If you’ve ever navigated TherapyNotes pricing structure, calculating whether the Solo plan at $59 monthly will suffice or if you need the Group plan starting at $69, while discovering that AI documentation costs an extra $40 per clinician per month, you know that behavioral health EHR pricing can quickly become a complex equation with multiple variables.
TherapyNotes has established itself as a trusted practice management platform, serving mental health professionals with its comprehensive suite of tools for scheduling, documentation, billing, and telehealth. The platform streamlines behavioral health practices with structured workflows and customer support available 24/7.
But as TherapyNotes has grown from a simple EHR to a full-featured platform with multiple add-on services, its pricing structure has become a multi-layered system where the total cost depends on which features you need: basic documentation, AI assistance, e-prescribing, or advanced telehealth capabilities.
I’ve spent time analyzing TherapyNotes pricing tiers, add-on costs, and feature limitations. I believe it’s the ideal choice if:
However, TherapyNotes pricing structure isn’t the best fit if:
In this case, you should consider CarePaths: a comprehensive EHR and practice management platform that includes automated Measurement-Based Care, AI clinical notes, free electronic claims, and modern patient engagement tools within its base subscription, making it ideal for evidence-based practices seeking better value.
Because of that, I’ve included a detailed pricing comparison with CarePaths in this review, as an alternative for practices seeking comprehensive features at a transparent price point.
Table of contents
| TherapyNotes | CarePaths | |
|---|---|---|
| Free Plan |
• 30-day free trial • No credit card required • Most features accessible during trial |
• Free MBC for up to 30 clients • $9/clinician for unlimited MBC • 30-day free trial for full EHR |
| Entry Plan |
• Solo: $59/month • 1 user only • Core features included • Add-ons cost extra |
• Getting Started: $10/month • Limited to 15 sessions/month • Core features included |
| Standard Plan |
• Group: $69/month first clinician • +$40/month per additional • Unlimited non-clinical staff • Same feature limitations |
• Full EHR: $49/month per clinician • AI notes included free • Free electronic claims • Free SMS reminders |
| Advanced Plan |
• Enterprise: Same as Group pricing • 30+ users required • Dedicated account manager • Additional support benefits |
• Psychiatry EHR: $98/month • E-prescribing included • Medication management • Decision support tools |
| Best For | Practices prioritizing 24/7 support and structured workflows with established systems | Evidence-based practices wanting integrated MBC and comprehensive features at lower cost |
TherapyNotes operates on a subscription-based model with pricing that varies based on the number of users, targeting everyone from solo practitioners to large enterprise practices.
The platform uses a tiered structure with three main plans: Solo, Group, and Enterprise, each designed for different practice sizes. Beyond base subscriptions, TherapyNotes monetizes through numerous add-on services including AI documentation, advanced telehealth, e-prescribing, and transaction-based fees for billing and reminders.
FOR ONE USER
Great for solo practitioners or new providers who are just getting started.
FOR THE FIRST CLINICIAN
$40/month per additional clinician
Unlimited non-clinical staff
FOR THE FIRST CLINICIAN
$40/month per additional clinician
Unlimited non-clinical staff
✅ Includes a designated account manager
| Feature | Details |
|---|---|
| Price | $59/month |
| Users | 1 user only |
| Clients | Unlimited |
| Storage | Unlimited file storage |
| Support | 24/7 phone and email |
| Core Features | Scheduling, notes, billing, basic telehealth, patient portal |
The Solo plan serves individual practitioners or new providers just starting their practice. At $59 monthly, it includes all core EHR functionalities: unlimited clients and appointments, secure messaging, basic telehealth, and the custom patient portal. However, this plan restricts usage to a single user, making it unsuitable for any practice planning to grow or collaborate.
| Solo Plan Pros | Solo Plan Cons |
|---|---|
| ✅ Unlimited clients and storage | ❌ Limited to 1 user only |
| ✅ 24/7 support included | ❌ No AI features included |
| ✅ 30-day free trial | ❌ Add-ons quickly increase cost |
| ✅ Monthly billing available | ❌ No room for growth |
The Bottom Line 👉 Solo works for individual practitioners with simple needs, but any growth or desire for advanced features will require upgrades or expensive add-ons.
| Feature | First Clinician | Additional Clinicians |
|---|---|---|
| Base Price | $69/month | $40/month each |
| Non-clinical Staff | Unlimited included | Unlimited included |
| Features | Same as Solo | Same as Solo |
| Support | 24/7 phone and email | 24/7 phone and email |
The Group plan accommodates multi-clinician practices with a base price of $69 for the first clinician plus $40 for each additional therapist. This tier includes unlimited non-clinical staff accounts at no extra cost, which helps with administrative tasks. A 5-clinician practice would pay $229 monthly ($69 + $40 × 4).
| Group Plan Pros | Group Plan Cons |
|---|---|
| ✅ Unlimited non-clinical staff | ❌ Costs scale linearly with growth |
| ✅ Supports team collaboration | ❌ Same feature limitations as Solo |
| ✅ 24/7 support for all users | ❌ AI and advanced features extra |
| ✅ Scales to 29 users | ❌ Can become expensive quickly |
The Bottom Line 👉 Group suits established practices with multiple clinicians, but the per-user pricing model and add-on costs can make growth expensive.
| Feature | Details |
|---|---|
| Pricing | $69/month first + $40/month per additional |
| Minimum Users | 30 or more |
| Account Management | Dedicated account manager |
| Support | 24/7 support |
The Enterprise plan uses identical pricing to the Group plan but requires a minimum of 30 users. The main differentiator is the inclusion of a dedicated account manager. For a 30-user practice, this would cost $1,229 monthly ($69 + $40 × 29).
| Enterprise Plan Pros | Enterprise Plan Cons |
|---|---|
| ✅ Dedicated account manager | ❌ Same pricing as Group plan |
| ✅ Enterprise-level attention | ❌ 30-user minimum requirement |
| ✅ 24/7 support access | ❌ No pricing advantages |
| ✅ Additional account support | ❌ Very expensive at scale |
The Bottom Line 👉 Enterprise makes sense for large organizations needing dedicated support, with a dedicated account manager as the primary additional benefit over the Group plan.
Beyond base subscriptions, TherapyNotes cost offers numerous add-ons:
Feature Add-Ons:
Transaction Fees:
Hidden Costs Example: A solo practitioner wanting AI documentation, text reminders (200/month), and processing 50 insurance claims monthly would pay:
While TherapyNotes delivers reliable EHR functionality with exceptional customer support, its pricing model and feature limitations create challenges for modern behavioral health practices seeking comprehensive, value-driven solutions:
Expensive Add-Ons for Advanced Features
Limited Measurement-Based Care Approach
Patient Engagement Tools Need Modernization
Higher Base Pricing With Fewer Included Features
These limitations have led many practices focused on evidence-based care and modern patient engagement to explore more comprehensive, value-driven alternatives.
Clinician Insight: CarePaths’ Measurement-Based Care system was developed with Bruce Wampold, PhD, ensuring that outcome tracking follows evidence-based psychotherapy standards rather than generic data metrics.
CarePaths delivers advanced practice management with integrated Measurement-Based Care and modern features at competitive pricing compared to TherapyNotes total cost.
For practices frustrated by TherapyNotes’ expensive add-ons and looking for more comprehensive MBC tools and modern patient engagement features, CarePaths offers a solution with automated MBC developed by Bruce Wampold, PhD (one of the world’s leading psychotherapy researchers), AI clinical notes included free, and a modern patient mobile app, all within transparent pricing.
Founded in 2000 by clinical psychologists Geoff Gray, PhD and Maureen Hart, PhD, CarePaths serves behavioral health professionals who understand that modern practice requires both operational efficiency and clinical excellence.
The platform combines comprehensive EHR capabilities with additional evidence-based tools and patient engagement features, while maintaining competitive costs. CarePaths scales effectively from solo practitioners to larger organizations, with particular strength serving group practices and university training clinics.
CarePaths excels for practices focused on outcomes and evidence-based care, solo practitioners and small practices needing affordable pricing with features included, and any clinician who wants modern features without excessive add-on fees.
Did You Know? CarePaths offers a permanently free Measurement-Based Care tier — no credit card required, no time limit — allowing clinicians to track outcomes for up to 30 clients at zero cost.
| Feature | Details |
|---|---|
| Price | Free for up to 30 clients |
| Unlimited MBC | $9/clinician/month |
| Developer | Bruce Wampold, PhD |
| Assessments | 40+ customizable options |
| Features | Medication adherence tracking, Digital Front Door |
Unlike TherapyNotes’ basic outcome tracking, CarePaths offers a comprehensive free Measurement-Based Care tier that includes automated assessments, visual progress graphs, and evidence-based protocols.
Patients complete brief weekly questionnaires with no administrative burden on therapists. The system automatically tracks symptoms, wellbeing, and belief in therapy effectiveness (one of the few validated improvements in psychotherapy practice over the past several decades).
| Free MBC Plan Pros | Free MBC Plan Cons |
|---|---|
| ✅ Completely free for 30 clients | ❌ Limited to MBC features only |
| ✅ Evidence-based protocols included | ❌ No full EHR capabilities |
| ✅ 40+ assessment options | ❌ Requires upgrade for practice management |
| ✅ Zero administrative burden | ❌ Best as supplement, not standalone |
The Bottom Line 👉 The free MBC plan lets practices test comprehensive outcome tracking at no cost, offering more automated MBC features than TherapyNotes’ built-in outcome measures.
| Feature | Details |
|---|---|
| Price | $49/month per licensed therapist |
| AI Clinical Notes | Included free |
| Electronic Claims | Free submission |
| SMS Reminders | Free |
| Telehealth | Included with group support |
| Patient Portal | Mobile app included |
The Full EHR plan delivers broad EHR features plus capabilities that would cost $40-60 extra with TherapyNotes.
AI-generated clinical notes, electronic claims processing, and SMS appointment reminders are all included at no additional charge. The CarePaths Connect mobile app provides the modern patient experience that TherapyNotes’ web-only portal lacks. The platform supports supervision models where unlicensed recent graduates can practice under licensed therapists, particularly valuable for university training clinics.
| Full EHR Plan Pros | Full EHR Plan Cons |
|---|---|
| ✅ $10–20 less than TherapyNotes | ❌ Smaller user community |
| ✅ AI notes included (saves $40/month) | ❌ Less established platform |
| ✅ Free electronic claims (saves 14¢ each) | ❌ Support hours not specified |
| ✅ Mobile app for patients | ❌ Some users report occasional glitches |
The Bottom Line 👉 At $49/month with included features that would cost extra with TherapyNotes, CarePaths delivers value for budget-conscious practices.
| Feature | Details |
|---|---|
| Price | $10/month |
| Session Limit | Maximum 15 sessions/month |
| Features | Core EHR features |
| Ideal For | New practitioners building their practice |
CarePaths offers a unique entry tier for practitioners just starting out or with limited caseloads. At $10 monthly for up to 15 sessions, this provides EHR functionality at a fraction of TherapyNotes $59 Solo plan cost.
| Getting Started Plan Pros | Getting Started Plan Cons |
|---|---|
| ✅ 83% cheaper than TherapyNotes Solo | ❌ Limited to 15 sessions monthly |
| ✅ Low-cost entry point | ❌ Must upgrade as practice grows |
| ✅ Perfect for part-time practice | ❌ Not suitable for full caseloads |
| ✅ Affordable startup option | ❌ Requires monitoring session count |
The Bottom Line 👉 This special pricing makes professional practice management accessible for new therapists that TherapyNotes prices out.
| Feature | Details |
|---|---|
| Price | $98/month |
| E-Prescribing | Included for controlled substances |
| Medication Management | Decision support included |
| PDMP Integration | Available |
| All EHR Features | Included |
The Psychiatry plan includes broad e-prescribing capabilities that would cost $65 extra with TherapyNotes. While the base price is higher, the inclusion of controlled substance prescribing and medication management tools makes it cost-competitive for psychiatric practices.
| Psychiatry EHR Pros | Psychiatry EHR Cons |
|---|---|
| ✅ E-prescribing included (saves $65/month) | ❌ Enrollment fees apply |
| ✅ Controlled substances supported | ❌ Higher base price |
| ✅ Medication adherence tracking | ❌ Limited to prescribing partner |
| ✅ Behavioral CPT support | ❌ PDMP fee may apply |
The Bottom Line 👉 For psychiatrists, the included e-prescribing makes this competitive with TherapyNotes $59 + $65 combo.
By Bruce Wampold PhD
Complete Practice Management System
Getting Started?
TherapyNotes Approach: TherapyNotes provides built-in outcome measurement tools including a library of assessments, automated scoring, and visual progress tracking. Practices can send outcome measures through the patient portal and view results in the Insights tab. However, the system focuses primarily on basic outcome tracking rather than comprehensive MBC workflows.
Source: TherapyNotes
CarePaths Approach: CarePaths integrates MBC developed by Bruce Wampold, PhD directly into the EHR. Automated assessments go to clients weekly, results display as visual graphs tracking symptoms, wellbeing, and belief in therapy effectiveness, and the system provides comprehensive progress monitoring. The free tier for 30 clients makes this accessible to all practices.
Value Verdict: CarePaths is better for evidence-based practices wanting comprehensive automated MBC, while TherapyNotes offers sufficient basic outcome tracking for practices with simpler needs.
TherapyNotes Approach: TherapyFuel AI costs $40 monthly per clinician on top of base subscription fees. Electronic claims cost 14¢ each, SMS reminders cost 14¢ each, and advanced telehealth costs $15 monthly per clinician. A typical practice can spend $60-80 beyond base fees for features they use daily.
CarePaths Approach: AI-generated clinical notes come included in the $49 monthly plan. Electronic claims process free, SMS appointment reminders send free, and telehealth with group support is included. The transparent pricing reduces unexpected charges, though some features like e-prescribing still cost extra.
Value Verdict: CarePaths is better for practices wanting predictable costs, including features that would cost $40-60 extra with TherapyNotes.
TherapyNotes Approach: TherapyNotes provides a web-based patient portal with secure messaging, appointment requests, and digital intake forms. However, it lacks a dedicated mobile app for patients. The portal allows clients to request appointments and complete paperwork electronically, though it doesn’t offer full self-scheduling capabilities.
Source: TherapyNotes
CarePaths Approach: The CarePaths Connect mobile app provides a modern patient experience with appointment scheduling, assessment completion, secure messaging, and telehealth access. The “Digital Front Door” feature helps practices attract new clients through online presence and self-referral capabilities.
Source: CarePaths
Value Verdict: CarePaths is better for practices prioritizing modern patient experience with mobile apps, while TherapyNotes suits practices comfortable with web-based portals.
TherapyNotes Approach: TherapyNotes provides 24/7 phone and email support, consistently praised as exceptional by users. This round-the-clock availability provides peace of mind for practices. However, the multiple add-on fees can make it challenging to predict total monthly costs.
CarePaths Approach: CarePaths provides free support and training, though support hours are not specified. Some users report slower response times through their ticket system. The pricing structure includes more features in the base price, though some add-ons like e-prescribing still apply.
Value Verdict: TherapyNotes is better for practices that prioritize 24/7 phone support, while CarePaths appeals to those valuing more inclusive base pricing.
TherapyNotes offers a 30-day free trial with no credit card required, but no permanent free plan for most users (though they do offer a free education plan for classroom use). This contrasts with CarePaths, which provides a completely free MBC tier for up to 30 clients per clinician.
While base plans start at $59 (Solo) or $69 (Group), adding TherapyFuel AI ($40), text reminders (14¢ each), and electronic claims (14¢ each) can increase monthly costs significantly. The exact total depends on usage volume. CarePaths includes many of these features in its $49 base price.
Yes, CarePaths offers data migration support. You can export your data from TherapyNotes and CarePaths will help import it. They also provide custom migration services at $150/hour if needed.
TherapyNotes uses a base subscription plus add-on model where many features cost extra, while CarePaths includes more features in its base price. The actual savings depend on which features your practice needs and usage volume.
For practices that highly value round-the-clock phone support and need immediate assistance at any hour, TherapyNotes customer support may justify the higher costs. Practices that don’t require 24/7 support may find more value with CarePaths.
CarePaths typically offers better value for budget-conscious small practices with its $49 pricing or $10 starter plan. TherapyNotes is cost-effective primarily for practices that need 24/7 support and prefer established, structured systems.
The choice between TherapyNotes and CarePaths depends on your practice priorities and budget considerations:
👍 TherapyNotes is a structured practice management system designed for behavioral health professionals who prioritize exceptional customer support and established workflows.
With pricing from $59-69 monthly plus $40 per user for additional clinicians, it enables practices to operate within proven systems backed by round-the-clock assistance. This subscription model works best for established practices valuing 24/7 phone support above cost savings, larger organizations needing dedicated account management, and clinicians who prefer structured templates and compliance-focused workflows.
Get started with TherapyNotes here.
👉 CarePaths is a comprehensive EHR platform built for practices that value clinical outcomes and modern features at competitive pricing.
By offering plans from $10-98 monthly with AI documentation, MBC tools, and free electronic claims included, it reduces the add-on fees that can inflate other platforms’ costs. This approach makes it appealing for evidence-based practices wanting comprehensive automated outcome tracking, budget-conscious solo practitioners and small groups, and any clinician who believes modern features like AI notes and mobile apps should be included rather than cost extra.
Get started with CarePaths here.
The difference isn't just pricing structure but approach. While TherapyNotes provides reliable support for established workflows with premium add-ons available, CarePaths focuses on including comprehensive features for evidence-based care within transparent pricing tiers.
