I Tested 11 SimplePractice Alternatives (2026)

SimplePractice has been a go-to for many healthcare professionals — myself included — but with its ongoing price increases, it’s not the right fit for everyone. Also, it’s hard to support EHRs funded by venture capital money where growth is their top priority. You deserve a practice management system that adapts to your workflow, not the other way around.

The good news: there are several solid alternatives out there and I’ve tested many of them. Many offer features you might be missing — modern online booking, customizable note templates, detailed reporting — along with the flexibility that growing practices need. Whether you’re a solo practitioner or running a multi-provider practice, the right platform can make a real difference in how your day-to-day runs.

1. TherapyStack – #1 Best Overall

If you’ve been hunting for practice management software that doesn’t break the bank, TherapyStack is worth a serious look.

The interface is genuinely intuitive – client management feels straightforward rather than like a puzzle you need to solve. The scheduling system keeps my calendar organized without the usual frustrations, and the telehealth platform actually works (clear video, no freezing mid-session with a client).

The paperless documentation has been a game-changer for my practice. It’s super easy to send documents to clients and the client portal is very user-friendly.

What really sold me was the pricing. You get basically the same features as SimplePractice for less per month, plus reporting tools that are surprisingly robust. I love being able to see revenue after clinician splits are deducted so I can easily see how the practice is actually performing.

A few colleagues have made the switch too, and they’ve all said the same thing – the transition was easier than expected, and customer support was actually helpful when questions came up.

If you’re looking for a modern, affordable EHR that’s great for private practices – TherapyStack is the way to go. You won’t regret it!

2. TherapyNotes

TherapyNotes is another SimplePractice alternative with features specifically designed for mental health professionals.

The interface is easy to pick up, even if you’re not particularly tech-savvy. Scheduling works well – setting appointments, sending automated reminders, and rescheduling all feel smooth. The documentation tools are a highlight, with customizable templates for treatment plans, progress notes, and psych evals that genuinely speed up note-taking. Billing integrates with major insurance providers, which helps cut down on claim rejections and gets reimbursements moving faster.

On the security front, TherapyNotes checks the boxes: HIPAA-compliant, bank-level encryption, secure data storage. There’s also a mobile app for accessing the essentials when you’re away from your desk. Pricing typically comes in a bit lower than SimplePractice for similar features.

That said, I have a couple of reservations. The user interface feels dated – functional, but not modern. And while the base price is lower, the cost still adds up. Honestly, for about $10 more per month, I’d lean toward sticking with SimplePractice.

My only complaint with TherapyNotes is the dated user interface and somewhat high cost. In my opinion, for just $10 more per month – I’d just stick with SimplePractice but you can read my full SimplePractice vs TherapyNotes comparison for more details.

3. Jane App

Jane is a compelling choice for practitioners looking for an all-in-one SimplePractice alternative at a more reasonable price point.

The platform covers the essentials well. The interface is nicely designed, though navigation could be a bit more intuitive in spots. Scheduling is straightforward — an easy-to-use calendar system with automated reminders that help cut down on no-shows. Billing is a strong suit, with integrated payment processing and insurance claim handling that can save you real time each week. The documentation system also holds up, offering customizable templates for different therapy modalities.

Overall, Jane is a decent platform and a respectable alternative to SimplePractice. That said, if you’re weighing your options, I’d still give the edge to TherapyStack.

4. Carepatron

If you’re on the lookout for an easy-peasy option instead of SimplePractice, you’ll want to check out Carepatron. It’s got everything mental health pros need in one handy platform to manage their practice without all the fuss.

This EHR has one of the more modern UIs that I really love and it’s priced great! The scheduling system includes automated appointment reminders that have significantly reduced no-shows in your practice. Looking at affordability, Carepatron typically costs less than SimplePractice while offering many basic features.

I did find that it lacked some of the essentials that I use in my daily routine, but if you can get by without those, Carepatron is a great option to save money on your EHR.

5. TheraNest

TheraNest is another practice management solution that rivals SimplePractice in functionality while offering a few distinct advantages.

The platform features an intuitive dashboard that makes navigating between clients, appointments, and billing remarkably straightforward. I’ve found its scheduling system particularly impressive, with color-coded calendars and automated reminders that have significantly reduced no-show rates. TheraNest’s documentation capabilities include customizable templates for treatment plans, progress notes, and assessments – saving valuable time during session wrap-ups.

What really sets TheraNest apart is its flexible pricing structure based on active clients rather than flat fees, making it cost-effective for practices of varying sizes.

You can check out my full Simple Practice vs TheraNest comparison for more info!

6. TherapyAppointment

If you’re looking for a more modern EHR that’s affordably priced and gets the jobe done, TherapyAppointment should be worth considering.

The clean, modern interface makes daily operations straightforward even for tech-novice practitioners. When scheduling appointments, the system offers color-coding options and automated reminders. Documentation in TherapyAppointment feels intuitive with customizable templates for different therapy modalities. The telehealth function works remarkably well without any big issues. 

At a lower price point than SimplePractice, it delivers exceptional value without compromising on essential functionality.

7. Sessions Health

Sessions Health positions itself as a SimplePractice alternative with budget-friendly pricing, typically costing much less than its competitor. Unfortunately, the savings come with some compromises.

In my opinion, the interface feels dated and clunky, with unintuitive navigation that requires excessive clicking to perform basic tasks. While it offers essential features like scheduling and documentation, the overall user experience feels disjointed and visually unappealing. The telehealth function works adequately.

For practices prioritizing affordability over user experience, Sessions Health provides the necessary functionality, but those valuing streamlined workflows and modern design may find the cost savings insufficient compensation for its subpar interface.

You can also checkout my Simple Practice vs Sessions Health comparison for more info!

8. PracticeBetter

If you’re looking for an EHR that balances functionality with ease of use, PracticeBetter deserves serious consideration. 

The well-designed dashboard simplifies practice management—even staff members who typically resist technology changes can master it quickly. You’ll also appreciate their scheduling capabilities; the automatic time zone adjustments eliminate confusion with out-of-state clients.

The telehealth function delivers reliable connections—a significant improvement over the frequent technical disruptions common with other platforms. The documentation system accommodates various therapeutic approaches such as CBT and family therapy without forcing standardized templates. 

Overall, this is a pretty solid competitor worth considering – but I did like other options better.

9. EasyPractice

EasyPractice delivers a straightforward approach to practice management that many therapists find refreshing after struggling with more complex systems. The platform emphasizes simplicity without sacrificing essential functionality.

The clean interface requires minimal training to navigate, with intuitive icons and logical menu placement. Most practitioners feel comfortable with the platform in just a day or two, eliminating extended learning curves, which is super helpful.

Client management flows naturally with thoughtful record organization that keeps important information accessible. The system stores clinical notes, contact details, and treatment plans in a cohesive, easily retrievable format.

EasyPractice offers great value without sacrificing essential features. The pricing structure remains transparent, without hidden fees or unexpected charges, which I appreciate.

10. CarePaths

CarePaths distinguishes itself in the mental health practice management software by focusing exclusively on mental health workflows, unlike the more generalized approach of SimplePractice. This specialized design philosophy creates an experience tailored specifically to psychological practice needs.

The platform’s streamlined interface eliminates unnecessary complexity, replacing it with intuitive navigation that respects clinicians’ time. Most therapists report mastering essential functions within their first afternoon of use, significantly reducing transition anxiety.

Where CarePaths truly excels is in its intelligent scheduling architecture. The system introduces adaptive color-coding that visually distinguishes between session types, client categories, and payment status at a glance. This thoughtful design element transforms schedule management from a tedious task to an intuitive process.

11. CounSol.com

If you’re searching for a SimplePractice alternative that prioritizes therapist workflows, CounSol.com offers a functional option despite its somewhat dated interface.

The platform’s visual design feels reminiscent of earlier web applications, but the navigation remains straightforward enough that clinicians typically learn the system after minimal training. The scheduling system provides practical advantages through its color-coding options and flexible calendar displays, which help reduce no-shows. 

You’ll find the telehealth functionality operates reliably across various devices, avoiding the connection issues that frequently disrupt sessions on other platforms. The documentation capabilities merit particular attention, with specialized templates supporting different therapeutic approaches and an automatic saving feature that preserves work during unexpected interruptions. 

From a cost perspective, CounSol.com generally runs about 25% below SimplePractice’s pricing while maintaining similar core features.

What to Consider in an EHR

When evaluating an EHR for your practice, several key factors should influence your decision beyond just price.

Consider workflow compatibility first – the best EHR aligns with how you actually practice. Does it support your therapy modalities with appropriate templates? Can you customize documentation to match your clinical approach while maintaining compliance?

Ease of use  is another key consideration. Complex systems with steep learning curves often lead to abandonment. Test the scheduling interface, note-taking process, and client management tools to ensure they feel intuitive to your team. I’ve found that many EHRs can have tons of feature bloat that isn’t helpful.

Telehealth is another major component of most EHRs. You’ll want to evaluate the reliability of video connections, ease of client access, and whether the platform creates a therapeutic environment rather than just a video call.

Security and compliance requirements are non-negotiable. Verify that the EHR has full HIPAA compliance, data encryption standards, and security certifications. You’ll want to consider how the system handles authorization processes and audit logs.

Billing capabilities vary widely between platforms. Assess insurance claim filing features, payment processing options, and reporting functions that provide insight into practice finances. Also, be sure to check any credit card processing fees! Some EHRs will charge more than others, which may not sound like much but depending on the size of your practice it can amount to hundreds each month.

Finally, consider pricing and scalability as your practice grows. While some systems might be great EHRs for solo practices, Will the system accommodate additional clinicians, locations, or service types without requiring another transition?

Final Thoughts

Finding the right EHR doesn’t have to be overwhelming. Whether you’re looking for intuitive interfaces or robust telehealth capabilities you have plenty of options beyond SimplePractice.

The alternatives featured here offer comparable or even superior functionality often at lower price points. Many provide personalized support during transition making the switch less daunting than you might expect.

Remember it’s about finding what works for your specific practice needs. Consider what features matter most to you – from scheduling and documentation to billing and client communication. Take advantage of free trials to test compatibility with your workflow.

Ultimately the right platform should feel like a partner in your practice growth not just another tool to manage.