Updated 30 March 2026
SimplePractice for Group Practices
On the Plus plan: $99/month base plus $39 per additional clinician. For a 5-clinician group, that is $255/month. SimplePractice is most cost-effective for groups of 2 to 10 clinicians. Above 15, consider enterprise-grade alternatives.
Group Practice Pricing Table
SimplePractice requires the Plus plan ($99/month) for group practices. Additional clinicians cost $39/month each. TherapyNotes charges a flat $49 per clinician regardless of group size.
| Clinicians | SP Total/mo | SP Per Clinician | TherapyNotes/mo | TN Per Clinician | Cheaper Option |
|---|---|---|---|---|---|
| 1 | $99 | $99 | $49 | $49 | TherapyNotes |
| 2 | $138 | $69 | $98 | $49 | TherapyNotes |
| 3 | $177 | $59 | $147 | $49 | TherapyNotes |
| 5 | $255 | $51 | $245 | $49 | TherapyNotes |
| 8 | $372 | $47 | $392 | $49 | SimplePractice |
| 10 | $450 | $45 | $490 | $49 | SimplePractice |
| 15 | $645 | $43 | $735 | $49 | SimplePractice |
| 20 | $840 | $42 | $980 | $49 | SimplePractice |
The Crossover Point
SimplePractice becomes cheaper than TherapyNotes at approximately 7 clinicians. Below 7, TherapyNotes is cheaper because its flat $49/clinician rate beats SimplePractice's $99 base + $39/add-on structure. At 7 clinicians: SimplePractice is $333/month ($47.57/clinician) vs TherapyNotes at $343/month ($49/clinician). The gap widens as you add more clinicians because $39 is less than $49.
Group Practice Features on Plus
Admin dashboard
Practice owners get a centralized dashboard showing all clinician schedules, total appointments, revenue by clinician, and outstanding balances. This visibility is essential for managing a growing practice.
Clinician-level reporting
Generate reports per clinician showing session counts, revenue generated, cancellation rates, and client retention. Useful for performance reviews and revenue allocation in practices where clinicians keep a percentage of billings.
Shared client records
When a client sees multiple clinicians in the same practice (therapist + psychiatrist for medication management), both clinicians access the same client record. Notes can be shared or kept private based on permission settings.
Appointment slot management
Each clinician sets their own availability. The admin can view all clinician calendars in one view. Online booking shows available slots across all clinicians, allowing clients to choose their preferred clinician and time.
Role-based permissions
Assign different access levels: practice owner (full access), clinician (own clients and schedule), biller (financial data and claims), and front desk (scheduling only). This prevents clinicians from accessing business financial data.
Centralized insurance billing
File insurance claims for all clinicians from one account. The practice biller can manage claims, track ERAs, and handle denied claims across all clinicians without switching between accounts.
Scaling Challenges at 15+ Clinicians
SimplePractice works well for practices with 2 to 10 clinicians. At 15+ clinicians, some limitations become apparent:
Alternatives for Large Group Practices
Valant
Purpose-built for behavioral health groups. Better reporting, outcomes tracking, and multi-site management. Pricing starts around $50-$65/clinician with group discounts. Strongest for 15-100+ clinician practices.
TherapyNotes
At $49/clinician with no base fee, TherapyNotes scales linearly. Simpler pricing model for groups that want predictable per-clinician costs. Strong clinical notes and insurance billing at any scale.
TheraNest
Pricing based on active client count rather than clinician count. For high-volume practices with many clinicians seeing fewer clients each, TheraNest can be significantly cheaper. Plans from $39-$91/month based on caseload.
The Sweet Spot
SimplePractice is ideal for group practices with 2 to 10 clinicians. At this size, the platform's admin dashboard, shared client records, and centralized billing are sufficient without hitting scaling limitations. The per-clinician cost ($42-$69/month depending on group size) is competitive with alternatives, and the superior client portal provides a better experience for your patients.
Below 7 clinicians, TherapyNotes is cheaper on a pure cost basis. Above 15 clinicians, enterprise EHRs like Valant offer better tools for large practice management. The 7-to-15 range is SimplePractice's competitive sweet spot for group practices.