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.
Updated June 2026 · Independently reviewed · Not sponsored by TherapyNotes
Quick Answer
TherapyNotes is the best EHR for therapists who need Wiley Treatment Planners or phone support. At $49/month, it beats SimplePractice on clinical documentation depth. If you do not need Wiley Planners and want a more modern interface, SimplePractice Essential at $69/month is the better choice for most solo therapists.
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
TherapyNotes Pricing 2026
| Plan | Price | Includes |
|---|---|---|
| Solo | $49/mo | 1 clinician — notes, billing, telehealth, Wiley Planners, phone support |
| Group | $49 + $30/additional clinician | Multi-clinician with separate logins, shared scheduling, group billing |
TherapyNotes also charges a credit card processing fee of 2.99% + $0.20 per transaction — slightly lower than SimplePractice's 2.95% + $0.30. A 30-day free trial is available with no credit card required.
What Therapists Say About TherapyNotes
“TherapyNotes is incredibly powerful for documentation. The Wiley Planners alone save me 2 hours a week. The interface is not as pretty as SimplePractice but the clinical depth is unmatched.”
“I switched from SimplePractice to TherapyNotes because my supervisor required Wiley Treatment Plans. The phone support is excellent — I had a billing question resolved in 10 minutes on my first call.”
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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. SimplePractice, Sessions Health, and Jane App do not include Wiley Planners.
How does TherapyNotes compare to SimplePractice?
TherapyNotes wins on clinical documentation (Wiley Planners, phone support, billing depth) and starts at $49/month vs SimplePractice Essential at $69/month. 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.
Does TherapyNotes have phone support?
Yes — this is one of TherapyNotes' key advantages over SimplePractice. TherapyNotes provides phone support to all subscribers. SimplePractice offers live chat on Essential and Plus plans but no phone support. For therapists who prefer speaking to a person, TherapyNotes is the better choice.
Is TherapyNotes good for group practices?
Yes. TherapyNotes handles group practices well — each clinician has their own login, calendar, and notes, with the admin having oversight access. Pricing is $49/month for the first clinician plus $30/month per additional clinician. For a 3-person group practice, that is $109/month — typically less than SimplePractice Plus at $99 + $39/additional clinician.
What are TherapyNotes' transaction fees?
TherapyNotes charges 2.99% + $0.20 per credit card transaction — slightly different from SimplePractice's 2.95% + $0.30. At typical therapy session prices ($100–$200), the difference is negligible. Both platforms process payments through Stripe.
Who should NOT use TherapyNotes?
TherapyNotes is not ideal if you: want a modern, visually polished interface (SimplePractice is cleaner), primarily need telehealth with a good client-facing experience (SimplePractice telehealth is more polished), or are a new therapist who wants the easiest onboarding. TherapyNotes has a steeper learning curve than SimplePractice.