---
title: "TheraNest Software Pricing, Alternatives & More 2026 | Capterra"
description: "With the help of Capterra, learn about TheraNest Software - reviews, pricing plans, popular comparisons to other Mental Health EHR products and more."
source_url: "https://www.capterra.com/p/130400/TheraNest-Mental-Health/"
page_type: "product"
language: "en"
publication_date: "2026-09-30"
---

# 

 TheraNest Software Review 2026: Features, Integrations, Pros & Cons

Last updated on September 30, 2026

Provider data verified by our Software Research team, and reviews moderated by our Reviews Verification team.

[Description](#description)[Use cases](#use-cases)[Alternatives](#alternatives)[FAQs](#faqs)[Users](#users)[Pros and Cons](#pros-cons)[Features](#features)[Pricing](#pricing)[Integrations](#integrations)[Support](#support)[Reviews](#reviews)

TheraNest

## What is TheraNest?

TheraNest by Ensora Health is a comprehensive management software built for mental health professionals, including therapists, psychologists, social workers, and counselors. It streamlines your entire workflow, from HIPAA-compliant telehealth to integrated insurance billing and credit card processing. Key features include: • Secure Telehealth with no downloads required • Robust Documentation (including Wiley Practice Planners) • Client Portal for engagement and digital intake • Automated Reminders & multi‐provider scheduling • Streamlined Claims and simplified billing workflows Whether you’re a solo practitioner or running a large organization, TheraNest helps reduce admin overhead, improve clinical outcomes, and boost client satisfaction so you can focus on delivering quality mental health care.

## What is TheraNest used for?

[Mental Health](https://www.capterra.com/mental-health-software/)[Therapy Notes](https://www.capterra.com/therapy-notes-software/)[Mental Health EHR](https://www.capterra.com/mental-health-ehr-software/)

Recognitions

Shortlist

Overall rating

Based on 1,056 user reviews

Reviews sentiment

Positive

87%

Neutral

8%

Negative

5%

Pros & cons

Streamlined, intuitive experience

Continuous user-driven enhancements

Frequent technical glitches disrupt work

Manual and unreliable data saving

Starting price

$29

Per User, Per Month

Free trial  
available

Capterra Shortlist charts the highest-rated and most popular products...

-   Patient Portal / 2025

Our "Best of" badge program showcases products with the highest ratings...

Our "Best of" badge program showcases products with the highest ratings...

## TheraNest alternatives

Highest Rated

[4.8 (537)](https://www.capterra.com/p/178984/Jane-App/reviews/)

Starting price

$59.00

Per User, Per Month

Pricing Options

Free Trial

Free Version

User Rating

97%

of reviewers

rated it above 4 stars

[4.6 (2,828)](https://www.capterra.com/p/130710/SimplePractice/reviews/)

Starting price

$49.00

Per User, Per Month

Pricing Options

Free Trial

Free Version

User Rating

94%

of reviewers

rated it above 4 stars

[4.7 (972)](https://www.capterra.com/p/118981/TherapyNotes-com/reviews/)

Starting price

$69.00

Per User, Per Month

Pricing Options

Free Trial

Free Version

User Rating

94%

of reviewers

rated it above 4 stars

[4.7 (830)](https://www.capterra.com/p/124769/CounSol-com/reviews/)

Starting price

$49.95

Per User, Per Month

Pricing Options

Free Trial

Free Version

User Rating

98%

of reviewers

rated it above 4 stars

[View all alternatives](https://www.capterra.com/p/130400/TheraNest-Mental-Health/alternatives/)

## FAQs about TheraNest

Overview

### What problems does TheraNest solve?

TheraNest solves fragmented private-practice workflows by centralizing scheduling, progress notes, treatment plans, billing, claims, reminders, and client intake in one secure system. It reduces paperwork, duplicate data entry, missed documentation deadlines, and billing friction. Solo therapists, group practices, office managers, and behavioral health clinicians benefit most from its streamlined day-to-day operations.

Answer based on 422 reviews

Overview

### Which roles and teams benefit most from TheraNest?

TheraNest is most used by mental health clinicians, practice owners, and administrative teams managing therapy operations. Therapists, counselors, psychologists, and social workers rely on it for scheduling, notes, treatment plans, and billing, while owners, directors, and office managers use it to oversee caseloads, streamline workflows, and support multi-provider practice management.

Answer based on 888 reviews

Overview

### What company size and industries is TheraNest built for?

TheraNest serves small therapy and counseling organizations, with 98% of reviewers from small businesses and 72% from mental health care. It is built for solo practitioners, group therapy practices, counseling centers, social service organizations, faith-based groups, psychology practices, schools, and universities, with additional use in health and wellness and hospital settings.

Answer based on 1051 reviews

Features and Usability

### What are the key features of TheraNest?

TheraNest includes core practice management features like appointment scheduling, calendar reminders, billing and invoicing, insurance claims, and patient records. Differentiating features include customizable forms and templates, a client portal for intake and payments, telehealth with secure video, and mobile access for notes, schedules, and documents.

Answer based on 343 reviews

Pricing

### How much does it cost and what fees or limitations are included?

TheraNest starts at $29/user/month for Essentials, with Advanced at 59 and Premier at 89, plus a free trial. Reviewers often call it affordable and a good fit for small practices, though some mention extra charges for add-ons like portal features or reminders and a learning curve around billing setup.

Answer based on 122 reviews

Integrations

### Which third-party tools and platforms does TheraNest integrate with?

TheraNest integrates with Google Calendar, Microsoft Outlook, iCloud, Zoom Workplace, Google Workspace, WileyPLUS, and Square Point of Sale. Calendar syncing is the most frequently mentioned connection, while video, productivity, treatment planning, and payment tools appear in reviewer feedback as additional third-party platforms used alongside TheraNest.

Answer based on 157 reviews

Getting Started and Support

### How easy is it to onboard and train a team on TheraNest?

TheraNest offers live online sessions, webinars, videos, and documentation, which give teams several ways to learn. Many therapists, trainees, and small practices get up to speed quickly on basic tasks with limited training. Admins and teams handling billing, claims, or custom setup typically need more time due to a noticeable learning curve.

Answer based on 114 reviews

Getting Started and Support

### What customer support options does TheraNest offer, and how do users rate the experience?

TheraNest offers email/help desk, FAQ/forum, a knowledge base, phone support, and chat. Users often describe support as responsive, patient, and helpful, especially during setup and troubleshooting. Some reviewers report uneven response times, difficulty reaching a live person, and a more automated experience when issues are complex or ongoing.

Answer based on 522 reviews

Security

### How does TheraNest handle data security and access control?

TheraNest uses secure online record storage, a secure client portal, secure messaging, secure document sharing, encrypted credit card handling, staff permissions, and HIPAA-compliant telehealth and email through the portal. Some reviewers note gaps, including limited permission granularity, no Duo push, and insecure or cumbersome emailing of statements, invoices, and superbills.

Answer based on 41 reviews

## Who uses TheraNest?

Based on Capterra reviews from the past 2 years

Talk to a software expert

to get a free software list  
tailored to your business needs

## Pros and Cons

Streamlined, intuitive experience

94% positive reviews out of 197

Most reviewers report ease of use, intuitive navigation, and reduced administrative burden across essential practice tasks.

Frequent technical glitches disrupt work

62% negative reviews out of 99

Some reviewers report recurring bugs, system slowdowns, and unresolved technical issues that interrupt daily operations.

Maria S.

LMHC, 1 employee.

"They have created a financial loss because of a glitch in their system and are unable to explain why this has occurred and still occasionally occurs."

Continuous user-driven enhancements

95% positive reviews out of 57

Most reviewers describe improvements as frequent, user-driven, and directly responsive to feedback and evolving needs.

Manual and unreliable data saving

58% negative reviews out of 79

Some reviewers say data saving requires frequent manual action, risking lost work and workflow interruptions if forgotten.

D'Nicole M.

Therapist, 11 - 50 employees.

"I do not like how this program does not automatically save my work. If I am not saving notes/assessments (short and or long documents) periodically and there is an issue with TheraNest or the internet connection, all is lost, and I need to start over."

Integrated and intuitive interface

94% positive reviews out of 35

Most reviewers find the user interface clean, easy to navigate, and well-integrated for daily mental health workflows.

Limited and complex form customization

64% negative reviews out of 39

Some reviewers describe custom forms as difficult to create, restrictive, and lacking seamless integration with other features.

## Features

AI summary

Based on 1,280 Mental Health EHR reviews

Capterra reviewers point to these as the top priorities when choosing a Mental Health EHR:

-   **HIPAA Compliant** (**82%** of reviewers rated this feature as critical)
-   **Therapy Notes** (**67%**)
-   **EMR/EHR** (**68%**)

TheraNest supports all three of the features buyers rate most highly: **HIPAA Compliant**, **Therapy Notes**, and **EMR/EHR**. Together, these capabilities help mental health practices protect patient data, document care accurately, and maintain complete electronic health records, allowing teams to manage clinical and administrative work more efficiently.

HIPAA Compliant

4.8 (140)

87.14% of 140 reviewers that rated this feature as important or highly important

TheraNest gives you peace of mind by keeping client data secure and meeting HIPAA requirements. Reviewers appreciate the strong privacy protections, easy compliance for mental health records, and the confidence it brings when handling sensitive information.

Therapy Notes

4.5 (66)

96.97% of 66 reviewers that rated this feature as important or highly important

Tools to help therapists document, record, and recall patient encounters

EMR/EHR

4.2 (93)

68.82% of 93 reviewers that rated this feature as important or highly important

TheraNest offers a streamlined way to document, store, and access client records securely. Reviewers indicate it’s easy to use, supports efficient clinical documentation, and helps organize practice workflows. Many value the accessibility and organization it brings to daily operations.

Charting

4.4 (91)

85.71% of 91 reviewers that rated this feature as important or highly important

Manage patient documentation describing all clinical interactions, diagnoses, procedures, medications, etc.

Document Management

4.2 (134)

82.84% of 134 reviewers that rated this feature as important or highly important

You benefit from organized, secure document storage and flexible note-taking options. Reviewers appreciate the ability to upload, search, and manage documents easily, though some say template customization and client signature collection could be more user-friendly.

Appointment Scheduling

4.3 (118)

71.19% of 118 reviewers that rated this feature as important or highly important

With this capability, you can efficiently manage and adjust client appointments. Users think scheduling is intuitive, quick, and helps prevent double-booking. Some reviewers feel recurring appointments and telehealth scheduling have improved, though a few mention minor glitches or limited customization.

TheraNest 143 features

### All Features
- Access Controls/Permissions: Define levels of authorization for access to specific files or systems
- Accounting: Built-in accounting to manage ledger, accounts payable/receivable, financial reports, etc.
- Activity Dashboard: Dashboard to view the status of ongoing processes, identify current incidents and track past activities
- Activity Tracking: Track and document all activities across devices, networks, and other systems
- Alerts/Notifications: Alerts or notifications of various types such as pop-up messages, sounds, banners, or badges
- API: Application programming interface that allows for integration with other systems/databases
- Appointment Management: Manage various aspects of appointments including booking, rescheduling, canceling
- Appointment Scheduling: With this capability, you can efficiently manage and adjust client appointments. Users think scheduling is intuitive, quick, and helps prevent double-booking. Some reviewers feel recurring appointments and telehealth scheduling have improved, though a few mention minor glitches or limited customization.
- Attendance Management: Manage attendance for classes, shifts, meetings, or events
- Automated Scheduling: Automatically create schedules based on business needs or employee availability and qualifications
- Bill Payment: Complete outstanding payments
- Billing & Invoicing: Create, manage, and send invoices or bills to customers
- Calendar Management: Track and manage schedules and meetings via an integrated calendar
- Calendar Sync: Synchronize with other calendars to view mutual availability and schedules
- Cancellation Tracking: Track cancellations of policies, accounts, orders, appointments, etc.
- Care Plan Management: Manage the treatment plan and coordination between care providers and patients with special health care needs
- Care Summaries: Electronic patient health records
- Case Notes: Access and track notes regarding case activities and updates within case files
- Charting: Manage patient documentation describing all clinical interactions, diagnoses, procedures, medications, etc.
- Chat/Messaging: Communicate using direct chat or messages within the system
- Claims Management: Process of submitting and following up on claims with insurance companies
- Claims Scrubbing: Clean up of claims prior to their submission and validating to determine claims are appropriate and accurate
- Client Database: Electronic storage of stakeholder contact information
- Client Management: Manage contact details and communication with clients
- Client Portal: Private online space that lets businesses securely share documents and provide information access to clients
- Clinic Interoperability: Securely transfer, access, exchange, integrate or use data with different providers or systems
- Clinical Notes: Record and organize clinical notes and progress notes for each patient after interaction with a physician
- Code & Charge Entry: Assigning monetary value to patients' accounts as per medical codes and appropriate fee schedule
- Coding Assistance: Automatically generates E/M codes based on information collected during patient charting
- Communication Management: Manage and track all internal and external communication conducted via calls, email, text, or chat
- Compliance Management: Track and manage adherence to policies for any service, product, process, or supplier
- Compliance Tracking: Track and report regulatory data to either internal management or external stakeholders
- Confirmations/Reminders: Automated reminders and confirmations for booked appointments and events via text or email
- Contact Database: Centralized database of stakeholders and their contact information such as names, address, phone number etc.
- Credit Card Processing: Accept and process credit card transactions
- Customer Database: A collection of customer information such as contact details, demographics, previous interactions, etc.
- Customizable Branding: Add customized logos and colors to align with company branding
- Customizable Fields: Customize data fields to support various needs and use cases
- Customizable Forms: Customize contracts and forms to collect specific information
- Customizable Templates: Pre-designed layouts that can be customized to match preferences and requirements
- Data Import/Export: Import and export data to and from software applications
- Data Security: Protect sensitive data for digital privacy
- Decision Support: Tools that provide relevant information at specific times to support judgments and courses of action
- Document Management: You benefit from organized, secure document storage and flexible note-taking options. Reviewers appreciate the ability to upload, search, and manage documents easily, though some say template customization and client signature collection could be more user-friendly.
- Document Storage: Store and organize documents in a centralized system
- Document Templates: Customizable sample documents that contain placeholder text or a standard layout that can be repeated for each new file
- Drag & Drop: Assemble applications and processes by dragging over and arranging pre-built components
- Dunning Management: Process of automatically notifying clients when payments fail to ensure invoices are paid
- Electronic Payments: It helps you process payments quickly and reliably, reducing delays and manual work. Some reviewers find accepting credit cards and generating receipts easy, while others mention fees and occasional difficulties with refunds or payment portal setup.
- Electronic Signature: Digitally sign online documents
- Eligibility Verification: Identifying if all conditions that entitle a client to certain benefits are met
- Email Reminders: Reminders sent via email
- Employee Management: Track employee schedules, availability, and performance across projects and tasks
- EMR/EHR: TheraNest offers a streamlined way to document, store, and access client records securely. Reviewers indicate it’s easy to use, supports efficient clinical documentation, and helps organize practice workflows. Many value the accessibility and organization it brings to daily operations.
- Faculty/Staff Management: Track and manage staff profiles, recruitment, schedules, productivity, career development and performance
- File Sharing: Public or private sharing of digital files such as documents, audio/video, images, and more
- Financial Management: Plan, manage, and track the financial activities of an individual or organization
- For Group Therapy: For mental health professionals providing therapy to multiple patients at the same time
- For Medical Purposes: Intended for medical use such as diagnosis, treatment, and consultation
- For Mental/Behavioral Health: For mental/behavioral health specialties such as psychiatry, therapy/counseling, substance abuse, etc.
- For Nonprofits: Software specialized for non-profit organizations
- For Substance Abuse Therapy: For mental health professionals that specialize in substance abuse therapy/programs
- Forms Management: Store, manage and track all forms in a centralized location
- Generative AI: Use AI to generate content in the form of text, images, videos, etc.
- Goal Setting/Tracking: Establish measurable goals and objectives and track their progress over a specific period of time
- Health Record Access: Gaining access to confidential health documents and information
- HIPAA Compliant: TheraNest gives you peace of mind by keeping client data secure and meeting HIPAA requirements. Reviewers appreciate the strong privacy protections, easy compliance for mental health records, and the confidence it brings when handling sensitive information.
- Historical Reporting: Information, data and reports that are being tracked over time
- Income/Expense Tracking: Detailed log and record of financial earnings & costs.
- Initial Assessments: Conduct intake assessments to determine patient health status, medical history, conditions, etc.
- Insurance Eligibility Verification: Checking eligibility of patients for different insurance claims
- Insurance Management: Involves selling of insurance solutions, managing policies, handling claims & assessing risk and coverage
- Intake Management: Activities related to the initial admission of a charge into the organization's care
- Invoice History: Store and view prior invoices for each account/client
- Invoice Management: Captures invoice data and maintains comprehensive records for auditing and reporting purposes
- Medical Billing: Manage billing and payments for a healthcare provider
- Medical History Records: Records of patients' medical history
- Mobile Access: Access software remotely via mobile devices
- Mobile App: Access the system via a mobile application
- Multi-Factor Authentication: Request two or more credentials to prove user's identity before granting access to systems
- Multi-Location: Manage and support multiple locations
- Multi-Physician: Supports practices with multiple healthcare professionals
- Multi-Provider Practice: For practices with multiple providers
- No-Show Tracking: Track and monitor patient no-show rates
- Notes Management: Allow users to create, edit, and sort multiple notes
- On Call Scheduling: Track and organize on-call shifts
- One-to-One Messaging: Send personal messages to clients or attendees
- Online Booking: Book meetings and appointments through a website or digital platform
- Online Forms: Create new forms and/or use ready-made online form templates
- Patient Communications: Allow communication between the company and patients via messages, SMS, emails, phone, and more
- Patient Database: A repository of patient data, including their past and current health issues, treatment history, and more
- Patient Engagement: Allows medical providers to engage patients in a variety of ways to ensure their health.
- Patient Intake: Patients can register for appointments in advance online
- Patient Management: Managing and tracking patient health, progress, communication, and treatment plans
- Patient Monitoring: Observing and tracking a patient's health status, condition, and wellbeing
- Patient Portal: Online portal where patients can access information such as health records, treatment plants, etc.
- Patient Records Management: Managing different types of patient records, including paper documents, digital files, billing information, and scheduling details
- Patient Scheduling: Book and manage patient appointments and follow-ups
- Payment Collection: Tracking, managing, and initiating the transfer of funds for overdue customer payments
- Payment Processing: Accept, record, and reconcile financial transactions
- Physician Management: Track and organize physician schedules and pertinent information
- Physician Scheduling: Manage physician availability and schedules
- Practice Management: Managing day-to-day operations of a medical practice such as scheduling appointments, generating reports and more
- Progress Notes: Customizable notes that help healthcare professionals document and track patient progress
- Progress Reports: Document and report the progress of ongoing projects
- Quotes/Estimates: Generate quotes or estimates for customers
- Real-Time Notifications: Notifications that are delivered to users as soon as an event occurs
- Real-Time Reporting: Active reporting of data and metrics
- Records Management: Ability to record, store, update, and retrieve information
- Recurring Appointments: Schedule repeating appointments based on a duration of time
- Referral Management: Log and store the source of contacts/leads
- Referral Tracking: Log and store the source of contacts/leads
- Registration Management: Oversee and coordinate the registration of attendees, visitors, customers, events, activities, etc.
- Reminders: Timed notification for any upcoming task, deadline, appointment, or activity
- Remittance Advice: Document insurance payer providing an explanation of benefits (EOB).
- Remote Treatment Planning: Remotely create and access treatment plans tailored to individual patients based on symptoms
- Reporting & Statistics: Collection, analysis, and representation of numerical data and generation of reports to understand various patterns
- Reporting/Analytics: View and track pertinent metrics to find patterns and gain insights from data
- Revenue Management: Monitor sales and make necessary adjustment in order to increase demand and revenue
- Role-Based Permissions: Set & manage permission levels based on user roles and restrict access to only authorized individuals
- Scheduling: Plan availability and assign specific time slots for tasks and resources
- Search/Filter: Search and filter data across systems to locate required information by entering keywords or certain criteria
- Secure Data Storage: Securely stores data to prevent data loss or breaches
- Secure Messaging: Exchange messages in a secure and encrypted manner
- Self Service Portal: Online portal through which end users can access the system, manage tasks, or obtain information
- Session Notes: Private client session notes for coaching, therapy, etc.
- SMS Messaging: Send messages via SMS
- SSL Security: Security protocol that ensures secure, encrypted communication over the internet, safeguarding sensitive data from unauthorized access
- Staff Management: Schedule shifts for staff/employees, track hours worked, and manage staff payroll
- Surveys & Feedback: Gauge satisfaction and receive information for improvement and success
- Task Scheduling: Track and manage the scheduling of tasks
- Telemedicine: Meet with patients remotely
- Teletherapy: Provide online therapy to patients/clients through secure video sessions
- Template Management: Create, save, and re-purpose templates for emails, forms, etc.
- Therapy Notes: Tools to help therapists document, record, and recall patient encounters
- Time Tracking: Measure and track time including hours worked and paid time off (PTO)
- Training Management: Track employee/learner's progression through training programs
- Treatment Planning: Create treatment plans that document interventions and outcomes to track patient progress
- Two-Way Audio & Video: Presenter can see and hear participants and vice versa
- Video Conferencing: Connect with meeting participants remotely over video
- Video Consultations: Speaking to a doctor or healthcare professional using online video tools
- Virtual Waiting Room: Monitor wait time and abandonment for incoming requests that have not been routed
- Workflow Management: Create, design and manage workflows for repetitive tasks

---

Get Advice

We can help you find the software with the features you need.

Features

4.1 (834)

4.1

Based on 834 reviews

## Pricing

Value for money

4.2 (723)

Free Trial

[View pricing plan details](https://www.capterra.com/p/130400/TheraNest-Mental-Health/pricing/)

Essentials

$29.00

Per User,Per Month

It includes:

-   Scheduling Management
-   Secure client portal
-   Calendar sync
-   Basic intake forms and notes
-   Ensai notes enhancement
-   Hassle-free credit card payments\*
-   Optional Telehealth add-on\*

Advanced

$59.00

Per User,Per Month

It includes:

-   Online booking & secure messaging
-   Custom intake forms & notes
-   Unlimited Telehealth (Individual + Group)
-   Get 50 free each per practice per month\*:
-   \- Claims processing
-   \- Eligibility checks
-   \- Text & phone reminders

Premier

$89.00

Per User,Per Month

It includes:

-   Unlimited text & phone reminders†
-   Wiley Practice Planner included
-   Unlimited Telehealth (Individual + Group)
-   Unlimited claims processing†
-   Unlimited eligibility checks†
-   Insurance billing automation

Value for money

4.2 (723)

4.2

Based on 723 reviews

## Integrations

[

Google Calendar](https://www.capterra.com/p/213340/Google-Calendar/)[

Microsoft Outlook](https://www.capterra.com/p/227138/Microsoft-Outlook/)[

iCloud](https://www.capterra.com/p/204717/iCloud/)

Connect with a Capterra advisor for a free 15-minute consultation

Get a personalized software list aligned to your business needs with guidance from our expert advisors. Our team has helped 1 million+ businesses like yours find options that fit their needs.

## Support, customer service and training options

Customer Service

4.4 (985)

Support

-   Email/Help Desk
-   FAQs/Forum
-   Knowledge Base
-   Phone Support
-   24/7 (Live rep)
-   Chat

Training

-   In Person
-   Live Online
-   Webinars
-   Documentation
-   Videos

Deployment

-   Web
-   Android
-   iPhone/iPad

Typical users

-   Freelancers
-   Small businesses
-   Mid size businesses
-   Enterprises

Customer Service

4.4 (985)

4.4

Based on 985 reviews

## User reviews

Overall rating

4.4

Based on 1,056 reviews

Filter by rating

5(595)

4(321)

3(87)

2(24)

1(29)

Mentioned topic

Sorted by most recent

Arsalan A.

Pharmacy assistant

Health, Wellness and Fitness

### "TheraNest solution for daily practice operations "

5.0

Overall Rating

5.0

5.0

Ease of Use

5.0

5.0

Features

5.0

5.0

Customer Service

4.0

4.0

Likelihood to Recommend

9/10

October 5, 2026

Overall it’s a great platform for managing appointments, documentation, billing, health practices. Although customer support and workflow features could be improved

Pros

It’s user friendly features helps manage appointments scheduling along with reminders convenient.It has efficient billing and payment integration.

Cons

Sometimes customers support take more than usual time. For new businessss prices are higher. Staff and workflow interface can be improved

Review source

Incentivized review: software users are invited to submit an honest review and offered a nominal incentive for their time and effort. All incentivized reviews are subject to our verification process prior to publication.

Response from Vendor

October 12, 2026

Thank you for the kind words, Arsalan! We're glad the scheduling, reminders, and billing integration have been working well for you. The feedback on support response times, pricing for new businesses, and the workflow interface are all noted and we'll make sure they get to the right team. If you ever want to share more, don't hesitate to reach out at feedback@ensorahealth.com (put 'Madison' in the subject line to route to me directly). Madison TheraNest by Ensora Health

Giovanni S.

Freelancer

Internet

### "Gestionale perfetto per gli studi di psicologia, ma inutile al di fuori del settore clinico"

4.0

Overall Rating

4.0

4.0

Ease of Use

3.0

3.0

Features

4.0

4.0

Customer Service

4.0

4.0

Likelihood to Recommend

8/10

September 18, 2026

Esattamente come ShareCRF, è un software di nicchia. Fa benissimo il suo lavoro per chi gestisce uno studio di psicoterapia, consulenza o riabilitazione, aiutando a tenere separata la burocrazia dalla pratica clinica. Tuttavia, per un utente normale o uno studente in cerca di un'app di produttività generale, è assolutamente fuori contesto.

Pros

Se ti capita di fare un lavoretto part-time come segretario in uno studio medico o stai affrontando un tirocinio universitario in ambito clinico, questo software ti fa capire esattamente come si gestisce il lavoro nel mondo reale. Raccoglie in un solo posto l'agenda degli appuntamenti, le cartelle dei pazienti e la fatturazione. Lo strumento per prendere appunti dopo le sessioni (le famose "progress notes") è molto ordinato e garantisce che i dati sensibili siano protetti a dovere.

Cons

È un programma ultra-specifico e totalmente inflessibile. Non puoi adattarlo per gestire progetti universitari, liste di cose da fare o lavori di gruppo, perché ogni campo è pensato per i "pazienti" e le "terapie". Inoltre, molte automazioni legate alla fatturazione e alle assicurazioni sanitarie sono palesemente tarate sul sistema americano, il che lo rende un po' macchinoso da configurare se lo si deve utilizzare in Italia.

Review source

Non-incentivized review: any software user can leave a review for any product listed on our site. All submitted reviews are subject to our verification process prior to publication.

Response from Vendor

September 30, 2026

Thank you for the thoughtful and honest review, Giovanni! You hit the nail on the head; TheraNest is purpose-built for clinical practices, so it's not the right fit for general productivity or university projects. We're glad it gave you a clear window into how a real clinical setting operates, and that the progress notes and patient management features made an impression. Thanks for sharing your perspective! Madison TheraNest by Ensora Health

Andrea N.

Owner Practitioner

Mental Health Care

### "TheraNest of problems"

2.0

Overall Rating

2.0

2.0

Ease of Use

2.0

2.0

Features

2.0

2.0

Customer Service

1.0

1.0

Likelihood to Recommend

0/10

September 18, 2026

Support staff is not capable of meeting workflow issues in a timely manner. The chat support service is a runaround to having to put in a ticket anyway.

Pros

At first I was very happy with the AI function as I had surgery which made typing very difficult. They helped with transferring my client files from Thera-link to TheraNest.

Cons

I did receive one year free since I switched from Thera-Link to Thera-Nest. The support group was initially helpful but after a month I was told the representative that did my onboarding to the software did not have enough bandwidth for my issues and I needed to start using the Hub. I have contacted them on multiple occasions because their calendar only pushes out it does not accept incoming info when it syncs with my Google calendar. I was simply told that was not going to get addressed until next year so I would have to deal with it. Forget my workflow and double bookings. Now in addition I have begun using their billing tool, which they charge an add on fee to use, when I wrote TheraNest to indicate that I was having issues with not being able to sign my note or change the status of the session, \[sensitive content hidden\], their support person, wrote me back and indicated: " In this case you will need to remove the payment from the invoice, delete the invoice, edit the statues, then create the invoice again and reapply the payment." Once again I am being asked to deal with/fix their software bugs because they don't want to or don't have the qualified people to do it. I called and asked to speak to a supervisor and was told none was available today cause yeah, it's Friday. The needs of my clients and the needs of my company are not important to TheraNest, and they will send my concerns to management which will contact me at THEIR earliest convenience. I will not be renewing with TheraNest.

Review source

Non-incentivized review: any software user can leave a review for any product listed on our site. All submitted reviews are subject to our verification process prior to publication.

Response from Vendor

September 30, 2026

Andrea, thank you for sharing this and we're truly sorry. You came to TheraNest during a really difficult time personally, and the last thing you should have experienced was being passed around and told to wait until next year for a fix that was affecting your daily workflow. That's not okay, and we hear you. The calendar sync issue, the billing tool workaround, and not being able to reach a supervisor when you needed one are all things that deserved better attention than you received. We'd really like the chance to make this right. Please reach out at feedback@ensorahealth.com (put 'Madison' in the subject line to route to me directly) and I will personally make sure your concerns are escalated to the right people right away. Madison TheraNest by Ensora Health

WT

Wilson T.

Admin

Mental Health Care

### "Inconsiderate"

1.0

Overall Rating

1.0

1.0

Ease of Use

3.0

3.0

Features

3.0

3.0

Customer Service

1.0

1.0

Likelihood to Recommend

1/10

September 17, 2026

Just a heads up for other private practice owners considering TheraNest. Our practice signed up for an annual plan while we were in the process of transitioning to Jane. We realized TheraNest didn't have the functionality our practice needed long-term, so we began migrating our client files and only needed TheraNest for another month or two while we completed the transition. Once the migration was finished, we reached out multiple times to ask if they would allow us to end the contract early or work with us on a reasonable solution. They declined every request and are requiring us to pay for the full remaining year. As a result, our small private practice is now paying for two EHR systems at the same time—Jane, which we actively use every day, and TheraNest, which we no longer use at all. What has been most disappointing isn't simply the annual contract itself. It's that, despite multiple good-faith requests, TheraNest was unwilling to offer any flexibility or reasonable accommodation for a small practice that no longer needed the platform. I'm sharing our experience because I think other therapists deserve to know what to expect before signing an annual agreement. If there's any chance your practice may outgrow the platform or you're considering it as a temporary solution while transitioning to another EHR, make sure you're comfortable with the possibility of paying for the entire year regardless. Please read the annual contract carefully before choosing TheraNest.

Pros

Before the company became Ensora Health, there was an option to request a refund for the unused portion of a plan. This was especially helpful for small businesses that needed to cancel their subscription before the plan period ended. Having the ability to recover payment for unused services provided a greater sense of fairness and flexibility. After the transition to Ensora Health, however, this option appears to have changed or become unavailable. It would be helpful if the company continued offering refunds for unused plan periods, particularly when customers cancel their subscriptions and no longer need the services they paid for.

Cons

The interface feels outdated, and the customer support experience has been disappointing. There also seems to be little consideration for small businesses. Even after canceling the plan, they may continue billing you, and the system does not allow you to remove the card on file. This means they can continue charging the card if you forget to cancel a separate subscription, even after you have canceled the main plan.

Switched from

[Jane](https://www.capterra.com/p/178984/Jane-App/)

Better services, more affordable and user friendly

Review source

Non-incentivized review: any software user can leave a review for any product listed on our site. All submitted reviews are subject to our verification process prior to publication.

Response from Vendor

September 30, 2026

Thank you for sharing your experience so openly. We're really sorry the transition period was so hard, and we completely understand how frustrating it must be to pay for two systems at the same time. We never want any practice, especially a small one, to feel like they're stuck without options. To give some context for others reading this: our annual plans are priced lower than month-to-month because they're built around a full-term commitment, and those terms, including the 90-day notice and non-refundable policy, are outlined before signing. That said, we always want practices to go into that decision with full clarity, and we're sorry if that wasn't the case here. Please reach out at feedback@ensorahealth.com (put 'Madison' in the subject line to route to me directly) and we'd love the chance to talk through your situation. Madison TheraNest by Ensora Health

Zina Ortiz F.

Management

Mental Health Care

### "Basic practice management, but we quckly outgrew it"

1.0

Overall Rating

1.0

1.0

Ease of Use

3.0

3.0

Features

1.0

1.0

Customer Service

1.0

1.0

Likelihood to Recommend

0/10

September 6, 2026

I used Theranest for 14 years and used it for a few of those years for my growing behavioral health group practice. It served us reasonably well during an earlier stage of the practice, particularly for basic scheduling, documentation, client records, and general EHR functions. The platform is relatively easy to learn, and clinicians can usually become comfortable with the core functions without an extensive onboarding process. Though much of it is manual, and outdated. The interface had not changed much since the beginning of my subscription. For a solo clinician or smaller practice with fairly straightforward workflows, TheraNest may provide many of the basic tools needed to manage day-to-day operations, with some minor issues. Theranest has a bad reputation as an RCM and claims submission platform, it doesn't support API and lacks visibility of data. I know of fellow clinicians who lost thousands of dollars to their claims submission feature, claims got lost, some of them weren't even submitted and no way to resolve denials. Where we began running into limitations was as our organization became larger and operationally more complex. Managing a group practice with multiple clinicians, supervisors, billing staff, insurance workflows, credentialing considerations, documentation oversight, and a high volume of claims required more visibility and automation than the platform provided. As I mentioned earlier it is limited, outdated and lacks core features needed for a successful RCM. They do offer claims "support" for an extra fee, I just never trusted it. We found ourselves relying increasingly on manual processes and outside systems to monitor things such as documentation completion, supervisory workflows which is non existent, treatment plan and assessment deadlines missing, clinician performance missing, insurance and billing issues missing, and other administrative tasks. At scale, having information available somewhere in an EHR is very different from having that information organized in a way that allows an administrator to immediately see what needs attention. Billing was another area where we eventually needed greater transparency and workflow control. Our practice processes a significant volume of insurance claims, and over time we needed much stronger claim tracking, operational dashboards, automated alerts, reconciliation tools, and visibility across the revenue cycle. TheraNest was useful during one stage of our practice's growth, and I can see it continuing to work well for solo clinicians with relatively simple workflows. For a larger, insurance-heavy behavioral health organization, however, we ultimately needed a platform with deeper automation, stronger revenue-cycle visibility, more sophisticated supervision tools, and a system designed around the operational realities of managing a growing group practice.

Pros

TheraNest covers the fundamental functions of a behavioral health EHR fairly well. Scheduling, client records, clinical documentation, and telehealth. The learning curve for clinicians is also relatively manageable if you're ok with clicking "save" buttons on every page and form.

Cons

The limitations become more noticeable as a practice grows. Group-practice administration, supervision oversight, advanced billing workflows, reporting, automation, and real-time operational visibility is non existent. We frequently found that important information existed in the system but still required administrators to manually search for it, track it elsewhere, or create additional processes around it. We ended up created spreadsheets and had to hire billing staff, which defeated the purpose of purchasing a limited subscription. By the way when I de activated the clinicians in my group I was charge the full fee for the subscription, which was over $1000. They declined a reimbursement even when the platform was not being used. They also declined to help with help downloading all 2000 clinical files after over 12 years of use. They suggested these files be downloaded manually one by one, which my staff and I had to end up doing. As I mentioned earlier everything in Theranest is manual, outdated, in other words the platform has not changed much since I began the subscription back in 2014. Also, it is slow, it locks and freezes. The fees charged are just insulting for such a primitive software.

Review source

Non-incentivized review: any software user can leave a review for any product listed on our site. All submitted reviews are subject to our verification process prior to publication.

Response from Vendor

September 30, 2026

Fourteen years means a lot to us, and we're truly sorry your experience ending the subscription left such a bitter taste. Growing from a solo clinician to a 50+ person practice is no small feat, and we wish we had done a better job supporting that growth and your transition out. The concerns you've raised around the billing charges and having to download files individually are things we want to understand better. Please reach out at feedback@ensorahealth.com (put 'Madison' in the subject line to route to me directly) and I will personally make sure your account is reviewed and your concerns are taken seriously. Madison TheraNest by Ensora Health

CR

Candice R.

Psychotherapist

Health, Wellness and Fitness

### "Overall a good experience "

4.0

Overall Rating

4.0

4.0

Ease of Use

4.0

4.0

Features

4.0

4.0

Customer Service

5.0

5.0

Likelihood to Recommend

8/10

July 31, 2026

Overall, my experience has been good. I do value excellent customer service and I do feel like Theranest has this.

Pros

I sincerely appreciate the fact that Theranest makes writing treatment plans simple because of their incorporation of Wiley Treatment Planners.

Cons

I dislike the cost at times and I feel like the coast is best suited for group practices vs. solo practitioners.

Review source

Incentivized review: software users are invited to submit an honest review and offered a nominal incentive for their time and effort. All incentivized reviews are subject to our verification process prior to publication.

YVONNE L.

Founder and Managing Director

Mental Health Care

### "CSPG appreciation"

4.0

Overall Rating

4.0

4.0

Ease of Use

4.0

4.0

Features

5.0

5.0

Customer Service

5.0

5.0

Likelihood to Recommend

10/10

July 8, 2026

Overall, the EHR helped me begin my business with a professional look and a sense of order and structure.

Pros

I like the color options on the calendar, so staff members know their app'ts without having to search. I also like the ease by which I can move between each page or tab on the screen.

Cons

The limitation of creating forms. It could be because I do not get along with technology, but I am unable to create side by side items or to add boxes for checking, or adding lines to separate sections.

Alternatives considered

[TherapyNotes, LLC](https://www.capterra.com/p/118981/TherapyNotes-com/)

[SimplePractice](https://www.capterra.com/p/130710/SimplePractice/)

Reasons for choosing TheraNest

Cost was the largest factor and the ease of use.

Review source

Incentivized review: software users are invited to submit an honest review and offered a nominal incentive for their time and effort. All incentivized reviews are subject to our verification process prior to publication.

TW

Teresa W.

Owner - Licensed Professional Counselor

Mental Health Care

### "Great Company"

5.0

Overall Rating

5.0

5.0

Ease of Use

5.0

5.0

Features

5.0

5.0

Customer Service

5.0

5.0

Likelihood to Recommend

10/10

July 7, 2026

I've been with TheraNest for many years. I've always love using the platform and the customer service is excellent.

Pros

The quick response from customer service. I've always had great customer service. When there is a problem or question they are always ready and willing to help.

Cons

Navigating and remembering the changes that they make. Sometimes it is difficult to keep up with the changes. However, the knowledge base is always helpful.

Alternatives considered

[SimplePractice](https://www.capterra.com/p/130710/SimplePractice/)

Reasons for choosing TheraNest

Better customer service and price. TheraNest made it easy to setup and use.

Review source

Incentivized review: software users are invited to submit an honest review and offered a nominal incentive for their time and effort. All incentivized reviews are subject to our verification process prior to publication.

DJ

Dr. Joyce M.

Outpatient Therapist

Health, Wellness and Fitness

### "A Valuable Experience with Important Lessons Learned"

5.0

Overall Rating

5.0

5.0

Ease of Use

4.0

4.0

Features

5.0

5.0

Customer Service

5.0

5.0

Likelihood to Recommend

9/10

July 2, 2026

Overall, my experience with the TheraNest was positive. The EHR system and client portal were easy to use, reliable, and met my practice's needs. The customer support team was responsive and helpful whenever I had questions. While the billing process presented challenges, particularly regarding insurance network requirements, the overall platform and service experience were good.

Pros

What I like most about yourTheraNest is the excellent customer support. Having the convenience of speaking with a live person is incredibly valuable, as it allows me to ask questions, receive clear guidance, and have my concerns resolved quickly and efficiently. The responsiveness and willingness of your team to provide assistance have made my experience much more positive.

Cons

What I liked least about the TheraNest was learning, after several months, that the RCM service would not be able to process my insurance billing because I was out of network. I wish this had been communicated earlier, as it would have allowed me to make informed decisions and avoid unnecessary time, expense, and frustration.

Switched from

[EHR 24/7](https://www.capterra.com/p/134091/EHR-24-7/)

I wanted to try TheraNest at the time Ensora, because I thought they had more to offer.

Alternatives considered

[Secure Telehealth](https://www.capterra.com/p/158464/Secure-Telehealth/)

[Stripe Billing](https://www.capterra.com/p/178774/Stripe-Billing/)

[Credit Card Terminal](https://www.capterra.com/p/171168/Credit-Card-Terminal/)

Reasons for choosing TheraNest

At the time I thought TheraNest had a lot to offer.

Review source

Incentivized review: software users are invited to submit an honest review and offered a nominal incentive for their time and effort. All incentivized reviews are subject to our verification process prior to publication.

KL

Kaman L.

CEO and therapist

Mental Health Care

### "TheraNest Review"

4.0

Overall Rating

4.0

4.0

Ease of Use

4.0

4.0

Features

4.0

4.0

Customer Service

5.0

5.0

Likelihood to Recommend

2/10

June 30, 2026

It was helpful to have a colleague share their experience with me. The initiative financial referral got me hooked.

Pros

Good customer support. I can easily email them with concern and they will respond within 24 hours. I like that I can easily submit claims.

Cons

There’s a learning curve with learning different functions. In terms of self-learning to navigate the system, the learning library include other medical functions that the mental health system do not need. I feel like that was confusing when searching how to navigate the learning system. I think the cost to using the system is not easily accessible. There seems to be an additional cost to extra claim submissions, which isn’t an issue for me practice volume at this time. However, this was not clarified during the initial demo and illustration and expectation of cost for the customer.

Review source

Incentivized review: software users are invited to submit an honest review and offered a nominal incentive for their time and effort. All incentivized reviews are subject to our verification process prior to publication.

[View all Reviews](https://www.capterra.com/p/130400/TheraNest-Mental-Health/reviews/)

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