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Behavioral Health EHR · Head to head

SimplePractice vs TherapyNotes

Both products compete in Behavioral Health EHR. Behavioral health EHR software manages clinical records, treatment planning, group session documentation, billing, and compliance workflows for mental health and substance use disorder providers — built specifically for the regulatory requirements of behavioral health, including 42 CFR Part 2 SUD confidentiality rules, ASAM level of care criteria, and DEA e-prescribing for controlled substances. Here are the facts the B4 Index maintains on each, side by side.

The two files, side by side

What it is
All-in-one practice management for solo therapists; client portal and built-in telehealth
Mental health EHR with DSM-5 templates, billing, and telehealth for small groups
Pricing
Starting at $49/month per provider
$69/month solo; $79/month first clinician + $50/month each additional
Categories served
Behavioral Health EHR
Behavioral Health EHR
Status
Active · verified June 2026
Active · verified June 2026

The decision underneath the comparison

Choosing between SimplePractice and TherapyNotes assumes you're buying Behavioral Health EHR at all. That's the prior question, and the B4 Index scores it on two axes: how much Behavioral Health EHR differentiates you, and how far AI has come at building it. Read the build-versus-buy considerations for Behavioral Health EHR before you shortlist either product.

Vendor facts are maintained independently of any B4 verdict and re-verified on a monthly liveness check. See the full methodology.