
SimplePractice
Manages client appointments, billing, and telehealth for small practices.
The go-to all-in-one EHR for private-practice therapists who want billing, telehealth, and documentation under one roof.
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SimplePractice — HIPAA-compliant EHR and practice management platform for therapists and mental health clinicians.
SimplePractice is the dominant all-in-one EHR for solo and small mental health practices, combining scheduling, integrated telehealth, insurance billing, clinical documentation, and a client portal in a single HIPAA-compliant product. Two DB mislabels to note: it is categorised as 'CRM & Sales' when it is firmly a healthcare EHR; and it is not freemium — there is no permanent free plan, only a 30-day trial. Entry price is $49/mo (Starter), not the $39/mo catalogued.
SimplePractice dominates private-practice EHR because it bundles everything a solo clinician needs — intake, scheduling, integrated telehealth, insurance claims, and SOAP notes — in a polished, genuinely HIPAA-compliant package. The 30-day no-card trial and guided onboarding mean most therapists are scheduling clients and running telehealth sessions within an hour of signing up.
Pricing has risen substantially since private equity acquisition; per-transaction fees (2.95%+ on payments, $0.25/insurance claim) add meaningful overhead for active billers. Essential features like automated reminders and insurance billing require the $79/mo tier, not the entry $49 plan.
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Alternatives
TheraNest or Therapy Brands for larger group practices needing enterprise-grade billing and EHR workflows.
TherapyNotes for a leaner, lower-cost solo-practice EHR with straightforward per-month pricing.
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