | 8.3 | desk research | 2026-10-11 |
| Sessions Health | 8 | 10 | 8 | 9.5 | 5 | 7 | 8 | 8.2 | desk research | 2026-10-11 |
| TherapyNotes | 9 | 8 | 8 | 8.4 | 6 | 9 | 8 | 8.2 | desk research | 2026-10-11 |
| IntakeQ / PracticeQ | 8 | 7 | 8 | 8.5 | 7 | 7 | 8 | 7.7 | desk research | 2026-10-11 |
| Practice Better | 7 | 8 | 8 | 8.6 | 7 | 6 | 7 | 7.5 | desk research | 2026-10-11 |
| Healthie | 7 | 9 | 7 | 6.7 | 7 | 6 | 8 | 7.3 | desk research | 2026-10-11 |
| TherapyAppointment | 8 | 9 | 7 | 5.5 | 5 | 6 | 8 | 7.2 | desk research | 2026-10-11 |
| TheraNest | 8 | 7 | 7 | 6.9 | 6 | 6 | 8 | 7.1 | desk research | 2026-10-11 |
| Owl Practice | 8 | 5 | 8 | 7.0 | 5 | 7 | 8 | 6.9 | desk research | 2026-10-11 |
| Valant | 9 | 5 | 6 | 5.0† | 6 | 6 | 8 | 6.5 | desk research | 2026-10-11 |
† = no usable review data, so a neutral 5.0 was applied.
Ranked 11th or lower (eligible but outside the top 10): Valant (6.5).
The top 10 in detail
1. SimplePractice: 8.4/10
Best for: solo therapists who want the most complete all-in-one. · Official site: https://www.simplepractice.com
- Pricing: Starter $49/mo, Essential $79, Plus $99 (50% off for 3 months currently). Group plans from $74 per extra practitioner. Add-ons: Note Taker $35/mo, ePrescribe $49/mo + $89 setup [SPR1].
- Solo setup and add-ons: Tiered solo plans, with AI notes and ePrescribe as add-ons [SPR1].
- Pros: largest review base, Capterra 4.6 from 2,800+ reviews [R1]; broad feature set [SPR1]
- Cons: add-ons raise the cost [SPR1]
- Reviews: G2 4.1/5 from 129 reviews (*company card, so the count may cover the whole vendor; treat with caution): https://www.g2.com/products/simplepractice/reviews; Capterra 4.6/5 from 2,828 reviews: https://www.capterra.com/p/130710/SimplePractice/. Weighted average 4.58 from 2,957 reviews [VR]
- Score: 8.4
2. Jane: 8.3/10
Best for: clinics that want polished online booking. · Official site: https://jane.app
- Pricing: Balance $59/mo, Practice $79, Thrive $99. Add-ons: AI Scribe $15/practitioner, insurance billing $20 + $5/practitioner [JN1].
- Solo setup and add-ons: Card processing at 2.85% + $0.25 online [JN1].
- Pros: Capterra 4.8 [R1]
- Cons: insurance billing is an add-on [JN1]
- Reviews: Capterra 4.8/5 from 536 reviews: https://www.capterra.com/p/178984/Jane-App/. Weighted average 4.80 from 536 reviews [VR]
- Score: 8.3
3. Sessions Health: 8.2/10
Best for: cost-conscious solo therapists. · Official site: https://www.sessionshealth.com
- Pricing: Freemium $0 (first few clients). Professional $39/mo + $29 per extra practitioner. Telehealth $10/mo. AI tools $35/mo. Claims $0.19-$0.25 [SH1].
- Solo setup and add-ons: Free plan up to 3 clients [SH1].
- Pros: free tier; low price [SH1]; Capterra 4.9 [R1]
- Cons: smaller vendor (editorial)
- Reviews: G2 4.8/5 from 3 reviews (excluded: fewer than 20 reviews): https://www.g2.com/search?query=Sessions%20Health; Capterra 4.9/5 from 128 reviews: https://www.capterra.com/p/10002269/Sessions-Health/. Weighted average 4.90 from 128 reviews [VR]
- Score: 8.2
4. TherapyNotes: 8.2/10
Best for: insurance-heavy practices that want strong billing. · Official site: https://www.therapynotes.com
- Pricing: Solo $69/mo. Group $79 + $50 per extra clinician. TherapyFuel AI $40/clinician. Claims, ERAs and reminders $0.14 each. Price from TherapyNotes' support article [TN1].
- Solo setup and add-ons: Per-claim fees apply [TN1].
- Pros: Capterra 4.7 [R1]; reviewers praise billing and support (secondary) [R1]
- Cons: per-claim fees [TN1]
- Reviews: G2 4.4/5 from 99 reviews (*company card, so the count may cover the whole vendor; treat with caution): https://www.g2.com/products/therapynotes/reviews; Capterra 4.7/5 from 972 reviews: https://www.capterra.com/p/118981/TherapyNotes-com/. Weighted average 4.67 from 1,071 reviews [VR]
- Score: 8.2
5. IntakeQ / PracticeQ: 7.7/10
Best for: intake-form-heavy practices. · Official site: https://intakeq.com
- Pricing: Forms Only $54.90/mo. Practice Management $84.90/mo, with low-volume plans from $29.90/$59.90. HIPAA BAA included [IQ1].
- Solo setup and add-ons: Extra practitioners $20-$30 [IQ1].
- Pros: HIPAA BAA stated [IQ1]; strong forms
- Reviews: G2 4.2/5 from 16 reviews (*company card, so the count may cover the whole vendor; treat with caution) (excluded: fewer than 20 reviews): https://www.g2.com/products/intakeq/reviews; Capterra 4.7/5 from 322 reviews: https://www.capterra.com/p/147369/IntakeQ-Online-Intake-Forms/. Weighted average 4.70 from 322 reviews [VR]
- Score: 7.7
6. Practice Better: 7.5/10
Best for: coaching-adjacent and nutrition practices. · Official site: https://practicebetter.io
- Pricing: Starter $35/mo ($25 annual). Professional $69 ($59). Plus $99 ($89). Team $155 ($145) [PBT1].
- Solo setup and add-ons: Programs and portal branding [PBT1].
- Pros: vendor-reported G2 rating of 4.7 from 250+ reviews [PBT1]
- Cons: aimed at wellness more than psychotherapy (editorial)
- Reviews: G2 4.7/5 from 300 reviews: https://www.g2.com/products/practice-better/reviews; Capterra 4.8/5 from 97 reviews: https://www.capterra.com/p/159263/Better/. Weighted average 4.72 from 397 reviews [VR]
- Score: 7.5
7. Healthie: 7.3/10
Best for: wellness and integrative practices with programs. · Official site: https://www.gethealthie.com
- Pricing: Core $19.99/mo ($18 annual). Essentials $49.99 ($45). Plus $129.99 ($115). Group $149.99+ [HL1].
- Solo setup and add-ons: Charting, telehealth and client portal from Core [HL1].
- Pros: low entry price [HL1]
- Cons: less therapy-specific (editorial)
- Reviews: G2 4.0/5 from 24 reviews (*company card, so the count may cover the whole vendor; treat with caution): https://www.g2.com/products/healthie/reviews; Capterra 4.4/5 from 124 reviews: https://www.capterra.com/p/167439/Healthie/. Weighted average 4.34 from 148 reviews [VR]
- Score: 7.3
8. TherapyAppointment: 7.2/10
Best for: new practices ramping up caseloads. · Official site: https://www.therapyappointment.com
- Pricing: Free for 30 days. Then $10/mo until you book more than 10 sessions, $39/mo up to 39 sessions, then $59 standard. AI notes $0.59/note. Claims $0.15 [TA1].
- Solo setup and add-ons: Price rises with session volume [TA1].
- Pros: very low cost while ramping up [TA1]
- Reviews: G2 4.2/5 from 6 reviews (excluded: fewer than 20 reviews): https://www.g2.com/products/therapyappointment/reviews; Capterra 4.1/5 from 107 reviews: https://www.capterra.com/p/110508/TherapyAppointment/. Weighted average 4.10 from 107 reviews [VR]
- Score: 7.2
9. TheraNest: 7.1/10
Best for: therapists who want low per-therapist pricing with telehealth. · Official site: https://theranest.com
- Pricing: Price from third-party source [TH2]: Essentials $29, Advanced $59, Premier $89 per therapist/mo. Not listed on the vendor page [TH1].
- Solo setup and add-ons: Telehealth is included from Advanced up (secondary) [TH2].
- Pros: Capterra 4.4 from 1,000+ reviews [R1]
- Cons: reviewers flag billing visibility and annual-contract concerns (secondary) [R1]
- Reviews: G2 4.2/5 from 141 reviews: https://www.g2.com/products/theranest-by-ensora-health/reviews; Capterra 4.4/5 from 1,056 reviews: https://www.capterra.com/p/130400/TheraNest-Mental-Health/. Weighted average 4.38 from 1,197 reviews [VR]
- Score: 7.1
10. Owl Practice: 6.9/10
Best for: Canadian therapists (our judgement, not a vendor claim). · Official site: https://www.owlpractice.com
- Pricing: Not published [OW1].
- Solo setup and add-ons: Not published
- Reviews: G2 4.2/5 from 80 reviews: https://www.g2.com/products/owl-practice/reviews; Capterra 4.5/5 from 178 reviews: https://www.capterra.com/p/160519/OwlPractice/. Weighted average 4.41 from 258 reviews [VR]
- Score: 6.9
FAQ
SimplePractice or TherapyNotes? SimplePractice ranks higher here on features and ease. TherapyNotes scores higher on support, and its solo plan is $69/mo [SPR1][TN1][R1].
What's the cheapest EHR for a new private practice? Sessions Health has a free plan for your first few clients, and TherapyAppointment starts at $10/mo while you have 10 or fewer sessions [SH1][TA1].
How often is this list updated? Prices and ratings are re-checked at least every 90 days. See the changelog.
Sources (all checked 2026-10-11)
- [SPR1] SimplePractice pricing: https://www.simplepractice.com/pricing/
- [TN1] TherapyNotes pricing: https://support.therapynotes.com/hc/en-us/articles/30661380110747-TherapyNotes-Pricing-and-Subscription-Options
- [JN1] Jane pricing: https://jane.app/pricing
- [SH1] Sessions Health pricing: https://www.sessionshealth.com/pricing
- [TH1] TheraNest pricing: https://theranest.com/pricing/
- [TH2] Ensora comparison (third-party summary): https://ensorahealth.com/compare/theranest-vs-therapynotes/
- [IQ1] IntakeQ pricing: https://intakeq.com/pricing
- [TA1] TherapyAppointment pricing: https://www.therapyappointment.com/pricing
- [HL1] Healthie pricing: https://www.gethealthie.com/pricing
- [PBT1] Practice Better pricing: https://practicebetter.io/pricing
- [OW1] Owl Practice pricing: https://owlpractice.com/pricing/
- [VL1] Valant pricing: https://www.valant.io/pricing
- [AC1] Acuity signup pricing: https://acuityscheduling.com/signup.php
- [R1] Capterra comparison pages: https://www.capterra.com/compare/118981-130710/TherapyNotes-com-vs-SimplePractice ; https://www.capterra.com/compare/130710-10002269/SimplePractice-vs-Sessions-Health ; https://www.capterra.com/p/130400/TheraNest-Mental-Health/
- [VR] G2 and Capterra ratings, browser-verified 2026-10-11. Per-product URLs are given in each entry. Source notes: G2 and Capterra ratings and the rest of the ratings we checked.
Appendix: did not meet the core-job requirement (not ranked)
- Acuity Scheduling (https://acuityscheduling.com): a scheduling tool with no clinical notes/EHR, so it fails the core-job requirement. Pricing: Starter $16/mo, Standard $27, Premium $49 annual [AC1].
- Headway / Alma (https://headway.co): insurance-credentialing networks rather than software sold to the practice, so they fail the requirement. Alma's site describes a therapist directory and insurance model (https://helloalma.com/).
Changelog
- 2026-10-11: Replaced the secondary review data with browser-verified G2 and Capterra ratings, using a review-count-weighted average, a 20-review minimum and a neutral score when no source qualifies. Re-scored. No top-5 rank changes.
- 2026-10-11: First published. Retitled from 'Practice Management & Scheduling Tools for Solo Therapists' to an EHR focus.