If you’re a therapist or health practitioner shopping for practice management software, you’ve probably narrowed it down to three names: SimplePractice, TherapyNotes, and Jane App. They all handle scheduling, notes, and billing: but they do it differently, and the right pick depends on how your practice actually runs day to day.

I’ve spent time digging into all three platforms, talking to practitioners who use them, and comparing what you actually get for your money. Here’s the honest breakdown.

Quick Comparison Table

Feature	SimplePractice	TherapyNotes	Jane App
Pricing	$39–59/mo	$49–59/mo	$54–79/mo
Telehealth built-in	Yes (Essential+)	Yes (add-on)	Yes
Insurance billing	Yes	Yes (strongest)	Yes
HIPAA compliant	Yes	Yes	Yes
Client portal	Yes	Yes	Yes
Intake forms	Yes (customizable)	Yes	Yes (highly customizable)
Note templates	Good	Excellent	Good
Scheduling	Online booking	Online booking	Online booking
Best for	US solo therapists	Insurance-heavy practices	Multidisciplinary clinics

SimplePractice: The Most Popular Choice for US Therapists

$39–59/month per clinician

SimplePractice is the default recommendation you’ll hear in most therapist Facebook groups, and there’s a reason for that. It’s polished, intuitive, and covers the full workflow from client inquiry to payment collection without feeling overwhelming.

The platform shines with its client portal. Patients can request appointments, fill out intake paperwork, sign consent forms, and even join telehealth sessions: all from one link. For therapists who want a professional, modern experience without wrestling with technology, it delivers.

Telehealth is baked into the Essential and Plus plans, so you don’t need a separate Zoom subscription or worry about HIPAA compliance for video sessions. The video quality is solid for one-on-one therapy, though it’s not built for group sessions with large numbers.

Insurance billing works well for standard claims. You can file electronically, track claim statuses, and manage ERAs. It’s not as deep as TherapyNotes on the billing side, but for most solo practitioners filing straightforward claims, it gets the job done.

Where SimplePractice falls short: the mobile app can be glitchy, customer support response times have gotten longer as they’ve grown, and they’ve raised prices several times over the years. Some long-time users feel nickel-and-dimed by features that used to be included moving behind higher-tier paywalls.

That said, the overall user experience is hard to beat. If you value a clean interface and don’t want to spend hours learning your software, SimplePractice earns its popularity.

TherapyNotes: Best Clinical Documentation and Insurance Billing

$49–59/month per clinician

TherapyNotes doesn’t have the flashiest marketing or the prettiest interface, but it absolutely nails the two things that matter most to insurance-based practices: clinical documentation and billing.

The note templates in TherapyNotes are genuinely excellent. They’re structured specifically for mental health documentation: DAP notes, SOAP notes, treatment plans: and they guide you through writing notes that meet insurance audit standards. If you’ve ever had a claim denied because your documentation wasn’t detailed enough, TherapyNotes basically holds your hand through getting it right.

Billing is where TherapyNotes really separates itself. The claim submission process is streamlined, ERA posting is mostly automatic, and the reporting tools help you track outstanding balances and aging claims. For practices that bill insurance heavily, this saves real hours every week.

The scheduling and client portal are functional but not as polished as SimplePractice. The interface feels more clinical and less “modern SaaS product”: which some practitioners actually prefer because it’s straightforward and no-nonsense.

Telehealth is available but it’s an add-on rather than deeply integrated. It works, but if telehealth is a core part of your practice, you might want something more seamless.

Customer support is consistently praised. You can actually call them and talk to a human who understands the mental health billing world. That matters when you’re stuck on a claim issue at 7 PM.

TherapyNotes is the workhorse pick. It won’t wow you with design, but it’ll keep your notes audit-ready and your claims flowing.

Jane App: Best for Multidisciplinary Clinics and Canadian Practices

$54–79/month per practitioner

Jane App comes from a different world than SimplePractice and TherapyNotes. Built in Vancouver, it was designed for multidisciplinary clinics: think practices where a massage therapist, a psychologist, a physiotherapist, and a naturopath all work under one roof.

That multidisciplinary DNA shows up everywhere. The scheduling system handles multiple practitioners, rooms, and equipment gracefully. Intake forms are wildly customizable: you can build different workflows for different service types. The charting templates adapt to various professions rather than being locked into mental health formats.

For Canadian practitioners, Jane App handles provincial billing natively. It also works well for practitioners in Australia, the UK, and other markets outside the US. If you’re not in the American healthcare system, Jane is often the better fit simply because it wasn’t built exclusively for US insurance.

The platform looks beautiful and feels modern. Online booking is smooth, the client experience is professional, and the mobile-responsive design works well on phones and tablets.

Where Jane falls short for US therapists specifically: insurance billing for American insurance is possible but not as polished as SimplePractice or TherapyNotes. If you’re filing US insurance claims daily, you’ll feel the friction. Jane also costs more per practitioner, which adds up for larger groups.

Jane is ideal if you run (or plan to run) a clinic with multiple disciplines, if you’re outside the US, or if you value a gorgeous platform that impresses patients from their first booking.

Which One Should You Pick?

Solo therapist in the US billing insurance: TherapyNotes if billing is your headache, SimplePractice if you want the smoothest overall experience.

Solo therapist, mostly private pay: SimplePractice. The client portal and telehealth integration make the private-pay workflow seamless.

Group practice (same discipline): SimplePractice Plus or TherapyNotes. Both handle multiple clinicians well, though TherapyNotes edges ahead on billing oversight.

Multidisciplinary clinic: Jane App, hands down. It’s built for exactly this use case.

Canadian or international practice: Jane App. The others are US-centric in ways that will frustrate you.

Budget-conscious new practice: TherapyNotes at $49/month gives you the most billing power for the price. SimplePractice Starter is cheaper at $39 but lacks key features.

If you’re in the dental space, these tools aren’t the right fit: check out our guide to dental practice management systems instead. And if scheduling is your primary pain point, we’ve also covered Calendly’s pricing and alternatives.

Frequently Asked Questions

Can I switch between these platforms without losing patient data?

Yes, but it’s not seamless. All three allow data export, and SimplePractice and Jane both have import tools for common formats. Budget a few days for the migration and expect to manually verify some records. TherapyNotes has a dedicated onboarding team that can help with data imports.

Are all three platforms HIPAA compliant?

Yes. SimplePractice, TherapyNotes, and Jane App all sign Business Associate Agreements (BAAs) and maintain HIPAA-compliant infrastructure. Jane also complies with PIPEDA for Canadian privacy requirements and GDPR for European clients.

Which platform has the best telehealth?

SimplePractice, if we’re talking about built-in telehealth that just works without extra configuration. It’s included in their Essential and Plus plans and requires zero setup from clients. TherapyNotes and Jane both offer telehealth but it feels more like a bolt-on feature.

Do any of these work for psychiatrists who prescribe medication?

All three work for psychiatrists, but none include e-prescribing. You’ll need a separate tool like DoseSpot or DrFirst for prescriptions. TherapyNotes has the best medication tracking in notes, while SimplePractice integrates with some e-prescribing tools via their partner network.

What about group therapy sessions: can these platforms handle them?

SimplePractice handles group appointments and can bill multiple clients for the same session. TherapyNotes also supports groups with individual notes per participant. Jane App handles group classes well, especially for yoga, fitness, or group therapy in multidisciplinary settings.

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