SimplePractice vs TherapyNotes (2026): EHR Pricing and AI Notes Compared
Prices and facts checked October 13, 2026. We don't accept payment for rankings.
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Short answer: TherapyNotes is the safer choice for most solo and group practices that bill insurance. It has cheaper claims (14¢), 24/7 phone support, an outstanding reputation (4.9 from 3,200+ Trustpilot reviews) and an AI suite, TherapyFuel, at $40 per clinician per month. SimplePractice has the lower entry price ($49 a month), a broader AI toolset (Note Taker and Care Aide) and a client-facing marketplace, but its recent reviews are weak on support and billing changes.
Our picks
- Best for insurance-based practicesTherapyNotes: $69/mo solo; TherapyFuel AI +$40/mo See TherapyNotes
- Lowest entry price, widest AI featuresSimplePractice: from $49/mo; Note Taker +$35/mo See SimplePractice
Side-by-side comparison
| TherapyNotes | SimplePractice | |
|---|---|---|
| Solo price | $69/mo | Starter $49, Essential $79, Plus $99/mo |
| Additional clinicians | $50/mo each (Group plan from $79) | $74/mo each on Plus |
| AI notes add-on | TherapyFuel: +$40/mo per clinician | Note Taker: +$35/mo per clinician (Care Aide bundle also available) |
| AI vendor | Stock model from vendor, "not used to train outside AI models" | Claude by Anthropic |
| Transcript retention | Covered by BAA; data stays in TherapyNotes | Up to 7 days or until note is signed; de-identified copies may be kept from June 17, 2026 (adjustable) |
| Insurance claims | 14¢ per claim, ERA or eligibility check | $0.39 per claim from October 1, 2026 (per company reply) |
| Phone support | 24/7 phone and email, every plan | Limited on lower tiers, per reviewers |
| Free trial | 30 days, no card | Free trial (up to 30 days) |
| Trustpilot | 4.9 (3,203 reviews) | 2.7 (1,614 reviews) |
Sources: TherapyNotes pricing; TherapyFuel; SimplePractice pricing; SimplePractice Note Taker FAQs; Trustpilot for TherapyNotes and SimplePractice.
Pricing in practice
TherapyNotes:
- Solo $69/month; Group $79 for the first clinician plus $50 per additional clinician. Non-clinical staff are free.
- Every plan includes unlimited clients and notes, a client portal, basic telehealth, free data import and 24/7 phone and email support.
- Add-ons: TherapyFuel +$40 per clinician, Premium Telehealth +$15, ePrescribe +$65 per prescriber.
- Usage fees: 14¢ per electronic claim, ERA or eligibility request, and 14¢ per text or call reminder.
- 30-day free trial, no card (TherapyNotes pricing).
SimplePractice:
- Starter $49, Essential $79 and Plus $99 a month, with $74 per additional clinician on Plus. New accounts get a 50% introductory discount for 3 months if they subscribe within 7 days of starting the trial.
- Note Taker is $35 per clinician per month after a 30-day free trial. It's also included in the Care Aide bundle (SimplePractice pricing; Note Taker FAQs).
- In a September 2026 Trustpilot reply, SimplePractice confirmed a $0.39 per-claim fee from October 1, 2026 (Trustpilot).
Example: a solo therapist billing 80 insurance claims a month, with AI notes.
- TherapyNotes: $69 + $40 + about $11 in claim fees, roughly $120 a month.
- SimplePractice Essential: $79 + $35 + about $31 in claim fees, roughly $145 a month.
- On Starter ($49), SimplePractice works out around $115, but check which features Starter lacks.
AI features compared
TherapyFuel (TherapyNotes) drafts progress notes from its Scribe or a session summary, and also drafts treatment plans. It summarizes client history forms, writes contact notes from secure messages, polishes tone, offers dictation, and pulls policy details from uploaded insurance cards. TherapyNotes says 1 in 3 progress notes on its platform are now generated by TherapyFuel, and reports 40% average time saved (vendor figures). It's HITRUST AI security certified, covered by the standard BAA, and TherapyNotes says data is "not used to train outside AI models" (TherapyFuel).
Note Taker (SimplePractice) transcribes sessions live and drafts notes that match your last note's style for each client. It works for couples and group appointments, records up to 4 hours of telehealth, and is powered by Claude by Anthropic. Transcripts stay available for up to 7 days or until you sign the note. From June 17, 2026, SimplePractice may keep de-identified, de-coupled transcripts to improve its AI, and you can manage that at the clinician, client or session level. SimplePractice offers a matching AI consent form (Note Taker FAQs).
The difference that matters: if you don't want any de-identified transcripts retained, change SimplePractice's retention setting before you start. Either way, update your AI consent form to match how your tool handles data.
What users say
TherapyNotes support answers quickly and clearly, even on a Sunday evening.
TherapyNotes Trustpilot reviewers, September–October 2026 (paraphrased)
TherapyNotes isn't the cheapest EHR, and its templates can feel rigid.
TherapyNotes Trustpilot reviewers and review summary, 2026 (paraphrased)
SimplePractice is the most efficient EHR, and its AI features cut admin time.
SimplePractice Trustpilot reviewers, May–June 2026 (paraphrased)
SimplePractice has no live phone support on lower plans, frozen claims and new per-claim fees.
SimplePractice Trustpilot reviewers, August–September 2026 (paraphrased)
TherapyNotes scores 4.9 from 3,203 reviews, with 553 in the past year, and replies to 80% of negative reviews (Trustpilot). SimplePractice scores 2.7 from 1,614, with recent complaints focused on support access, claims problems and pricing changes (Trustpilot).
Which should you choose?
| If you… | Choose |
|---|---|
| Bill insurance heavily | TherapyNotes (14¢ claims, 24/7 phone support) |
| Are private-pay and cost-conscious | SimplePractice Starter |
| Want AI notes that adapt to each client's past notes | SimplePractice Note Taker |
| Want AI that never contributes de-identified transcripts | TherapyNotes, or change SimplePractice's retention setting |
| Want AI notes without switching EHR | A standalone tool: Upheal vs Mentalyc |
Before turning on any AI scribe, check your state's consent requirements (state AI scribe laws) and the 2026 HIPAA Security Rule changes.
FAQ
Is TherapyNotes better than SimplePractice?
For insurance-based practices, the evidence favors TherapyNotes: lower claim fees, 24/7 phone support and far stronger reviews. SimplePractice is cheaper to start and has more AI features.
How much is SimplePractice's AI Note Taker?
$35 per clinician per month after a 30-day free trial, or as part of the Care Aide bundle.
Does TherapyNotes have AI notes?
Yes. TherapyFuel ($40 per clinician per month) drafts progress notes and treatment plans from its Scribe, a session summary or dictation.
Sources
Pages we used for this article, checked on or before the update date above.
- TherapyNotes pricing · therapynotes.com
- TherapyFuel · therapynotes.com
- SimplePractice pricing · simplepractice.com
- SimplePractice Note Taker FAQs · support.simplepractice.com
- TherapyNotes · trustpilot.com
- SimplePractice · trustpilot.com
Changelog: Oct 13, 2026: first published.