For therapists and mental health pros, your EHR isn’t just digital paperwork. It’s the backbone of your practice. It can either make your days smoother or leave you wrestling with tech when you should be focusing on your clients.
In 2025, a solid EHR does way more than store notes. We’re talking built-in AI, client portals, billing integrations, and time-saving features that give you back your brain space. So when you’re evaluating systems, keep your eyes on these three non-negotiables:
✔️ Ease of use
✔️ HIPAA compliance
✔️ Responsive support (because nobody has time for hold music)
So, let’s look at some options:
The Best EHR Systems for Therapists in 2025
There’s a quick comparison table at the bottom of the post if you want to compare all the nitty gritty details!
1. TherapyNotes
- This is best for: Comprehensive practice management in the mental health field, suitable for both small and large practices looking to streamline their operations. It’s specifically specialized for behavioral health practices.
- Key Features: TherapyNotes offers a robust set of features, including secure patient record maintenance, seamless integration of billing with claims administration, and clinical documentation. It simplifies scheduling, documentation, and billing to reduce administrative burden. You’ll find a user-friendly interface for core functionalities, telehealth integration, and a client portal where patients can manage appointments, fill out forms, and communicate securely. It also provides reporting and analytics tools for practice monitoring and data-driven decisions.
- Costs: Pricing typically ranges between $49 and upwards of $600 monthly, depending on the scale of your practice. It tends to be at a premium price point, which might not be ideal for smaller practices on a tight budget. The per-user pricing model can become costly for larger teams.
- Website Connection/Integration: TherapyNotes includes a client portal for patient engagement. However, it lacks an API (Application Programming Interface), which means its direct integration capabilities with other third-party services, like your website, might be limited beyond its native client portal functions.
2. SimplePractice
- This is best for: Those seeking an exceptionally user-friendly interface, making it a highly accessible option for numerous health and wellness professionals, including solo practitioners and group practices. It excels in delivering specialized solutions for mental health professionals.
- Key Features: SimplePractice is an all-in-one platform known for its intuitive interface and customizable documentation options. It combines scheduling, billing, and encrypted, HIPAA-compliant telehealth interactions for a streamlined workflow. Features include automated appointment reminders, insurance claim submission tools, a mobile app for both clinicians and clients, and an integrated client portal for intake paperwork and messaging. It saves practitioners, on average, up to six hours weekly by streamlining tasks.
- Costs: Affordable pricing starts at approximately $39 monthly. However, costs can increase as you scale your practice or add more high-end features.
- Website Connection/Integration: SimplePractice offers an integrated client portal that facilitates secure communication and patient record access. A potential drawback is its limited broader third-party integrations and full API access, which could restrict direct custom integrations with your website beyond its built-in portal features.
3. Ensora Health (formerly TheraNest)
- This is best for: Practitioners who prioritize adaptability and customizable features within their software. It’s well-suited for private practices specializing in behavioral and mental health counseling.
- Key Features: TheraNest provides an expansive assortment of tailor-made templates and evidence-backed interventions. It boasts strong customer service and robust practice management and reporting capabilities. It integrates with the Wiley Treatment Planner to improve planning processes and includes a client portal for HIPAA-compliant communication and appointment self-management at no extra cost to the primary provider.
- Costs: Monthly fees for TheraNest range from $39 to $91, depending on your number of active clients. Be aware that telehealth services come with additional fees.
- Website Connection/Integration: It offers a client portal for communication and scheduling. The level of direct website integration beyond this portal isn’t extensively detailed but its focus on customizable forms and templates could indirectly support content alignment.
4. CounSol
- This is best for: Psychiatric service providers and private practices specifically.
- Key Features: CounSol is custom-designed with features optimized for psychiatric services, including patient records management, billing, and secure communication. A unique feature is its built-in advertising capabilities. It also offers custom forms and questionnaires, and adjustable scheduling features.
- Costs: CounSol provides flexible pricing structures designed to meet diverse practice needs and support potential expansion. Specific pricing is not detailed.
- Website Connection/Integration: It offers customizable client sites and built-in advertising, which suggests direct features for public-facing web presence and patient interaction. A limitation is its limited third-party integrations.
5. Behaviorsoft by CentralReach
- This is best for: Small practices and startups, particularly those offering ABA (Applied Behavior Analysis) therapy.
- Key Features: Behaviorsoft provides user-friendly features and robust support for compliance, making practice management more streamlined. Its calendar functionality helps coordinate appointments and prevent scheduling clashes.
- Costs: It has competitive pricing aimed at ensuring affordability for smaller healthcare providers. Specific pricing is not detailed.
- Website Connection/Integration: The sources do not explicitly detail direct website integration features for Behaviorsoft.
Other Highly-Rated EHRs Mentioned by Therapists:
- Sessions Health
- This is best for: Solo practitioners and private pay practices seeking a straightforward and affordable solution.
- Key Features: Users praise it for being “dead easy” and consistent. It handles credit card collection and validation, and can facilitate insurance submissions and billing, though some private-pay users don’t utilize these features. It offers excellent customer service.
- Costs: Approximately $40/month, with a telehealth add-on for about $10 monthly (or you can use free alternatives like Doxy.me).
- Website Connection/Integration: Integrates with payment processors like Stripe for billing, allowing for credit card collection when clients book sessions.
- Jane App
- This is best for: Solo-private pay practices and OT, PT, and SLP rehab therapy clinics that value an intuitive system and excellent customer support, particularly if they don’t require extensive third-party integrations.
- Key Features: Described as incredibly intuitive, well-organized, and easy to navigate, with exceptional customer service. It streamlines documentation and will soon offer AI-supported voice-to-chat.
- Costs: Starts at $39 per month for solo practitioners. For teams, it begins at $79 per month, plus additional per-practitioner fees. You might even get a free month by mentioning “OTPOTENTIAL” when signing up.
- Website Connection/Integration: While highly user-friendly, Jane App does not have an API or webhooks, meaning you are limited to their supported integrations and direct custom website integration is not available.
- Healthie
- This is best for: Launching, scaling, and growing private practices, group practices, digital health startups, and enterprises, especially those focusing on virtual-first, collaborative care in behavioral health, nutrition, and chronic care.
- Key Features: Offers a comprehensive platform with a cloud EHR, practice management tools, and client engagement features. It’s built to scale with your practice, facilitating collaboration among care teams. Includes intake & onboarding, charting, scheduling, billing, insurance, reporting, patient portal, and a mobile app. It also boasts high standards for data security and privacy.
- Costs: A user mentioned it’s free if you have under 10 clients. Specific pricing beyond this is not detailed in the sources.
- Website Connection/Integration: Healthie provides a patient portal and a mobile app. Crucially, it has an App Marketplace for integrations and offers Developer API Docs, indicating strong potential for seamless website integration and connecting with other tools you already use (like Google Fit or Apple Health).
- Praxis EMR
- This is best for: Small to mid-sized practices and solo/private practices seeking a high-quality, efficient, and user-friendly system, particularly those looking for an AI-driven solution. It’s ranked highly for physician satisfaction.
- Key Features: Praxis EMR features an AI technology (Concept Processing) that self-learns from your charting in free text, becoming faster and smarter with use. It is template-free, allowing for comprehensive customization around the physician’s preferences. It’s HIPAA compliant, secure, fast, and certified for MACRA and CMS Quality Reporting.
- Costs: Described as affordable, offering “the most bang for the buck” by saving time and money. Specific pricing is not detailed.
- Website Connection/Integration: While the sources emphasize its internal efficiency and interoperability (ability to share information between systems), direct website integration capabilities are not explicitly detailed. Its focus on customization and patient data management suggests a foundation for such connections.
- Prompt (PromptEMR)
- This is best for: OP (Outpatient) rehab practices with aspirations to scale their therapy practice.
- Key Features: Praised for streamlining and making documentation easier and more efficient, allowing clinicians to quickly create templates for evaluations and treatments. Includes built-in billing, assessments, configurable documentation, digital patient intake, scheduling, AI automation, and embedded telehealth.
- Costs: Pricing is not disclosed in the sources.
- Website Connection/Integration: While details on direct website integration are limited, its patient-facing features (HEP/Education, digital intake) and scalability focus imply support for client engagement tools.
- TheraPlatform
- This is best for: Single users and teams in behavioral health practices looking for a system with integrated telehealth and engaging therapy tools.
- Key Features: Offers documentation, scheduling, billing, and a client portal for HIPAA-compliant communication and self-management. It stands out with its built-in library of therapy apps and games that target various therapy goals and disorders.
- Costs: $39 per month for a single user. Pro plans range from $69-$79 per month, with an additional $49 per provider. Telehealth is included only in premium plans.
- Website Connection/Integration: Provides a client portal.
- DocVilla
- This is best for: Practices looking for a cost-effective EHR without hidden fees for essential features, covering a wide range of needs from billing to prescriptions.
- Key Features: Integrates telehealth, scheduling, eFax, reminders, and a patient portal without charging extra for each add-on.
- Costs: Described as having a more predictable pricing structure and being cost-effective. Specific pricing not detailed.
- Website Connection/Integration: Includes a patient portal.
- Carepatron
- This is best for: Practices looking for an affordable and easy-to-use option, with a free version available.
- Key Features: Users report it as easy to use with great customer service.
- Costs: Offers a free version and an “essential plan” that is very affordable. Specific pricing not detailed.
- Website Connection/Integration: Not specified in the sources.
Why Your Website Still Matters (Even With a Great EHR)
A solid EHR runs your backend operations — scheduling, billing, records.
But your website?
That’s the front door of your business. It builds trust, positions you as a pro, and (if it’s working correctly) handles things like:
✔️ Pre-qualifying leads
✔️ Driving inquiries
✔️ Setting expectations
✔️ Feeding your EHR portal the right kind of clients
Even if your EHR doesn’t fully integrate with your website (like TherapyNotes or Jane App), your website can still link to portals and make the client journey smooth and easy. And if you’re using something like Healthie? Even better — you can fully automate pieces of the intake and scheduling process.
EHR Comparison Table (2025 Snapshot)
| Platform | Best For | Starting Cost | Web Integration | Notables |
|---|---|---|---|---|
| TherapyNotes | Behavioral health practices | $49/month | Client portal only (no API) | Strong documentation + reporting |
| SimplePractice | Solo/small group practices | $39/month | Client portal only | Excellent UI, mobile app |
| Ensora Health | Custom templates, treatment plans | $39/month | Client portal only | Wiley Treatment Planner included |
| CounSol | Psychiatric services | Varies | Client site builder | Built-in advertising features |
| Behaviorsoft | Small ABA therapy teams | Not listed | Not specified | Compliance-focused |
| Sessions Health | Private-pay solo providers | $40/month | Stripe payment integration | Simple and easy to use |
| Jane App | PT/OT/SLP, solo pay practices | $39/month | Limited, no API | Great UX, AI features incoming |
| Healthie | Virtual-first practices & teams | Free <10 pts | Full API + app marketplace | Built to scale + collaborate |
| Praxis EMR | AI documentation, no templates | Not listed | Not detailed | Learns as you chart |
| Prompt | Rehab clinics | Not listed | Not detailed | Focus on documentation + intake |
| TheraPlatform | Integrated telehealth + games | $39/month | Client portal only | Games and therapy tools included |
| DocVilla | Budget practices needing basics | Not listed | Patient portal | Low-cost with all core features |
| Carepatron | Budget/simple setups | Free/low-cost | Not specified | Easy to use, praised support |
