SimplePractice vs TheraNest (2026):
Is the Budget Option Worth the Trade-Off?
TheraNest (now Ensora Health) is consistently cheaper than SimplePractice. The real question is whether the UX gap and feature differences justify the price premium. Here is the honest comparison.
TheraNest is Now Ensora Health
TheraNest rebranded to Ensora Health in 2023-2024. The platform is the same EHR under a new name. If you are searching for TheraNest reviews or pricing, Ensora Health is the current version.
2026 Pricing Comparison
| Plan tier | SimplePractice | TheraNest/Ensora Health | Savings with TheraNest |
|---|---|---|---|
| Entry | Starter $49/mo | Essentials ~$29/mo | ~$20/mo ($240/yr) |
| Mid | Essential $79/mo | Advanced ~$59/mo | ~$20/mo ($240/yr) |
| Full features | Plus $99/mo | Premier ~$89/mo | ~$10/mo ($120/yr) |
Feature Comparison
| Feature | SimplePractice | TheraNest/Ensora |
|---|---|---|
| UI/UX quality | Best in class | Functional, dated feel |
| Mobile app | Excellent | Basic |
| Client portal | Plus only | Included |
| Telehealth | Essential+ (built-in) | Available (quality varies) |
| Insurance billing | Essential+ | Available |
| Wiley Treatment Planner | No | Yes |
| Psychology Today integration | Yes | No |
| Feature development pace | Active, frequent updates | Slower |
| Client self-scheduling | Good | Basic |
| Pricing | $49-99/mo | $29-89/mo |
Honest Verdict
Choose SimplePractice if:
- ✓ Client-facing UX is a priority for your practice
- ✓ You see 15+ clients/week and time saved matters
- ✓ You want the best client portal and intake experience
- ✓ You value Psychology Today directory integration
- ✓ You prefer a platform actively improving
Choose TheraNest/Ensora if:
- ✓ Budget is the primary constraint
- ✓ Saving $20-30/mo makes a real difference
- ✓ You run a low-tech practice with minimal client-facing features
- ✓ Staff prefer simpler, less feature-heavy interfaces
- ✓ You need Wiley Treatment Planner
Frequently Asked Questions
Did TheraNest rebrand?
Yes. TheraNest rebranded to Ensora Health. The platform is the same EHR. If you are comparing TheraNest reviews, look for Ensora Health reviews as well since they refer to the same product.
Is TheraNest cheaper than SimplePractice?
Yes, by approximately $20/month at most tiers. TheraNest Essentials is around $29/mo vs SimplePractice Starter at $49. The mid tier gap is similar. Annual savings are $240/year for solo therapists.
What does SimplePractice do better than TheraNest?
SimplePractice has significantly better UX design, a superior mobile app, better client-facing experience, more active feature development, Psychology Today integration, and the best built-in telehealth in the EHR category. The UX difference is the primary reason to pay the premium.
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