
SimplePractice
Manages client appointments, billing, and telehealth for small practices.
Our take: 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.
The go-to all-in-one EHR for private-practice therapists who want billing, telehealth, and documentation under one roof.
Our score
Reviewed by the Conversion Gems editorial team. Hover a facet to focus it; click to pin.Tap a facet to focus it.
Community ratings
Shown for context only. Our score is independent.
4.1 / 5 aggregate · across 3 sources
Third-party ratings shown verbatim; aggregate weighted by review volume.
What it is, and why we rate it
One line each. Open a row for detail.
Our takeSimplePractice 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.
Why we rate itSimplePractice 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 catchPricing has risen substantially since private equity acquisition; per-transaction fees (2.95%+ on payments, $0.25/insurance claim) add meaningful overhead for active billers.
Best / not good for
- Solo therapists and counselors in private practice
- Small group mental health practices needing multi-clinician billing and scheduling
- Clinicians who want integrated telehealth without a separate video platform
- Large enterprise health systems or multi-specialty clinics
- Medical or physical health practices requiring complex clinical workflows
- Budget-conscious new clinicians who need a free or near-free EHR
Friction report
Trade-offs to know before signing up.
- Time to valueFast: 30-day free trial with no credit card required; onboarding wizard gets scheduling and client portal live in under an hour.
- Scale breakpointPer-clinician add-on cost ($74/mo each on Plus) and per-transaction billing fees accumulate quickly for group practices beyond 5–10 providers.
- Walled gardenModerate: client records and billing history are exportable, but intake forms, automated workflows, and integrated payment processing are tightly coupled to the platform.
A look inside

Frequently Asked Questions
Can I scrape local business data from Google Maps?
Does this mental health practice management system handle scheduling, billing, and notes?
How can SimplePractice help therapists and mental health professionals run their practice with scheduling, notes, and billing?
How does this practice management software help therapists manage appointments, billing, and client records?
How does this software help therapists and healthcare providers manage appointments and client records?
Alternatives
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