Comparison
7 SimplePractice Alternatives for Group Practices (2026)
The leading SimplePractice alternatives for group practices in 2026 are TherapyNotes, Ensora Mental Health (formerly TheraNest), Sessions Health, Jane, IntakeQ, TheraPlatform, and ClinicPro360. Every platform on this list except one bills per clinician, so the deciding factor for a group is usually arithmetic: a five-clinician group pays roughly $155 to $395 per month on the per-clinician platforms, and $149 flat on ClinicPro360. This comparison states each alternative's published July 2026 pricing, its genuine strengths, and where it fits a group practice poorly — including where ClinicPro360 itself is the wrong choice.
The alternatives at a glance
The leading SimplePractice alternatives for group practices are:
- 1. TherapyNotes — insurance-heavy group practices that want structured notes and cheap claims
- 2. Ensora Mental Health (TheraNest) — lowest published entry tier at $29 per therapist
- 3. Sessions Health — the lowest per-clinician total cost among the majors
- 4. Jane — multidisciplinary clinics that mix therapy with other services
- 5. IntakeQ / PracticeQ — practices whose bottleneck is intake forms and automation
- 6. TheraPlatform — teletherapy-first pediatric and allied-health practices
- 7. ClinicPro360 — group practices that want one flat per-practice price
Why do group practices look for SimplePractice alternatives?
SimplePractice is one of the most widely used practice management platforms in outpatient mental health, and for solo practices that position is earned: the client portal, online booking, mobile apps, and paperless intake are polished, and the entry price is low. In public user reviews, the recurring complaints tend to concern telehealth session stability and support response times — not price.
For group practices, the structural issue is different: the pricing model. SimplePractice publishes three plans — Starter $49, Essential $79, and Plus $99 per month (published vendor prices, July 2026). Adding team members requires the Plus plan, and each additional clinician is billed $74 per month at practices of two to five clinicians (dropping to $72 at six to fifteen). A two-clinician practice pays $173 per month. Five clinicians pay $395. Ten pay $747. Add-ons like AI note-taking are also billed per clinician, so they scale with headcount too.
That is why switching evaluations usually start around the third to fifth hire: the platform still works, but every offer letter now carries a permanent software surcharge. The alternatives below are evaluated with that specific problem in view.
For the structural argument in full — why the pricing model matters more than any single month’s bill — see per-clinician vs flat-rate pricing.
How we evaluated these alternatives
Each platform was assessed against the same five criteria: published, verifiable pricing; depth of behavioral-health documentation and billing; group-practice operations (roles, non-clinical staff seats, multiple clinicians and locations); availability of telehealth and a patient portal; and the concrete monthly total a five-clinician group would pay.
Every price in this comparison comes from the vendor's own published pricing page, checked in July 2026, or is marked where it could not be verified. Where a number is not published — for example, Jane's per-practitioner license rates for additional clinicians — we say so rather than estimate. Promotional discounts are ignored; standard rates are quoted.
The 7 SimplePractice alternatives for group practices
1. TherapyNotes
TherapyNotes is a long-established behavioral-health EHR and practice management system, and the platform most often shortlisted next to SimplePractice. Where SimplePractice leads with the client-facing experience, TherapyNotes leads with clinical structure: specialty note templates that feed a built-in to-do workflow, and an integrated clearinghouse for insurance billing.
Published pricing (July 2026): $69 per month solo; the group plan is $79 per month for the first clinician plus $50 per month for each additional clinician. Non-clinical users — schedulers, billers, practice administrators — are unlimited and included. Electronic claims run $0.14 per claim and $0.14 per ERA. Premium telehealth is $15 per clinician per month, and the TherapyFuel AI scribe is $40 per provider per month.
Where it is strong
- Structured, specialty-specific note templates tied to an automatic to-do list — documentation compliance is the product's reputation
- Integrated clearinghouse with low per-claim costs, well suited to insurance-heavy caseloads
- Unlimited free non-clinical staff accounts, a genuine group-practice advantage most rivals do not match
The group-practice math
TherapyNotes is the strongest per-clinician option for insurance-heavy groups — but it still scales linearly. Five clinicians: $79 + (4 × $50) = $279 per month. Ten clinicians: $529 per month. Every hire permanently adds $50 to the bill, and the AI scribe adds another $40 per provider.
2. Ensora Mental Health (TheraNest)
TheraNest, now sold as Ensora Mental Health, is a mental-health practice management platform with scheduling, notes, a client portal, and insurance billing. It historically priced by active-client count; Ensora has since moved it to a per-therapist model, a change its own announcement acknowledged would raise costs for some group practices.
Published pricing (July 2026): Essentials $29, Advanced $59, and Premier $89 per therapist per month. Add-ons include the AI Session Assistant at $35 per month, telehealth at $12 per month on the lower tiers (unlimited telehealth is included with Premier), and eRx at $45 per month plus a $135 setup fee. Additional admin users cost $19 to $29 per month depending on tier.
Where it is strong
- Lowest published entry tier in this comparison at $29 per therapist
- Premier includes the Wiley Practice Planner and unlimited individual and group telehealth
- Advanced adds group-practice reports and monthly allowances for claims, eligibility checks, and reminders
The group-practice math
Two things work against groups: per-therapist scaling and paid admin seats. Five clinicians on Advanced: 5 × $59 = $295 per month, before add-ons — and unlike TherapyNotes or Sessions Health, each extra administrator is a separate line item.
3. Sessions Health
Sessions Health is a lean, modern EHR aimed at solo practitioners and small mental-health practices. It covers scheduling, documentation, a client portal, and billing with unusually transparent a-la-carte pricing.
Published pricing (July 2026): $39 per month for the first practitioner and $29 per month for each additional practitioner. Telehealth is $10 per practitioner per month, electronic claims run $0.19 to $0.25 each, real-time eligibility checks are $0.15, and AI Assist is $35 per practitioner per month. Administrator accounts are unlimited and included.
Where it is strong
- The lowest per-clinician total cost of the major SimplePractice alternatives
- Transparent metered pricing — you can compute your exact bill from the public price list
- Unlimited free admin seats, like TherapyNotes
The group-practice math
Cost is genuinely not the problem here: five clinicians are $39 + (4 × $29) = $155 per month, and even ten stay at $300. The group-practice question with Sessions Health is operational depth — it is built for solo and small practices, so multi-location coordination, role boundaries, and staff workflow tooling are thinner than group-focused platforms. If your pain is price alone, Sessions Health deserves a serious look.
4. Jane
Jane is a clinic platform built for multidisciplinary practices — physical therapy, chiropractic, massage, and counseling under one roof. Its scheduling, online booking, and payments experience is the strongest in this list, which is why mixed-service clinics keep choosing it.
Published US pricing (July 2026): Balance $54 per month (capped at 20 appointments per month), Practice $79, and Thrive $99 — each including one full-time practitioner. Additional practitioners are licensed separately at full-time or part-time rates that are not listed on the public pricing table. Insurance billing is an add-on at $20 per month plus $5 per full-time practitioner, the AI scribe is $15 per practitioner, and group telehealth is $15 per practitioner.
Where it is strong
- Scheduling and online booking that patients and front desks consistently find easy to run
- Genuinely multidisciplinary: charting and billing built to serve several service lines in one clinic
- Integrated payments and a capable patient-facing experience
The group-practice math
Jane is a general clinic platform rather than a behavioral-health-specific record, so therapy-specific documentation and insurance workflows take more configuration. And because additional-practitioner license rates are not published, a five-clinician total cannot be computed from public numbers alone — a transparency gap worth noting when you are comparing on cost.
5. IntakeQ / PracticeQ
IntakeQ started as an intake-forms product and remains the reference point for electronic intake in private practice. PracticeQ layers full practice management — scheduling, a client portal, invoicing, claims, and telehealth — on top of the forms engine.
Published pricing (July 2026): forms-only is $54.90 per month plus $20 per additional practitioner; full practice management is $84.90 per month plus $30 per additional practitioner. Lower-volume variants exist at $29.90 and $59.90 with monthly usage caps. Telehealth, claims, and superbills are included in the practice management plan.
Where it is strong
- Best-known intake forms and automation in the space — many practices run IntakeQ alongside a separate EHR just for this
- Practice management plan bundles telehealth and claims rather than metering them
- Flexible a-la-carte structure that suits practices with unusual workflows
The group-practice math
Five clinicians on practice management: $84.90 + (4 × $30) = $204.90 per month. The forms-first architecture is the real consideration: practices that want a clinical-documentation-first system sometimes end up pairing PracticeQ with another record, which recreates exactly the tool sprawl a growing group is trying to exit.
6. TheraPlatform
TheraPlatform is a telehealth-first practice management system serving behavioral health and allied-health disciplines — speech, occupational, and ABA therapy in particular. Video sessions with built-in interactive therapy apps and games are the core of the product.
Published pricing (July 2026): Basic $39 per month (single provider only), Pro $69 plus $39 for each additional provider, and Pro Plus $79 plus $49 for each additional provider. AI notes are $30 per provider, electronic claims $0.25 each, and the Wiley Treatment Planner $15 per provider.
Where it is strong
- Teletherapy tools built for the session itself — interactive apps and games that pediatric and allied-health clinicians actually use mid-visit
- Low entry price with scheduling, documentation, billing, and telehealth all included
- Serves disciplines (SLP, OT, ABA) that most mental-health EHRs treat as an afterthought
The group-practice math
Five clinicians on Pro: $69 + (4 × $39) = $225 per month. Scaling is per provider, and group-practice operations — role separation, multi-location coordination, staff workflows — are not the product's focus. It is a strong fit for teletherapy-first teams and a weaker one for office-based group operations.
7. ClinicPro360
ClinicPro360 is a clinic operations platform for multi-provider therapy practices. Scheduling, clinical documentation, billing and insurance, the patient portal, telehealth, and staff role management run in one system, with owners, administrators, clinicians, billers, and patients working from distinct, permission-bounded workspaces.
Published pricing (July 2026): Essentials $59, Professional $149, and Elite $299 per month — per practice, not per clinician. Professional covers up to 10 clinicians and 3 locations with unlimited patients, and includes insurance billing, telehealth, intake forms, the patient portal, and automated reminders. Elite removes the clinician and location limits and adds the clearinghouse connection, analytics, and online booking.
Where it is strong
- Flat per-practice pricing: a five-clinician group pays $149 per month on Professional, and the price holds through the tenth clinician
- Group operations are the design center — role-aware access for owners, admins, billers, clinicians, and front-desk staff, not a solo tool with seats added
- Multi-location workflows on Professional and Elite, with staff and schedules organized per site
The group-practice math
Honest limits: ClinicPro360 is the wrong choice for many solo practitioners — at one or two clinicians, Sessions Health ($39) or Ensora Essentials ($29) can cost less than the $59 Essentials plan. There is no e-prescribing today. And onboarding is by request rather than self-serve signup, which suits practices that want a guided setup and frustrates anyone who wants an account in the next ten minutes.
Plan limits and inclusions are published on the ClinicPro360 pricing page, and the group workflows are described under solutions for group practices.
How do the alternatives compare on pricing and features?
All prices are standard published vendor rates as of July 2026, ignoring promotional discounts. The five-clinician column shows the base subscription before add-ons; the plan used for the math is named where a vendor has multiple tiers.
| Platform | Pricing model | Published pricing (July 2026) | 5-clinician monthly | Documented add-ons |
|---|---|---|---|---|
| SimplePractice | Per clinician; teams require the Plus plan | $49–$99 per clinician; +$74 per additional clinician (2–5) | $395 | AI notes, ePrescribe, and practice-manager seats billed separately |
| TherapyNotes | Per clinician; free non-clinical seats | $69 solo; group $79 + $50 each additional | $279 | Premium telehealth $15/clinician; AI scribe $40/provider; claims $0.14 each |
| Ensora (TheraNest) | Per therapist, three tiers | $29 / $59 / $89 per therapist | $295 (Advanced) | AI $35; telehealth $12 on lower tiers; extra admin seats $19–$29 |
| Sessions Health | Per practitioner; free admin seats | $39 first + $29 each additional | $155 | Telehealth $10/practitioner; AI $35; claims $0.19–$0.25 each |
| Jane | Per practitioner licenses | $54 / $79 / $99 base incl. 1 practitioner | Not published | Insurance billing $20 + $5/FT practitioner; AI scribe $15 |
| IntakeQ / PracticeQ | Base + per practitioner | $84.90 + $30 each additional (practice mgmt) | $204.90 | Telehealth and claims included on the practice management plan |
| TheraPlatform | Per provider, three tiers | $69 Pro + $39 each additional | $225 (Pro) | AI notes $30; e-claims $0.25 each; Wiley planner $15 |
| ClinicPro360 | Flat per practice | $59 / $149 / $299 per practice | $149 (Professional) | Insurance billing, telehealth, and patient portal included on Professional |
If the flat-price row in that table is the one you want to check, request a walkthrough — bring your roster and current quotes, and we will run the comparison with a synthetic scenario, never patient information.
Request a walkthroughWhich alternative fits which practice?
No single platform wins every column, and the honest recommendation depends on what your practice actually looks like:
- Insurance-heavy group that lives in documentation
- TherapyNotes. The structured notes, integrated clearinghouse, and free biller and scheduler seats are built for exactly this practice — accept the $50-per-hire scaling as the cost of that fit.
- Solo or two-clinician practice watching every dollar
- Sessions Health or Ensora Essentials. At this size, per-clinician pricing works in your favor, and both undercut every flat-priced option including ClinicPro360.
- Multidisciplinary clinic mixing therapy with other services
- Jane. Nothing else in this list handles several service lines in one schedule as well — just budget time for behavioral-health-specific configuration and ask for the unpublished per-practitioner license rates in writing.
- Practice whose real bottleneck is intake
- IntakeQ, either standalone alongside your current EHR or as PracticeQ if you want it to run the whole practice.
- Teletherapy-first pediatric or allied-health team
- TheraPlatform. The in-session tools are the differentiator no general EHR matches.
- Group practice of roughly 4 to 10 clinicians optimizing total cost and operations
- ClinicPro360. This is the segment the flat $149 Professional plan and the role-aware group workflows are built for — the per-clinician platforms charge that same group $155 to $395 and re-price every hire.
If your shortlist has narrowed to the two most common finalists, the head-to-head SimplePractice vs TherapyNotes comparison works through both platforms in detail, including the five-clinician annual totals.
When is per-clinician pricing the reason to switch?
A useful test: compute the marginal software cost of your next hire. On SimplePractice it is $74 per month, permanently. On TherapyNotes, $50. On Ensora Advanced, $59. On TheraPlatform Pro, $39. On IntakeQ practice management, $30. On Sessions Health, $29. On a flat per-practice plan the marginal cost of a hire is $0 until you cross a tier boundary — on ClinicPro360, hiring your fourth clinician moves you from $59 to $149, and the price then holds through your tenth.
If your group plans to grow from five clinicians to eight over the next two years, per-clinician platforms will re-price that growth every single month. That structural difference — not any single month's bill — is the honest reason pricing model belongs at the top of a group's evaluation criteria.
Frequently asked questions
- What is the closest alternative to SimplePractice for a group practice?
- TherapyNotes is the closest like-for-like alternative for group practices: behavioral-health-specific documentation, integrated insurance billing, a patient portal, and telehealth, with unlimited free non-clinical staff accounts. It bills per clinician ($79 for the first, $50 for each additional, published July 2026), so a five-clinician group pays $279 per month versus $395 on SimplePractice.
- What does a five-clinician group pay per month on each SimplePractice alternative?
- Using standard published vendor prices from July 2026: SimplePractice $395 (Plus plan plus four additional clinicians at $74), TherapyNotes $279, Ensora Mental Health Advanced $295, Sessions Health $155, IntakeQ practice management $204.90, TheraPlatform Pro $225, and ClinicPro360 Professional $149 flat. Jane does not publish additional-practitioner rates, so its total cannot be computed from public numbers.
- Is there a SimplePractice alternative that does not charge per clinician?
- ClinicPro360 is the only platform in this comparison priced per practice instead of per clinician: $59, $149, or $299 per month covering the whole team within each plan's limits. Every other alternative here — TherapyNotes, Ensora, Sessions Health, Jane, IntakeQ, and TheraPlatform — adds a monthly fee for each clinician you hire.
- Why does a SimplePractice bill grow so fast as a group hires?
- Two published mechanics compound: team accounts require the top Plus plan at $99 per month, and each additional clinician adds $74 per month at practices of two to five clinicians. Per-clinician add-ons such as AI note-taking multiply the same way. The result is that a practice growing from two to five clinicians sees its base subscription rise from $173 to $395 per month.
- How was the pricing in this comparison verified?
- Every figure was taken from the vendor's own published pricing page in July 2026, quoting standard rates and ignoring promotional discounts. Where a vendor does not publish a number — such as Jane's additional-practitioner license rates — the comparison says so instead of estimating. Prices in this category change often, so re-verify on the linked vendor pages before deciding.
Evidence and scope
Sources and verification notes
Prices are standard published rates from each vendor’s own pricing page, checked in July 2026, with promotional discounts ignored. Vendors change prices; re-verify before deciding. This comparison is re-checked quarterly.
- SimplePractice pricing(opens in a new tab)
SimplePractice
Starter, Essential, and Plus plan prices; add-on availability. Accessed July 2026.
- TherapyNotes pricing(opens in a new tab)
TherapyNotes
Solo and group plan structure, per-claim costs, telehealth and AI scribe add-ons, unlimited non-clinical users. Accessed July 2026.
- Ensora Mental Health (TheraNest) Pricing(opens in a new tab)
Ensora Health
Essentials, Advanced, and Premier per-therapist prices and add-ons. Accessed July 2026.
- Sessions Health pricing(opens in a new tab)
Sessions Health
Per-practitioner prices, telehealth, claims, and AI add-on rates. Accessed July 2026.
- Jane pricing(opens in a new tab)
Jane Software
Balance, Practice, and Thrive US base prices and add-ons. Accessed July 2026.
- IntakeQ and PracticeQ pricing(opens in a new tab)
IntakeQ
Forms and practice management prices, per-practitioner rates. Accessed July 2026.
- TheraPlatform pricing(opens in a new tab)
TheraPlatform
Basic, Pro, and Pro Plus prices, additional-provider rates, add-ons. Accessed July 2026.
- ClinicPro360 pricing(opens in a new tab)
ClinicPro360
Essentials, Professional, and Elite flat per-practice prices and plan limits.
Keep comparing
Run your own numbers against a real workflow.
ClinicPro360 onboards new practices by request. Bring your clinician count and current software bill to a focused walkthrough using a synthetic scenario — never patient information.