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Reviewed · Updated 2026-06-18

SimplePractice

Manages client appointments, billing, and telehealth for small practices.

Reviewed by the Conversion Gems editorial team ·
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Pricing
Freemium
Best for
Therapists
Category
CRM & Sales
The bottom line

The go-to all-in-one EHR for private-practice therapists who want billing, telehealth, and documentation under one roof.

7.3
Our score
7.3 / 10
Conversion Gems editorial verdict
From $49/mo (Starter); 30-day free trial
Features8/10
8 - comprehensive scheduling, telehealth, insurance billing, and clinical documentation; AI note-taking available as paid add-on.
Value6/10
6 - pricing has risen significantly post-acquisition; per-transaction fees add real overhead for high-volume billers.
Ease of use8/10
8 - polished UI, fast guided onboarding, and a well-rated mobile app make setup straightforward for non-technical clinicians.
Ecosystem7/10
7 - integrates with Google/iCal, Stripe, and insurance clearinghouses; API access on Plus; limited native third-party marketplace.
Support7/10
7 - chat and email on all paid tiers; premium phone support gated to Plus plan only.

Community ratings

4.1/ 5 aggregate · across 3 sources
G2
4.1120+ reviews
Capterra
4.62,800+ reviews
Trustpilot
3.21,600+ reviews

Third-party ratings shown verbatim; aggregate weighted by review volume.

What it really is

SimplePractice — HIPAA-compliant EHR and practice management platform for therapists and mental health clinicians.

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. 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.

Why we rate it

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.

The catch

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.

Best 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
Not good for
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
Time to value
Fast: 30-day free trial with no credit card required; onboarding wizard gets scheduling and client portal live in under an hour.
Scale breakpoint
Per-clinician add-on cost ($74/mo each on Plus) and per-transaction billing fees accumulate quickly for group practices beyond 5–10 providers.
Walled garden
Moderate: 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

SimplePractice product screenshot

Frequently Asked Questions

Alternatives

Step up

TheraNest or Therapy Brands for larger group practices needing enterprise-grade billing and EHR workflows.

Lighter alternative

TherapyNotes for a leaner, lower-cost solo-practice EHR with straightforward per-month pricing.

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Tags

#TherapyPractice#EHR

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