Who TherapyNotes is best for
TherapyNotes launched in November 2010. It was created by Dr. Debra Pliner, a licensed clinical psychologist, and Brad Pliner, who ran an IT consulting firm, after they first built an electronic records system for her group mental health practice. It is designed only for mental health and runs in a web browser, with a companion mobile app.
Best for
- Solo therapists, counselors and psychologists who bill insurance
- Group practices that want per-clinician pricing and free non-clinical staff users
- Psychiatric prescribers who want e-prescribing, including controlled substances, in the chart
Not ideal for
- Medical practices outside behavioral health
- Residential or addiction treatment programs that need inpatient-style workflows
- Practices that want every feature included in one flat price
TherapyNotes pros and cons
Pros
- Published pricing with a free 30-day trial, no signup fee and no long-term contract
- Behavioral health note templates for intakes, progress notes and treatment plans
- Basic Telehealth, client portal, secure messaging and unlimited file storage included in every plan
- HITRUST certified, with an AI-focused HITRUST certification for TherapyFuel
- 24/7 phone and email support and free client data import
- EPCS included with ePrescribe at no additional fee
Cons
- Electronic claims, ERAs and eligibility checks are charged per transaction
- E-prescribing and TherapyFuel AI are paid add-ons
- Text and call reminders cost extra per message
- Built for behavioral health only, so multi-specialty groups need another system
TherapyNotes pricing
TherapyNotes publishes its prices. As of October 2026:
- Solo: $69 per month for one user
- Group: $79 per month for the first clinician, plus $50 per month for each additional clinician, with free non-clinical staff users
- Enterprise: for larger practices, with a designated account manager
Optional features are billed on top: electronic billing at 14 cents per electronic claim, ERA claim and eligibility request; appointment reminders at 14 cents per text or call (email reminders free); payment processing at 3.1% plus 30 cents per transaction; ePrescribe at $65 per prescriber per month; Premium Telehealth at $15 per clinician per month; TherapyFuel AI at $40 per clinician per month; and MIPS reporting at $359 per clinician per year.
Key features
- Notes: intake, progress and treatment plan templates and outcome measures
- Scheduling and To-Do lists: recurring appointments, reminders and tracking of unsigned notes
- Billing: electronic claims, ERAs, eligibility checks and patient payments
- Client Portal: paperwork, e-signatures, appointment requests and payments
- Telehealth: Basic Telehealth included; Premium adds up to 16 participants, virtual backgrounds and screen sharing with sound
- ePrescribe: 24-month medication history, allergy and interaction alerts, formulary checks and EPCS through the Surescripts network
- TherapyFuel: AI scribe, draft progress notes and treatment plans, client history summaries
- TherapyNotes Mobile: schedule, messaging, telehealth and TherapyFuel Scribe on a phone
HIPAA, security and integrations
TherapyNotes says its software is HITRUST certified and that TherapyFuel holds an AI-focused HITRUST certification. Its security page lists FIPS 140-2 compliant encryption, onsite and offsite backups, role-based permissions, an activity log and two-factor authentication. Integrations are mostly built in: e-prescribing runs on Surescripts, claims go through TherapyNotes' electronic billing, and TherapySearch profiles feed appointment requests into the portal.
TherapyNotes alternatives
- SimplePractice — all-in-one practice software for therapists and wellness providers with a strong client portal.
- Valant — outpatient behavioral health EHR used by psychiatry and therapy practices, from solo clinicians to multi-practice organizations.
- ICANotes — behavioral health EHR with menu-driven note templates, used by psychiatrists, psychologists and therapists.
- Kipu Health — platform for substance use disorder and other behavioral health treatment programs.
