SSubrupt

SimplePractice Alternatives

Therapist Practice Management
Visit SimplePractice
PlanMonthlyAnnual
Essential$69.00/mo$828.00/yr
PlusMost popular$99.00/mo$1,188.00/yr
Starter$29.00/mo$348.00/yr

Verdict

SimplePractice Starter at $29 per clinician monthly, Essential at $69, Plus at $99 is fair for active solo + group therapist practices using insurance billing + group + custom forms. Hobbyist therapists with 5-10 clients monthly over-buy. Where alternatives win: TheraNest charges $42-$98 per clinician with explicit client-cap pricing, TherapyNotes ships unlimited clinician flat at $59 per clinician, Kareo Mental Health (Tebra) bundles RCM at $149-$249, and SonderMind for Business is free for in-network providers (revenue from claims + network).

By Subrupt EditorialPublished Reviewed

Therapist practice management splits cleanly by practice size and revenue model. Solo and hobbyist therapists with 5-50 clients need affordable EHR, scheduling, and telehealth on SimplePractice Starter, TheraNest Solo, TherapyNotes Solo, or SonderMind Provider Network. Full-time solo and small group practices need insurance billing, claims, and outcome assessments on SimplePractice Essential, TheraNest Up to 50 Active Clients, TherapyNotes Solo + Group, or Kareo Mental Health Standard. Group practices and behavioral health enterprises need multi-clinician support, RCM, advanced reporting, and APIs on SimplePractice Plus, TheraNest Group + Enterprise, TherapyNotes Enterprise, or Kareo Mental Health Plus.

SimplePractice dominates the modern-UI solo and small group segment. TheraNest competes on client-cap pricing transparency. TherapyNotes ships unlimited-clinician flat-rate. Kareo Mental Health (Tebra) leads on bundled RCM. SonderMind serves the in-network provider network.

Math on cost: a 5-clinician group practice on SimplePractice Plus pays $5,940 yearly. Same practice on TheraNest Group + Enterprise pays $5,880. TherapyNotes Group pays $3,540 (unlimited clinician flat at $59 per clinician). Kareo Mental Health Standard pays $8,940. SonderMind Provider Network pays $0 base + 30-50% revenue share with the SonderMind network. The price spread for a 5-clinician group is roughly 1-2.5x; bigger differentiators are unlimited-clinician flat (TherapyNotes), client-cap explicit pricing (TheraNest), bundled RCM (Kareo Mental Health), and in-network revenue share (SonderMind).

Pick by practice size + revenue model. Hobbyist solo + want SimplePractice modern UI: stay with Starter. Solo + want explicit client-cap pricing: TheraNest Solo. Group practice + unlimited clinician flat: TherapyNotes Group. Bundled RCM + Tebra-stack alignment: Kareo Mental Health Standard or Plus. In-network insurance-heavy + want patient supply: SonderMind Provider Network (revenue share). Group + multi-clinician + custom forms: stay with SimplePractice Plus.

Affiliate disclosure: Subrupt earns a commission when you switch to a service through our recommendation links. This never changes the price you pay. We only recommend services where there's a real cost or feature advantage for you, and our picks are based on the data on this page, not on which programs pay the most.

Quick pick by use case

If you only have thirty seconds, find your situation below and skip to that pick.

If your practice wants explicit client-cap pricing instead of unlimitedTheraNestTheraNest Solo at $42 per clinician monthly (up to 30 clients) + Up to 50 at $54 + Group + Enterprise at $98+ has explicit client-cap tiers so cost scales with actual client load.If your group practice wants unlimited clinician flat-rateTherapyNotesTherapyNotes Group at $59 per clinician monthly is unlimited-clinician flat-rate so adding the 6th, 10th, 25th clinician costs $59 per clinician with no tier-up jumps.If your practice depends on bundled RCM (revenue cycle management)Kareo Mental Health (Tebra)Kareo Mental Health (Tebra-owned) Standard at custom $149 per clinician monthly + Plus at $249 bundles RCM + claims + analytics natively as part of the Tebra healthcare stack.If you are an in-network provider willing to trade software ownership for patient supplySonderMind for BusinessSonderMind Provider Network is free for in-network providers (revenue from claims via SonderMind network) + Premium Provider at $99 per clinician adds marketing tools + custom branding + multi-clinician.

At a glance: SimplePractice alternatives

Quick comparison across pricing floor, best fit, and switching effort. Tap a row to jump to the full pick.

Our picks for SimplePractice alternatives

#1

TheraNest

Medium switching effort

Best for explicit client-cap pricing transparency

Try TheraNest

TheraNest Solo at $42 per clinician monthly covers EHR + scheduling + telehealth + billing + client portal + outcome assessments up to 30 clients. Up to 50 Active Clients at $54 per clinician covers the same features plus group + supervision + custom forms up to 50 clients. Group + Enterprise at custom $98+ per clinician adds multi-clinician + advanced billing + API access + dedicated CSM + priority support. Where SimplePractice Starter at $29 covers core EHR but charges Essential ($69) for insurance billing + claims, TheraNest's $42-$54 client-cap tiers bundle billing + claims + outcome assessments at the Solo + Up to 50 levels. For private practices valuing explicit client-cap pricing transparency over SimplePractice's tier-feature gating, TheraNest beats SimplePractice on cost-clarity. The trade vs SimplePractice: dated UI on legacy modules, weaker integrations ecosystem, smaller installed base.

Strengths

  • +Explicit client-cap pricing tiers
  • +$42 + $54 with billing + claims bundled
  • +Group + supervision + custom forms on Up to 50
  • +Strong fit for cost-clarity-valuing practices

Trade-offs

  • −Dated UI on legacy modules
  • −Weaker integrations ecosystem
  • −Smaller installed base vs SimplePractice
Solo
$42/clinician/mo (up to 30 clients)
Up to 50
$54/clinician/mo (up to 50 clients)
Group + Enterprise
Custom ~$98+/clinician/mo
Strength
Client-cap pricing transparency
Pricing verified
2026-04-30
Migration steps
  1. Schedule demo at theranest.com (typically a 21-day free trial of paid tiers).
  2. Migrate SimplePractice client + chart + claims history via TheraNest onboarding.
  3. Configure TheraNest insurance billing + claims + outcome assessments workflow.
  4. Train clinicians on TheraNest UI vs SimplePractice modern-UI.
  5. Cancel SimplePractice once TheraNest covers full clinical + billing + claims cycle for one quarter.

Not for: Pass on TheraNest if your practice values SimplePractice's modern UI + integrations ecosystem; SimplePractice Essential + Plus fit those shapes better.

Paid plans from $42.00/mo

#2

TherapyNotes

Medium switching effort

Best for unlimited-clinician flat-rate group practices

Try TherapyNotes

TherapyNotes Solo at $59 per clinician monthly (or $49 first 2 months) covers EHR + scheduling + telehealth + billing + client portal + claims + payroll. Group at $59 per clinician monthly is unlimited-clinician flat-rate so a 5-clinician practice pays $295 monthly = $3,540 yearly (vs SimplePractice Plus at $5,940 yearly). Enterprise at custom $89+ per clinician adds multi-location + group consolidation + dedicated CSM + custom workflows + priority support. Where SimplePractice + TheraNest tier up at certain clinician counts, TherapyNotes prices flat per clinician with no jumps so adding the 6th, 10th, 25th clinician costs $59 per clinician. For group practices valuing unlimited-clinician flat-rate predictability, TherapyNotes beats SimplePractice on group economics. The trade vs SimplePractice: weaker modern UI + integrations ecosystem, smaller customer base outside group practices, less mature outcome assessment library than SimplePractice.

Strengths

  • +$59 unlimited-clinician flat-rate
  • +$3,540 yearly for 5-clinician group (40% cheaper)
  • +Built-in payroll + claims + client portal
  • +Strong fit for unlimited-clinician group practices

Trade-offs

  • −Weaker modern UI + integrations vs SimplePractice
  • −Smaller customer base outside group practices
  • −Less mature outcome assessment library
Solo
$59/clinician/mo (or $49 first 2 months)
Group
$59/clinician/mo unlimited-clinician flat
Enterprise
Custom ~$89+/clinician/mo multi-location
Strength
Unlimited-clinician flat-rate
Pricing verified
2026-04-30
Migration steps
  1. Schedule demo at therapynotes.com (typically a 30-day free trial).
  2. Migrate SimplePractice client + chart + claims + payroll history via TherapyNotes onboarding.
  3. Configure TherapyNotes claims + payroll + client portal workflow.
  4. Train clinicians + billers on TherapyNotes UI vs SimplePractice.
  5. Cancel SimplePractice once TherapyNotes covers full clinical + billing + claims + payroll cycle for one quarter.

Not for: TherapyNotes falls short for solo therapists valuing SimplePractice's modern UI + integrations ecosystem or practices needing TheraNest-grade explicit client-cap transparency.

Paid plans from $59.00/mo

#3

Kareo Mental Health (Tebra)

High switching effort

Best for bundled RCM (revenue cycle management)

Try Kareo Mental Health (Tebra)

Kareo Mental Health (Tebra-owned post-2021 Kareo + PatientPop merger) Standard at custom $149 per clinician monthly covers Tebra-owned cloud EHR + billing + RCM + telehealth + claims + scheduling. Plus at $249 per clinician adds advanced billing + RCM + analytics + multi-clinician + APIs + custom workflows + standard support. Where SimplePractice + TheraNest + TherapyNotes ship in-house billing tools, Kareo Mental Health bundles full RCM (revenue cycle management): denial management, AR follow-up, patient billing, payment posting, and full claims lifecycle handled by Tebra's RCM team rather than the clinician. For practices whose primary pain is RCM operational overhead, Kareo Mental Health beats SimplePractice on RCM depth. The trade vs SimplePractice: weaker modern UI, smaller installed base outside Tebra-stack practices, more expensive at parity tiers.

Strengths

  • +Bundled RCM (denials + AR + posting)
  • +Tebra-stack alignment with PatientPop marketing
  • +Plus adds advanced billing + analytics
  • +Strong fit for RCM-overhead-pain practices

Trade-offs

  • −Weaker modern UI vs SimplePractice
  • −Smaller installed base outside Tebra-stack
  • −More expensive at parity tiers
Standard
Custom ~$149/clinician/mo with RCM
Plus
Custom ~$249/clinician/mo with advanced billing + APIs
RCM
Bundled (denials + AR + posting)
Strength
Bundled RCM
Pricing verified
2026-04-30
Migration steps
  1. Schedule demo at tebra.com (typically engaging Tebra's mental health rep).
  2. Plan a 4-6 month rollout; pilot Kareo Mental Health on 1-2 clinicians first.
  3. Migrate SimplePractice client + chart + claims + AR history via Kareo onboarding.
  4. Configure Kareo Mental Health RCM + denial management + AR follow-up workflow.
  5. Cancel SimplePractice once Kareo Mental Health covers full clinical + RCM + claims cycle for one quarter.

Not for: Kareo Mental Health is suboptimal for solo therapists without RCM-overhead pain or practices valuing SimplePractice's modern UI + integrations ecosystem.

Paid plans from $149.00/mo

#4

SonderMind for Business

Low switching effort

Best for in-network provider network revenue share

Try SonderMind for Business

SonderMind Provider Network is free for in-network providers (revenue from claims via the SonderMind network at roughly 30-50% revenue share) with EHR + scheduling + insurance billing + patient matching via SonderMind's network. Premium Provider at custom $99 per clinician monthly adds marketing tools + advanced analytics + custom branding + multi-clinician + standard support. Where SimplePractice + TheraNest + TherapyNotes + Kareo Mental Health charge software fees + the practice handles patient acquisition, SonderMind flips the model: zero software fee but SonderMind takes a revenue share on patients matched through their in-network insurance referral system. For solo + small practices willing to trade ownership of patient acquisition for predictable patient supply, SonderMind beats SimplePractice on entry economics + patient flow. The trade vs SimplePractice: revenue share (30-50%) on SonderMind-matched patients, weaker EHR + scheduling depth, less mature multi-clinician + custom forms vs SimplePractice Plus.

Strengths

  • +Free for in-network providers (no software fee)
  • +Patient supply via SonderMind in-network referrals
  • +$99 Premium Provider adds marketing + branding
  • +Strong fit for in-network practices accepting patient supply

Trade-offs

  • −30-50% revenue share on SonderMind-matched patients
  • −Weaker EHR + scheduling depth
  • −Less mature multi-clinician + custom forms
Provider Network
Free for in-network (revenue from claims)
Premium Provider
Custom ~$99/clinician/mo with marketing + branding
Revenue model
Revenue share + Premium add-on
Strength
In-network patient supply
Pricing verified
2026-04-30
Migration steps
  1. Apply at sondermind.com to join the SonderMind in-network provider network.
  2. Complete credentialing + onboarding (typically 2-4 weeks).
  3. Migrate SimplePractice client + chart history via SonderMind onboarding.
  4. Configure SonderMind EHR + scheduling + insurance billing workflow.
  5. Run parallel for 30 days to evaluate patient supply + revenue share economics; cancel SimplePractice if SonderMind delivers credible patient flow.

Not for: SonderMind is suboptimal for cash-pay practices without in-network insurance or shops valuing ownership of patient acquisition; SimplePractice + TheraNest + TherapyNotes fit those shapes better.

Paid plans from $99.00/mo

When to stay with SimplePractice

Stay with SimplePractice if your private-practice flow lives in its client portal, your insurance billing + claims run on the Essential tier, or your group practice rolled out on Plus with multi-clinician + APIs. The picks below cover TheraNest for client-cap pricing, TherapyNotes for unlimited-clinician flat-rate, Kareo Mental Health for Tebra-stack RCM, and SonderMind for in-network providers willing to trade ownership for patient supply.

4 Alternatives to SimplePractice

TheraNest

TheraNest starts at $42.00/mo vs SimplePractice Plus at $99.00/mo

From $42.00/mo

Save $57.00/mo ($684.00/yr)

Switch to TheraNest
TherapyNotes

TherapyNotes starts at $59.00/mo vs SimplePractice Plus at $99.00/mo

From $59.00/mo

Save $40.00/mo ($480.00/yr)

Switch to TherapyNotes
Kareo Mental Health (Tebra)

Kareo Mental Health (Tebra) from $149.00/mo

From $149.00/mo

Switch to Kareo Mental Health (Tebra)
SonderMind for Business

SonderMind for Business from $99.00/mo

From $99.00/mo

Switch to SonderMind for Business

Price Comparison

Compared against SimplePractice Plus ($99.00/mo)

Continue your research

TheraNest alternativesTherapyNotes alternativesKareo Mental Health (Tebra) alternatives

How we picked

We compared therapist practice management platforms across the solo through group + behavioral health enterprise segment on per-clinician pricing model, client-cap vs unlimited clinician flat-rate, bundled RCM (revenue cycle management), in-network provider network revenue share, modern UI quality, and outcome assessment library.

We weighted predictable per-clinician pricing, bundled vs add-on pricing model, and practice-size fit (solo, small group, behavioral health enterprise). Pricing pulled from each vendor's site or sales conversations on the review date. Last refreshed 2026-04-30.

Update history1 update
  • Initial published version with 4 picks.

Frequently asked questions about SimplePractice alternatives

What is SimplePractice pricing?

SimplePractice Starter at $29 per clinician monthly covers cloud EHR + scheduling + telehealth + client portal + e-signing. Essential at $69 adds insurance billing + claims + outcome assessments + group practice + custom forms. Plus at $99 adds group practice + multi-clinician + APIs + advanced reporting + custom branding + priority support.

Is there a free therapist practice management platform?

SonderMind Provider Network is free for in-network providers (revenue from claims via SonderMind network at 30-50% revenue share). SimplePractice + TheraNest + TherapyNotes + Kareo Mental Health all start at $29-$149 per clinician monthly. The cheapest credible paid option is SimplePractice Starter at $29 per clinician monthly.

Which platform leads on unlimited-clinician flat-rate?

TherapyNotes Group at $59 per clinician monthly is unlimited-clinician flat-rate so adding the 6th, 10th, 25th clinician costs $59 per clinician with no tier-up jumps. For 5-clinician group practices, TherapyNotes at $3,540 yearly is roughly 40% cheaper than SimplePractice Plus at $5,940 yearly.

What replaces SimplePractice for bundled RCM?

Kareo Mental Health (Tebra-owned) Standard at $149 per clinician monthly + Plus at $249 bundles full RCM (revenue cycle management): denial management, AR follow-up, patient billing, payment posting, full claims lifecycle handled by Tebra's RCM team rather than the clinician. Canonical for practices whose primary pain is RCM operational overhead.

Which platform fits in-network insurance-heavy practices?

SonderMind Provider Network is free for in-network providers (revenue from claims via SonderMind network at 30-50% revenue share). Patient matching via SonderMind's in-network insurance referral system delivers patient supply in exchange for revenue share. Canonical for in-network insurance-heavy practices accepting patient supply over patient ownership.

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About the author: Subrupt Editorial

The team behind subrupt.com. We track subscriptions, surface cheaper alternatives, and publish comparisons where the score formula is on the page so you can recompute it yourself. We do not claim 30,000 hours of testing. What we claim is live pricing from our database, a transparent composite score, and honest savings math against a category baseline.

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