If you’re a therapist, dietitian, or health pro who’s been using SimplePractice, you know the drill: solid EHR, checks a lot of boxes, all-in-one. But at some point “solid” starts to feel limiting. Maybe the price is creeping up. Maybe the interface feels clunky. Either way—there are better options.
Here they are.
This post breaks down the top SimplePractice alternatives, what they’re good at, who they’re best for, and how to make the switch without a migraine.
What are the best SimplePractice alternatives at a glance?
| Platform | Starting Price | Key Feature | HIPAA/BAA |
|---|---|---|---|
| Ensora Health | $29/month (Essentials tier) | Tiered billing built in, scales as you grow | ✅ Security page |
| TherapyNotes | $69/month (Solo) | Best-in-class documentation and billing | ✅ BAA info |
| Jane App | $54/month (Balance) | Multi-discipline support, clean interface | ✅ HIPAA page |
| Sessions Health | $39/month (first practitioner) | Minimalist, therapist-designed, no forced price hikes | ✅ Compliance info |
| Tebra | $99 to $399/provider/month | Medical-model billing and e-prescribe | ✅ BAA page |
| Healthie | $19 to $149+/month | Built for RDs: food logging, labs, Fullscript | ✅ Security page |
| Practice Better | Free (Sprout) to $35+/month | Health coaches and dietitians, Fullscript + Zoom | ✅ Privacy & Security |
The 7 Best Alternatives to SimplePractice
1. Ensora Health
Best for: Group practices watching per-provider overhead
Ensora Health, formerly TheraNest, runs three pricing tiers built specifically for behavioral health and rehab therapy practices, and billing is included at every level instead of bolted on as an upsell. Essentials starts at $29/month per therapist for core scheduling and documentation, Advanced runs about $49/month and adds insurance billing plus telehealth, and Premier lands at $89/month with the Wiley Treatment Planner and an AI Session Assistant included. Telehealth is a $12/month add-on on the two lower tiers if you’re not ready for Premier.
The tradeoff worth knowing before you commit: Ensora was acquired by KKR, and some longtime users have reported slower support turnaround and a product roadmap that feels less predictable than it did back when this was TheraNest. Day-to-day scheduling, drag-and-drop rescheduling, and room assignments all work cleanly. Where it slows down is custom form-building, which takes noticeably more setup time than Jane or Sessions Health. If your practice runs lean and your billing needs are straightforward, the price still makes the friction worth it.
Price: Starts at $29/month per therapist | HIPAA/Security info
2. TherapyNotes
Best for: Detailed documentation lovers
TherapyNotes is the industry leader in clinical note-taking and behavioral health billing, now priced at $69/month for a solo clinician after a recent increase from its longtime $59 rate. SOAP notes, DAP notes, BIRP templates, and outcome measures like PHQ-9 and GAD-7 are all built in, and group practices pay $79/month for the first clinician plus $50/month per additional provider. The interface prioritizes function over polish, which is the right tradeoff for a documentation-heavy workflow, but it means the learning curve leans toward “efficient” rather than “delightful.”
Two things to build into your migration plan: the BAA has to be actively downloaded and signed, it doesn’t happen automatically when you sign up, so put that on your checklist before importing client data. And if you want AI-assisted note drafting, that’s TherapyFuel, a $40/month per-clinician add-on rather than something included at any tier.
Price: $69/month for solo, $79/month + $50/additional for groups | BAA instructions
3. Jane App
Best for: Multidisciplinary practices (PTs, RDs, therapists under one roof)
Jane has one of the cleanest, most intuitive EHR interfaces on this list, and it starts at $54/month for the Balance plan, climbing to $79/month (Practice) and $99/month (Thrive) plus per-practitioner fees as you add staff. It handles multiple disciplines well, which makes it a standout if your practice crosses specialties under one roof. Beyond HIPAA, Jane is also SOC 2 Type 2 certified and PCI DSS compliant, which matters if you’re fielding security questionnaires from institutional partners.
The caveat that still applies: Jane was built in Canada, and some U.S.-based insurance billing workflows, especially heavier CMS-1500 claim volume, aren’t as streamlined as platforms built exclusively for the American market. If insurance billing is central to how you get paid, test that piece specifically with your own claim types before you migrate anything.
Price: $54/month base, scaling to $99/month plus per-practitioner fees | HIPAA page
4. Sessions Health
Best for: Solo therapists who want simplicity without price creep
Sessions Health was co-founded and designed by a psychotherapist, and it shows in how little there is to learn. Pricing starts at $39/month for the first practitioner and $29/month for each additional one, with a free tier available for very small caseloads and unlimited administrative staff at no extra cost. Telehealth is built directly into the platform, no separate Zoom account required, and electronic claims run $0.19 to $0.25 per claim depending on volume, with no setup fees or monthly minimums layered on top.
The part practitioners mention most in reviews isn’t a feature at all, it’s pricing stability. Sessions Health has a stated policy of not raising rates on existing customers, which stands out in a category where TherapyNotes and Practice Better have both pushed through increases recently. What you won’t find here is any AI-assisted documentation, since Sessions Health hasn’t built that out as of 2026. For a solo therapist who wants a modern interface, predictable billing, and zero platform juggling, that tradeoff is an easy one to make.
Price: $39/month | Compliance page
5. Tebra
Best for: Medical-model practices where billing complexity is the real pain point
Tebra doesn’t publish a fixed pricing table. Based on current market reporting, per-provider costs run $99 to $399/month depending on which modules you need, and the patient marketing tools that differentiate Tebra from a plain EHR are priced separately, often adding another $200 to $400/month on top. It’s built for practices operating closer to a clinical or medical model, with e-prescribing, advanced insurance billing workflows, and revenue cycle management that goes well beyond what a solo wellness provider typically needs. It meets HITRUST, AICPA, and NIST standards in addition to HIPAA, which matters at scale or with institutional payers.
The thing to know going in: Tebra was formed by merging Kareo and PatientPop, and that integration is still described as a work in progress by reviewers, with support responsiveness lagging behind the platform’s ambitions. For a solo dietitian or health coach, this is likely overkill. For a practice where billing complexity is eating your week, it’s worth the custom-quote conversation.
Price: Custom, reported at $99 to $399/provider/month | BAA page | Security page
6. Healthie
Best for: Nutritionists, dietitians, and integrative care providers
Healthie is the platform most purpose-built for the nutrition and wellness space on this list, and pricing runs four tiers: Core at $19/month for up to 10 active clients, Essentials at $49/month for up to 250, Plus at $129/month for unlimited clients, and Group starting at $149/month for multi-provider teams. Food logging, supplement integration, client programs, and native Fullscript connectivity are built in rather than bolted on, and Healthie is HITRUST R2 certified on top of standard HIPAA compliance.
Where it’s grown less friendly to solo practitioners: Healthie’s roadmap has shifted toward API access and larger group practices, which shows up as longer support wait times and pricing tiers clearly built for growth-stage clinics rather than individual dietitians just starting out. If you’re comfortable with that tradeoff and want the deepest nutrition-specific feature set on this list, it’s still the strongest fit. It’s less well-suited to traditional therapy documentation.
Price: $19/month to $149+/month | HIPAA/Security page | BAA
7. Practice Better
Best for: Health coaches, dietitians, and functional medicine practitioners
Practice Better is the most well-rounded option for non-therapy health and wellness providers, with a free Sprout plan for up to 3 clients and paid tiers starting at $35/month (Starter), climbing through Professional at $69/month and Plus at $99/month, up to Team at $155/month for multi-provider practices. Client communication tools, program and course builders, Fullscript integration, Zoom connectivity, and a mobile app that clients actually use make it a strong all-in-one for practitioners whose workflow doesn’t center on clinical notes.
Prices rose across every tier in mid-2025, so budget for the current numbers rather than older screenshots you might find in comparison posts. The free tier makes it genuinely low-risk to test drive before committing, but most practitioners outgrow Sprout’s 3-client cap within their first few months and land on Starter or Professional. Compare the tiers carefully against your actual feature needs before you upgrade past that point.
Price: Free (1 to 3 clients), paid plans from $35/month | Privacy & Security
What does SimplePractice offer?
SimplePractice earns its popularity. It covers HIPAA-compliant scheduling, built-in telehealth, charting, billing, insurance features, and a secure client portal, all in one place. It’s especially attractive to solo and small group practices because the all-in-one approach reduces the number of tools you’re managing.
But one-size-fits-all has limits. When the pricing starts to feel misaligned with what you actually use, when the interface slows down your workflow, or when your specialty needs features SimplePractice wasn’t designed for, it’s worth looking at whether there’s a better fit.
What should you consider before switching EHRs?
Before you cancel anything, ask the right questions. A better platform won’t fix a bad match.
Is it HIPAA-compliant? Non-negotiable. If you’re storing protected health information (PHI), you need a platform that will sign a Business Associate Agreement (BAA). Don’t assume, verify. If a platform can’t clearly tell you how they handle PHI, that’s a red flag.
Is the interface user-friendly for both you and your clients? You’ll be the primary user, but if your clients are confused by the portal, that friction costs you. Test both the backend and the client-facing experience before you commit.
Does it scale as you grow? Right now you might be solo. But if you add support staff or bring on another clinician, you want an EHR that handles user permissions, multi-provider scheduling, and group billing without requiring a workaround.
Does it integrate with your existing tools? Your EHR should connect cleanly to your booking flow, payment processing, telehealth setup, and website—not require you to manually bridge six platforms. Pay special attention to how the scheduling widget embeds on your website.
How responsive is customer support? Everything works until something breaks. Waiting 48+ hours on a billing error during a busy week is not a minor inconvenience. Check real reviews, not just testimonial pages.
Are you locked into a contract? Some platforms are month-to-month; others have cancellation terms that aren’t obvious until you read the fine print. Know what you’re agreeing to before you migrate.
What are the biggest mistakes when switching EHRs?
The three biggest mistakes are failing to export your clinical data before closing your old account, assuming a platform is HIPAA-compliant without confirming an active BAA, and skipping a full walkthrough of the new client portal before sending real clients through it.
Not exporting your data before you leave. Export everything before you touch the new platform: client records, treatment notes, billing history, intake forms, documents. Some systems make exporting easy, others make it a project. Don’t discover that mid-migration.
Assuming the new platform is HIPAA-compliant without confirming it. A polished interface is not compliance. Confirm a BAA exists, that it covers your actual use case, and that the platform encrypts PHI properly. The fact that a platform markets to therapists or dietitians doesn’t automatically mean it meets HIPAA standards.
Not walking through the client portal experience yourself. Before you send clients through a new intake flow, go through it yourself from their perspective. Can they book without friction? Fill out intake forms without confusion? Access telehealth without five steps? If the answer to any of those is no, factor that into your decision.
Skipping onboarding and support research. Even good platforms have a learning curve. Does the platform offer training? Live onboarding? A help center that’s actually current? Ask before you migrate, not after you’re deep in support tickets.
Why I trust these recommendations
These aren’t platforms I found by doing a quick search. My recommendations come from 15+ years of building websites for health and wellness practitioners, dietitians, therapists, physical therapists, functional medicine providers, and from the direct feedback I get from clients using these tools every day. I’ve watched which platforms create friction (broken booking widgets, client portal confusion, scheduling embeds that fall apart on mobile) and which ones integrate cleanly into a professional website and workflow. I don’t recommend a platform I’d be embarrassed to put in front of a client.
Your website and your EHR need to work together
Your EHR isn’t your whole online presence, it’s one piece of the system. Your website is what gets you found on Google, builds trust before someone ever books, and makes it frictionless to take that first step toward working with you.
If you’re switching EHRs, it’s the right moment to ask: is your scheduling widget actually embedded cleanly? Does your “book now” flow connect to the right place? Is the experience consistent from the moment someone lands on your site to the moment they complete intake?
Your tools should support your workflow, not create gaps in it. If your site is due for a refresh alongside your EHR switch, that’s a conversation worth having.
3-Step Migration Checklist for SimplePractice Users
Step 1: Export and organize your data. Before canceling or reducing access to your current EHR, export all client records, session notes, billing history, intake forms, and any uploaded documents. Store them in a labeled, organized folder. Confirm your export is complete and readable before you proceed.
Step 2: Set up and verify your new platform before going live. Create your account, configure your settings, sign your BAA, test the client portal end-to-end (including booking, intake forms, and telehealth), and connect your payment processor. Do not send clients to a new system until you’ve personally tested the entire intake and booking experience from their perspective.
Step 3: Communicate the change to active clients and update your website. Send a short, professional note to current clients explaining the transition, what they need to do (create a new account, complete a new intake form, etc.), and when the switch takes effect. Then update every place your old booking link appears: your website, your email signature, your Google Business Profile, and any directory listings.
