Therapy Practice Management Software Comparison 2024
Complete guide to choosing the best practice management software for therapists
Published: October 31, 2025
Choosing the right practice management software is one of the most important decisions you'll make as a therapist. The right platform can streamline operations, improve client care, and boost your practice's efficiency—while the wrong one can waste time, money, and even jeopardize HIPAA compliance.
This comprehensive guide compares the leading practice management platforms for therapists, helping you make an informed decision based on your specific needs, budget, and practice size.
Key Features to Compare
Essential Features for Therapy Practices
Scheduling & Calendar
- Online booking 24/7
- Automated reminders (SMS/email)
- Recurring appointments
- Waitlist management
- Calendar sync (Google/Outlook)
Client Management
- Client profiles and demographics
- Treatment history
- Progress notes and documentation
- Custom intake forms
- Treatment plans
Billing & Payments
- Online payment processing
- Insurance claim submission
- Automated invoicing
- Sliding scale pricing
- Payment plans
Telehealth
- Built-in video conferencing
- HIPAA-compliant platform
- Waiting room feature
- Screen sharing
- Mobile app support
Documentation
- SOAP note templates
- Treatment plan templates
- Outcome tracking
- Progress notes
- AI-assisted documentation
Security & Compliance
- HIPAA compliance
- End-to-end encryption
- BAA agreements
- Audit logs
- Secure backups
Popular Practice Management Platforms
PracFlow
BEST VALUEPricing
- Pay-as-You-Go: 5% commission (free to start)
- Fixed: $19/month for all features
- No setup fees or hidden costs
- Most affordable option available
Key Features
- Free website builder
- All-in-one platform
- AI-assisted documentation
- Built-in telehealth
- WhatsApp integration
- Global payment support
- Mobile app
- Client portal with resources
Best For: Solo practitioners and small practices seeking affordable, comprehensive practice management. Excellent for therapists who want everything in one platform without paying $100+ per month.
SimplePractice
Pricing
- Starter: $39/month per clinician
- Essential: $59/month per clinician
- Professional: $69/month per clinician
- Add-ons cost extra
Key Features
- Scheduling and calendar
- Client portal
- Billing and insurance
- Documentation
- Teletherapy (add-on $10/month)
- Payment processing (2.75% + $0.15)
Best For: Established practices that need comprehensive features and don't mind paying premium prices. Very feature-rich but expensive.
TheraNest
Pricing
- Individual: $40/month
- Groups: Starting at $60/month
- Setup fees may apply
Key Features
- Patient scheduling
- Documentation
- Billing and claims
- Reporting
- Client portal
- Teletherapy available
Best For: Group practices needing robust billing and reporting features. Solid option but pricing can add up quickly for multiple clinicians.
TherapyNotes
Pricing
- Individual: $59/month
- Extra providers: $30/month each
- No long-term contracts
Key Features
- Scheduling
- Notes and documentation
- Billing and insurance
- Teletherapy
- Client portal
- Credit card processing
Best For: Therapists who want a simple, straightforward platform without lots of bells and whistles. More expensive than newer competitors.
Head-to-Head Comparison
| Feature | PracFlow | SimplePractice | TheraNest | TherapyNotes |
|---|---|---|---|---|
| Starting Price | $19/month | $39/month | $40/month | $59/month |
| Website Builder | ✓ Included | ✗ No | ✗ No | ✗ No |
| Scheduling | ✓ | ✓ | ✓ | ✓ |
| Teletherapy | ✓ Included | Add-on $10 | ✓ | ✓ |
| AI Documentation | ✓ | ✗ No | ✗ No | ✗ No |
| Mobile App | ✓ | ✓ | ✗ No | ✓ |
| Insurance Billing | ✓ | ✓ | ✓ | ✓ |
| Payment Processing | ✓ Global | ✓ (2.75% fee) | ✓ | ✓ |
| HIPAA Compliance | ✓ | ✓ | ✓ | ✓ |
Why Choose PracFlow?
💰 Best Value
At $19/month, PracFlow costs 50-75% less than competitors while offering the same essential features plus unique offerings like website builder and AI documentation.
🎯 All-in-One
No need for multiple subscriptions. Get scheduling, telehealth, documentation, billing, website, and more all in one platform.
🚀 Future-Ready
Built for the future with AI assistance, global payment support, WhatsApp integration, and innovative features competitors don't offer.
Start with PracFlow Today
Get the best value in practice management software. Try PracFlow risk-free and see why it's the smart choice for modern therapists.