SimplePractice Alternatives in 2026 — 6 Best EHRs for Therapists
SimplePractice is the most popular EHR for therapists — but it is not the right fit for everyone. Whether you need lower pricing, better clinical documentation, or different features, here are the six best SimplePractice alternatives in 2026.
Updated June 2026 · All platforms verified HIPAA-compliant with BAA
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Quick Answer
TherapyNotes ($49/mo) is the best SimplePractice alternative for therapists who need Wiley Treatment Planners or phone support. Sessions Health (free) is the best option if budget is your main concern. TherapyAppointment ($10/mo) is the cheapest option that still includes insurance billing. For most therapists already using SimplePractice, the right move is upgrading from Starter to Essential — not switching platforms.
Bottom line: SimplePractice remains the best overall EHR for most solo and small group practices. The alternatives below are better in specific situations only — price, Wiley Planners, or phone support. If none of those apply to you, SimplePractice is still the right choice.
TherapyNotes
Best for clinical documentation · From $49/mo
BAA: ✓ Included
Best for: Therapists who need Wiley Treatment Planners or phone support
- ✓Built-in Wiley Practice Planners
- ✓Phone support (SimplePractice has none)
- ✓Strong insurance billing workflows
- ✓Solid audit trail for compliance
- ✗Older, less modern interface
- ✗Higher starting price than SimplePractice Starter
- ✗Mobile app less polished
Verdict: The #1 SimplePractice alternative. If Wiley Planners matter to you, TherapyNotes is the better choice.
Sessions Health
Best free option · Free (paid plans from $29/mo)
BAA: ✓ Included on all plans
Best for: New therapists or cash-pay practices on a tight budget
- ✓Genuinely free plan
- ✓HIPAA-compliant BAA on free plan
- ✓Telehealth included
- ✓Good for solo cash-pay practices
- ✗No insurance billing clearinghouse on free plan
- ✗Email reminders only (no SMS) on free
- ✗Less polished than SimplePractice
Verdict: The best option if budget is your primary constraint. Upgrade to SimplePractice as your caseload grows.
TheraNest
Best for larger groups · From $39/mo (solo) to flat-rate group plans
BAA: ✓ Included
Best for: Group practices that want flat-rate pricing regardless of clinician count
- ✓Flat-rate plans for larger groups
- ✓Full billing clearinghouse
- ✓BAA included
- ✓Client portal and telehealth
- ✗Interface is dated
- ✗Less intuitive than SimplePractice
- ✗Customer support slower than competitors
Verdict: Worth considering for groups of 10+ clinicians where per-clinician pricing becomes expensive.
Jane App
Best for Canadian therapists / multi-discipline · From $54 CAD/mo
BAA: ✓ BAA/PIPEDA compliant
Best for: Therapists in Canada, or multi-discipline practices (PT, OT, counseling)
- ✓Unlimited live support from real humans (phone, email, chat)
- ✓Excellent multi-discipline support (PT, OT, counseling)
- ✓Built-in telehealth + payment processing included
- ✓Very clean, modern interface
- ✓Strong customizable scheduling and charting
- ✗Canadian-focused — less optimized for US insurance billing
- ✗No Wiley Planners
- ✗Less mental-health-specific than SimplePractice
Verdict: A genuine SimplePractice competitor for Canadian therapists or multi-discipline US practices — with notably better customer support.
TherapyAppointment
Best budget option with billing · From $10/mo
BAA: ✓ Included
Best for: Solo therapists who need billing but have a small budget
- ✓Very low starting price
- ✓Insurance billing included
- ✓BAA included
- ✓Simple interface
- ✗Less feature-rich than SimplePractice
- ✗Older design
- ✗Telehealth via third-party integration only
Verdict: A legitimate low-cost option if you take insurance and SimplePractice's price is a barrier.
Headway
Best if you want to leave insurance billing entirely · Free (Headway takes a cut of insurance reimbursements)
BAA: ✓ Included
Best for: Therapists who want to accept insurance without dealing with billing themselves
- ✓No monthly fee
- ✓Handles all insurance credentialing and billing
- ✓Built-in scheduling and notes
- ✓HIPAA-compliant
- ✗Headway takes a percentage of your insurance revenue
- ✗You give up billing control
- ✗Not available in all states or all insurance panels
Verdict: Not a traditional EHR — a different model entirely. Good if you want insurance without the admin work.
SimplePractice Alternatives — Quick Comparison Table
All six platforms below are HIPAA-compliant and include a Business Associate Agreement (BAA). Prices are per month for a single clinician.
| Platform | Starting Price | Free Plan | Insurance Billing | Phone Support | Best For |
|---|---|---|---|---|---|
| TherapyNotes | $49/mo | No | ✓ Included | ✓ Yes | Wiley Planners, phone support |
| Sessions Health | Free | ✓ Yes | Paid plans only | No | Cash-pay solo therapists |
| TheraNest | $39/mo | No | ✓ Included | No | Group practices 10+ clinicians |
| Jane App | $54 CAD/mo | No | US: limited | No | Canada / multi-discipline |
| TherapyAppointment | $10/mo | No | ✓ Included | No | Lowest cost with billing |
| Headway | Free* | ✓ Yes | ✓ Handled for you | No | No-admin insurance model |
| SimplePractice | $29/mo Starter | 30-day trial | Essential+ only | No | Most solo/group practices |
*Headway is free but takes a percentage of your insurance reimbursements. SimplePractice is included for reference.
Why Therapists Look for SimplePractice Alternatives
SimplePractice Essential ($69/mo) is expensive for new or part-time therapists. TherapyAppointment ($10/mo) and Sessions Health (free) offer HIPAA-compliant alternatives at lower price points.
SimplePractice does not include Wiley Practice Planners. If structured, evidence-based treatment planning is important to your practice, TherapyNotes is the better choice.
SimplePractice does not offer phone support — only chat and email. TherapyNotes includes phone support on all paid plans.
SimplePractice charges per clinician, which gets expensive for larger groups. TheraNest offers flat-rate group pricing that can be more economical at 10+ clinicians.
Should You Actually Switch from SimplePractice?
Before switching, ask yourself: is the problem with SimplePractice — or with your current plan? Most therapists who are frustrated with SimplePractice are on the Starter plan ($29/mo), which is missing telehealth, billing, and messaging. Upgrading to Essential ($69/mo) solves most complaints without the hassle of migrating to a new EHR.
If: You are frustrated with missing features
→ You are likely on the Starter plan — upgrade to Essential ($69/mo). Telehealth, billing, and messaging are all included.
If: You need Wiley Treatment Planners
→ Switch to TherapyNotes — this is the one legitimate reason to leave SimplePractice.
If: You need phone support
→ TherapyNotes offers phone support. SimplePractice does not — this is a real gap for some practices.
If: Price is the issue
→ Start SimplePractice's 30-day free trial on Essential and evaluate whether the features justify the cost before switching to a less capable platform.
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FAQ — SimplePractice Alternatives
What is the best free alternative to SimplePractice?
Sessions Health is the only fully free EHR for therapists that includes a HIPAA BAA, telehealth, notes, and scheduling at no cost. It is genuinely free — not a trial or freemium with essential features locked. The main limitation is no insurance billing clearinghouse on the free plan.
Which SimplePractice alternative is best for insurance billing?
TherapyNotes is generally considered better than SimplePractice for complex insurance billing. It has more structured billing workflows, better ERA/EOB processing, and phone support for billing questions — something SimplePractice does not offer.
Is there a SimplePractice alternative with better customer support?
TherapyNotes offers phone support on all paid plans — this is the main support advantage over SimplePractice. SimplePractice provides chat and email support but no phone option. If phone support is important to you, TherapyNotes is the better choice.
Can I switch from SimplePractice to another EHR without losing data?
Yes — SimplePractice allows you to export client records, notes, and billing data. Most alternative EHRs can import a CSV of client demographics. Clinical notes export as PDFs. The migration requires manual work but is feasible for most practices.
Is there a cheaper alternative to SimplePractice that still takes insurance?
TherapyAppointment starts at $10/month and includes insurance billing — the most affordable option with a full billing clearinghouse. TherapyNotes starts at $49/month and is comparable to SimplePractice in features at a lower entry price. Both include HIPAA BAAs.
What is the best SimplePractice alternative for a solo therapist?
For cash-pay solo therapists: Sessions Health (free). For insurance-based solo therapists: TherapyNotes ($49/mo) or SimplePractice Essential ($69/mo) — both cover the same needs with minor differences in interface and support style.
Is SimplePractice still worth it in 2026?
Yes, for most practices. SimplePractice has the largest user community, the most polished client experience, and the best telehealth integration of any therapy EHR. The main reasons to switch are: you need Wiley Planners (TherapyNotes), you need phone support (TherapyNotes), or you need a free option while starting out (Sessions Health).