TherapyNotes Review 2026 — Is It the Right EHR for Your Practice?
TherapyNotes is one of the most widely used EHR platforms among mental health therapists. It has strong clinical documentation, built-in Wiley Treatment Planners, and phone support — but it also has a higher starting price and an older interface than newer competitors. Here is an honest review.
9/10
HIPAA Compliance
9/10
Clinical Documentation
7/10
Ease of Use
7/10
Value for Money
HIPAA Compliance
TherapyNotes is fully HIPAA-compliant. A signed Business Associate Agreement is included with all paid plans. Data is encrypted in transit and at rest. The platform maintains detailed audit logs of who accessed which records and when — a requirement under the HIPAA Security Rule. TherapyNotes also maintains separate fields for private (psychotherapy) notes and progress notes, meeting the HIPAA requirement for psychotherapy note separation.
Clinical Documentation — TherapyNotes' Strongest Feature
Built-in Wiley Practice Planners are the most significant differentiator from competitors. Wiley provides structured, evidence-based treatment plans, goals, and interventions organized by DSM diagnosis. Therapists who do intensive insurance billing or work in settings with clinical oversight requirements will find this saves significant documentation time.
Beyond Wiley, TherapyNotes has a solid note template library and good progress note workflows. Phone support means you can call for help with documentation questions — something SimplePractice and most competitors do not offer.
Interface and Ease of Use
This is TherapyNotes' weakest area compared to modern competitors. The interface works well but looks dated — it has not had a major visual update in years. Therapists switching from SimplePractice typically comment that TherapyNotes feels heavier and less intuitive. The mobile experience is functional but not as polished as SimplePractice's app. For therapists who are not particularly tech-comfortable, the learning curve is steeper.
Billing
TherapyNotes has a full insurance billing clearinghouse included in all plans. ERA/EOB processing, claim submission, and client invoicing are all covered. Therapists who do heavy insurance billing rate TherapyNotes highly for its billing workflows — it is more structured than SimplePractice for complex insurance scenarios.
Telehealth
TherapyNotes includes HIPAA-compliant telehealth in all plans, covered under the main BAA. The telehealth experience is functional — video quality is reliable and clients can join from any browser. However, the interface is less polished than SimplePractice's telehealth feature. If telehealth is your primary delivery mode, SimplePractice has a better experience.
Pricing
TherapyNotes starts at $49/month for solo practitioners. This is $20/month more than SimplePractice's Starter plan and $20/month less than SimplePractice's Essential plan. The comparison is not straightforward because TherapyNotes includes Wiley Planners and phone support, while SimplePractice Essential includes a more modern interface and better telehealth. For group practices, pricing scales per clinician.
TherapyNotes is the right choice if:
- ✓You rely on Wiley Treatment Planners
- ✓You need phone support
- ✓You do intensive insurance billing
- ✓You prefer structured, form-based documentation
- ✓Your group practice needs detailed audit trails
Consider SimplePractice instead if:
- →You want a modern, polished interface
- →Wiley Planners are not important to you
- →You do mostly telehealth
- →You are starting a new practice
- →You prefer chat support over phone
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FAQ — TherapyNotes Review
Is TherapyNotes HIPAA-compliant?
Yes. TherapyNotes signs a Business Associate Agreement with all paid subscribers, encrypts data at rest and in transit, maintains audit logs, and provides separate private note fields for psychotherapy notes. It meets all core HIPAA Security Rule requirements.
Does TherapyNotes include Wiley Treatment Planners?
Yes — this is TherapyNotes' main differentiator. Wiley Practice Planners provide structured, evidence-based treatment plans aligned with DSM diagnoses. No other major therapy EHR includes Wiley content by default.
How does TherapyNotes compare to SimplePractice?
TherapyNotes wins on clinical documentation (Wiley Planners, phone support, billing depth). SimplePractice wins on interface design, ease of use, mobile experience, and telehealth quality. Both are equally HIPAA-compliant. Most therapists who do not need Wiley Planners prefer SimplePractice.
Can I try TherapyNotes for free?
Yes — TherapyNotes offers a 30-day free trial with full features. No credit card is required to start the trial.