Insurance billing is where a lot of therapy EHRs quietly fall apart, forcing practices to bolt on a separate clearinghouse or spreadsheet just to get paid. TherapyNotes built its reputation by keeping documentation, scheduling, and claims submission inside one dependable system, which is part of why it has remained a go-to choice for solo practitioners and group practices that want fewer moving parts rather than more features to configure.
What is TherapyNotes?
TherapyNotes is a web-based electronic health record and practice management platform built specifically for behavioral health professionals, including therapists, psychologists, psychiatrists, and social workers. It centralizes client records, session notes, scheduling, telehealth, and insurance billing in a single system rather than requiring separate tools for each task. TherapyNotes is accessed through a browser, with a companion mobile app for iOS and Android that adds on-the-go access to a clinician's schedule and messages. Its main distinction from newer AI-first note tools is that TherapyNotes is a full practice management EHR first, with structured documentation and reliable claims processing at its core, rather than an add-on layer built around AI note generation.
Key features
Clinical Documentation and Note Templates
TherapyNotes provides structured note templates, including Intake Notes, Progress Notes, and Psychiatry Notes, that guide clinicians through a consistent documentation format for each type of session.
Integrated Scheduling
Appointments, client records, and billing are connected in one workflow, so booking a session automatically ties into the client's chart and payment history without re-entering information.
Built-In Telehealth
TherapyNotes includes a HIPAA-compliant telehealth platform for video sessions, so practices offering virtual care don't need a separate video conferencing subscription for clinical sessions.
Electronic Claims and Billing
The platform supports electronic claims submission through its integrated clearinghouse, along with card and HSA payment processing, which matters for practices that rely heavily on insurance reimbursement.
TherapyNotes Mobile
A native companion app for iOS and Android gives clinicians offline access to their agenda and secure messaging, with biometric login, though it's designed to complement the web platform rather than replace it for writing notes.
Security and Compliance Tools
TherapyNotes maintains HIPAA-focused security controls, including two-factor authentication and a customizable client-facing HIPAA form, which is a meaningful consideration for practices that need to demonstrate compliance to auditors or payers.
Pros
- Predictable, clinician-based pricing that scales simply as a practice adds providers
- Structured note templates that reduce guesswork for new clinicians learning a documentation system
- Reliable, well-established electronic claims and insurance billing workflow
- Built-in telehealth removes the need for a separate video conferencing tool
- Native mobile companion app for checking schedules and messages away from a desktop
Cons
- No permanent free plan; every account requires a paid subscription after the trial period
- No publicly documented API, which limits custom integrations with outside tools
- AI-assisted documentation is available only as a separate paid add-on rather than included in the base subscription
- The mobile app currently focuses on scheduling and messaging rather than full note-writing on the go
Pricing
TherapyNotes runs on a subscription model with no permanent free tier, though a 30-day free trial is available to evaluate the platform before paying. The Solo plan is priced at $69 per month for a single clinician. The Group plan starts at $79 per month for the first clinician, plus a per-clinician rate for each additional provider, while non-clinical staff such as schedulers and billers can typically be added at no extra cost. The Enterprise plan follows the same per-clinician rate as Group pricing but applies to larger organizations with a higher minimum user count. TherapyNotes also offers optional paid add-ons, such as AI-assisted documentation and e-prescribing, that are billed separately from the core subscription. Because add-on pricing and plan details can change, it's worth confirming current rates on TherapyNotes' official pricing page before subscribing.
Best for
TherapyNotes is best for solo therapists and group behavioral health practices that want a dependable, easy-to-learn EHR built around structured documentation and reliable insurance billing rather than heavy customization. It's a reasonable option for practices exploring AI healthcare tools that want predictable, clinician-based pricing instead of a tiered feature-gated model. Practices that specifically want built-in AI note generation, or that need to connect TherapyNotes to custom internal tools through an API, may find that a more limited fit without pairing it with a separate solution.
Use cases
- Documenting therapy sessions with structured, role-specific note templates
- Scheduling and managing client appointments across a solo or group practice
- Submitting and tracking insurance claims electronically
- Holding HIPAA-compliant telehealth sessions without a separate video tool
- Managing client billing, card payments, and account balances
Supported platforms
- TherapyNotes is primarily a web-based platform accessed through a browser, with no native desktop application for Windows or macOS. A native companion app, TherapyNotes Mobile, is available for iOS and iPadOS through the Apple App Store and for Android through Google Play, offering offline access to a clinician's agenda and secure messaging alongside the main web platform.
Languages
- TherapyNotes' interface is built around English. There's no officially published list confirming broader interface language support, so practices that need documentation or client-facing materials in another language should confirm current capabilities directly with TherapyNotes.
Integrations
- TherapyNotes officially supports calendar syncing with both Google Calendar and Outlook Calendar, allowing a clinician's schedule to appear alongside their personal or work calendar. Claims are submitted electronically through TherapyNotes' own clearinghouse rather than a named third-party billing integration. TherapyNotes does not currently offer a publicly documented API, so connecting it to other practice tools generally isn't possible without a third-party workaround.
Things to consider
- TherapyNotes doesn't offer a permanent free plan, so ongoing cost is a fixed line item from day one once the 30-day trial ends. Because there's no public API, practices that rely on custom reporting dashboards, marketing automation, or other connected tools may find TherapyNotes harder to integrate with their existing stack compared with platforms that expose open APIs. AI-assisted documentation is a separate paid add-on rather than a built-in feature, so practices specifically prioritizing AI-generated notes should factor that into total cost. The mobile app is also still relatively new and currently oriented around scheduling and messaging rather than full clinical note-writing.
How the tool compares
TherapyNotes sits alongside other established behavioral health EHRs and note-taking tools. SimplePractice offers more customization and marketing-oriented features, such as a client-facing website and directory listing, but its tiered pricing can climb faster as practices add features. Clinicians who specifically want AI-generated progress notes without switching their entire EHR may prefer pairing TherapyNotes with a dedicated AI scribe such as Mentalyc, which focuses on note generation rather than full practice management. Freed AI takes a similar ambient-scribe approach but is built more broadly across medical specialties rather than specifically for behavioral health. Practices choosing between these options should weigh whether they want one consolidated EHR or a best-of-breed combination of a documentation tool layered on top of their existing system.
AIToolister verdict
TherapyNotes is a solid choice for solo and group behavioral health practices that want a dependable EHR with structured documentation and a strong track record on insurance billing. Its clearest advantage is predictability: pricing scales cleanly by clinician, and the note templates and claims workflow are well established. The most significant trade-off is the lack of a public API and built-in AI note generation, so practices that specifically want deep automation or custom integrations may need to pair TherapyNotes with a separate tool or consider a platform built more explicitly around AI-first documentation. For practices that value stability and proven insurance billing over cutting-edge automation, TherapyNotes remains a reasonable, well-supported option.
Frequently asked questions
- Is TherapyNotes free to use?
No. TherapyNotes does not offer a permanent free plan. It provides a 30-day free trial so practices can evaluate the platform before committing to a paid subscription.
- How much does TherapyNotes cost?
Pricing starts at $69 per month for a Solo plan with a single clinician. Group plans start at $79 per month for the first clinician, with an additional per-clinician rate for each provider added, and Enterprise pricing applies the same per-clinician rate for larger organizations.
- Does TherapyNotes offer a free trial?
Yes. TherapyNotes offers a 30-day free trial that lets practices explore scheduling, documentation, telehealth, and billing features before choosing a paid plan.
- Does TherapyNotes have an API?
No. TherapyNotes does not currently offer a publicly documented API, which limits direct custom integrations with outside tools compared with EHRs that expose open API access.
- Does TherapyNotes include AI note-writing?
AI-assisted documentation is available as a separate paid add-on rather than included in the base subscription, so practices that specifically want AI-generated notes should confirm current add-on availability and pricing before subscribing.