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Healthcare Medicine

Top 10 Best Therapist Billing Software of 2026

Find the top 10 best therapist billing software for efficient workflows. Choose wisely—discover now!

Sarah Mitchell

Sarah Mitchell

Feb 11, 2026

10 tools comparedExpert reviewed
Independent evaluation · Unbiased commentary · Updated regularly
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Efficient billing is essential for optimizing operations and sustaining success in mental health practice management, with a diverse range of tools—from comprehensive EHR and telehealth platforms to specialized insurance claim solutions. The following ranked list highlights the leading options, carefully chosen to address the unique needs of therapists and behavioral health professionals.

Quick Overview

  1. 1#1: SimplePractice - Comprehensive EHR, telehealth, scheduling, and billing platform tailored for therapists and mental health professionals.
  2. 2#2: TherapyNotes - Secure practice management software with integrated billing, progress notes, and scheduling for behavioral health providers.
  3. 3#3: TheraNest - Affordable cloud-based therapy billing, practice management, and client portal software for counselors and therapists.
  4. 4#4: Practice Better - All-in-one platform for wellness professionals offering billing, charting, scheduling, and telehealth features.
  5. 5#5: Jane - Online booking, charting, scheduling, and billing software designed for independent health and wellness practices.
  6. 6#6: MyClientsPlus - Mental health billing software specializing in insurance claims, superbills, and practice management for therapists.
  7. 7#7: CounSol.com - Counseling-specific practice management with billing, telehealth, scheduling, and documentation tools.
  8. 8#8: Kareo - Cloud-based medical billing and practice management software supporting therapist insurance claims and revenue cycle.
  9. 9#9: ICANotes - Psychiatric EHR with automated progress notes, e-prescribing, and integrated billing for mental health providers.
  10. 10#10: Valant - Behavioral health EHR and practice management system with advanced billing and revenue cycle management.

These tools were selected based on key metrics including feature breadth (integration with scheduling, charting, and telehealth), user experience (intuitive design, workflow efficiency), and value (cost-effectiveness, scalability, and reliability), ensuring they deliver robust support for daily practice operations.

Comparison Table

This comparison table explores key therapist billing software options, such as SimplePractice, TherapyNotes, TheraNest, Practice Better, Jane, and more, designed to assist professionals in managing administrative tasks effectively. Readers will discover details about features, pricing, and user experience to identify the right tool for their practice needs.

Comprehensive EHR, telehealth, scheduling, and billing platform tailored for therapists and mental health professionals.

Features
9.8/10
Ease
9.5/10
Value
9.2/10

Secure practice management software with integrated billing, progress notes, and scheduling for behavioral health providers.

Features
9.5/10
Ease
9.0/10
Value
8.7/10
3TheraNest logo8.6/10

Affordable cloud-based therapy billing, practice management, and client portal software for counselors and therapists.

Features
8.8/10
Ease
8.2/10
Value
9.1/10

All-in-one platform for wellness professionals offering billing, charting, scheduling, and telehealth features.

Features
9.2/10
Ease
8.5/10
Value
8.0/10
5Jane logo8.2/10

Online booking, charting, scheduling, and billing software designed for independent health and wellness practices.

Features
8.5/10
Ease
9.0/10
Value
7.8/10

Mental health billing software specializing in insurance claims, superbills, and practice management for therapists.

Features
8.8/10
Ease
8.0/10
Value
8.5/10

Counseling-specific practice management with billing, telehealth, scheduling, and documentation tools.

Features
8.0/10
Ease
8.7/10
Value
8.5/10
8Kareo logo7.8/10

Cloud-based medical billing and practice management software supporting therapist insurance claims and revenue cycle.

Features
8.5/10
Ease
6.9/10
Value
7.4/10
9ICANotes logo8.1/10

Psychiatric EHR with automated progress notes, e-prescribing, and integrated billing for mental health providers.

Features
8.6/10
Ease
7.7/10
Value
7.4/10
10Valant logo7.9/10

Behavioral health EHR and practice management system with advanced billing and revenue cycle management.

Features
8.2/10
Ease
7.5/10
Value
7.4/10
1
SimplePractice logo

SimplePractice

specialized

Comprehensive EHR, telehealth, scheduling, and billing platform tailored for therapists and mental health professionals.

Overall Rating9.7/10
Features
9.8/10
Ease of Use
9.5/10
Value
9.2/10
Standout Feature

Automated eligibility checks and electronic claims scrubbing for near-perfect first-pass payer acceptance

SimplePractice is an all-in-one practice management platform tailored for therapists and mental health professionals, excelling in streamlined billing workflows. It handles electronic claims submission to over 1,000 insurance payers, automated superbills, eligibility verification, and integrated payment processing including credit cards and FSA/HSA. Beyond billing, it offers EHR documentation, scheduling, secure telehealth, and a client portal for a comprehensive solution.

Pros

  • Seamless electronic claims to 1,000+ payers with 98% first-pass acceptance rate
  • Integrated payment processing with low fees and superbills
  • Robust compliance tools including HIPAA security and audit trails

Cons

  • Higher pricing tiers for advanced billing features
  • Per-claim fees (around $0.15-$0.50) can add up for high-volume users
  • Limited customization in reporting compared to enterprise tools

Best For

Solo therapists or small mental health practices needing an intuitive, end-to-end billing and practice management system.

Pricing

Starts at $29/month (Starter, limited billing), $69/month (Essential with claims), $99/month (Professional full suite); plus $6.25/month per user for telehealth and per-claim fees.

Visit SimplePracticesimplepractice.com
2
TherapyNotes logo

TherapyNotes

specialized

Secure practice management software with integrated billing, progress notes, and scheduling for behavioral health providers.

Overall Rating9.2/10
Features
9.5/10
Ease of Use
9.0/10
Value
8.7/10
Standout Feature

One-click claims generation from session notes with built-in scrubbing for higher acceptance rates

TherapyNotes is an all-in-one practice management and EHR software tailored for mental health professionals, with robust billing capabilities including electronic claims submission, eligibility verification, and payment posting. It integrates billing seamlessly with clinical documentation, scheduling, and telehealth features to streamline workflows for therapists. Designed specifically for behavioral health, it ensures HIPAA compliance while handling superbills, statements, and insurance reimbursements efficiently.

Pros

  • Integrated billing directly from progress notes for quick claims creation
  • Automated ERA posting and denial management to accelerate reimbursements
  • Strong HIPAA compliance and dedicated support for behavioral health billing

Cons

  • Higher pricing tiers can be costly for solo practitioners
  • Limited advanced reporting customization for complex billing needs
  • No free trial, only demos available

Best For

Mid-sized therapy practices seeking a specialized, all-in-one billing and EHR solution with strong insurance integration.

Pricing

Starts at $59/user/month (billed annually) including core billing, notes, and scheduling; add-ons like premium billing services start at $0.12/claim.

Visit TherapyNotestherapynotes.com
3
TheraNest logo

TheraNest

specialized

Affordable cloud-based therapy billing, practice management, and client portal software for counselors and therapists.

Overall Rating8.6/10
Features
8.8/10
Ease of Use
8.2/10
Value
9.1/10
Standout Feature

Built-in claim scrubber and batch ERA posting that reduces denials and manual data entry

TheraNest is a comprehensive practice management platform tailored for mental health professionals, with robust billing features including insurance claims submission, superbills, payment processing, and ERA posting. It streamlines therapist billing by automating eligibility checks, batch claims, and reconciliations, while integrating with major clearinghouses like Office Ally. Ideal for solo and group practices, it combines billing with EHR, scheduling, and client portals for end-to-end workflow efficiency.

Pros

  • Affordable pricing with strong ROI for small practices
  • Automated billing tools like claim scrubbing and ERA auto-posting
  • Integrated payment processing via Stripe with low fees

Cons

  • Per-client fees can increase costs for larger practices
  • Interface feels somewhat dated compared to modern competitors
  • Limited advanced analytics for complex group billing

Best For

Small to mid-sized therapy practices seeking cost-effective, all-in-one billing and practice management without enterprise-level complexity.

Pricing

Starts at $39/month (up to 20 clients), $49/month (50 clients), $69/month (150 clients); $0.50-$1 per additional client, no setup fees.

Visit TheraNesttheranest.com
4
Practice Better logo

Practice Better

specialized

All-in-one platform for wellness professionals offering billing, charting, scheduling, and telehealth features.

Overall Rating8.7/10
Features
9.2/10
Ease of Use
8.5/10
Value
8.0/10
Standout Feature

Automated insurance claims processing with CMS-1500 form generation and eligibility verification

Practice Better is an all-in-one practice management platform designed for therapists and health practitioners, with robust billing features including automated superbills, insurance claims submission, and patient payment processing via Stripe. It integrates billing seamlessly with EHR charting, scheduling, and telehealth, making it a comprehensive solution for streamlining financial workflows. Ideal for solo or group practices seeking HIPAA-compliant tools to handle billing efficiently without multiple software subscriptions.

Pros

  • Automated superbill generation and insurance eligibility checks simplify claims
  • Seamless integration of billing with scheduling and telehealth
  • HIPAA-compliant with strong client portal for self-service payments

Cons

  • Limited support for certain niche insurance providers
  • Pricing scales up significantly for multi-provider groups
  • Advanced reporting requires some learning curve

Best For

Small to medium-sized therapy practices needing an integrated platform for billing, EHR, and telehealth.

Pricing

Starts at $25/month for solo practitioners; group plans from $49/provider/month; custom enterprise pricing available.

Visit Practice Betterpracticebetter.io
5
Jane logo

Jane

specialized

Online booking, charting, scheduling, and billing software designed for independent health and wellness practices.

Overall Rating8.2/10
Features
8.5/10
Ease of Use
9.0/10
Value
7.8/10
Standout Feature

One-click superbill generation tied directly to sessions and telehealth for effortless client billing.

Jane (jane.app) is an all-in-one practice management platform tailored for therapists and health professionals, featuring robust billing tools integrated with scheduling, telehealth, and electronic health records. It automates invoicing, superbills, online payments via Stripe, and supports insurance billing for eligible claims in Canada and select US providers. While not exclusively a billing solution, its billing capabilities excel in streamlining revenue cycles for independent practices.

Pros

  • Intuitive interface with seamless scheduling-billing integration
  • Automated superbills and payment processing
  • Strong telehealth billing support

Cons

  • Pricing scales quickly for multi-provider practices
  • Limited advanced insurance integrations outside Canada
  • Some billing customizations require higher tiers

Best For

Solo therapists or small mental health practices needing an integrated platform beyond just billing.

Pricing

Starts at $59 USD/month per provider (Solo plan); scales to $129+/month for teams with advanced features.

Visit Janejane.app
6
MyClientsPlus logo

MyClientsPlus

specialized

Mental health billing software specializing in insurance claims, superbills, and practice management for therapists.

Overall Rating8.4/10
Features
8.8/10
Ease of Use
8.0/10
Value
8.5/10
Standout Feature

Direct insurance claims submission and eligibility verification integrated with therapist-specific superbills and modifiers

MyClientsPlus is a cloud-based practice management software tailored for mental health professionals, including therapists, offering integrated EHR, scheduling, billing, and telehealth capabilities. It specializes in streamlining insurance claims submission, superbills, patient statements, and payment posting with direct clearinghouse integration for over 2,000 payers. HIPAA-compliant and user-friendly for behavioral health practices, it also includes customizable note templates and a secure client portal.

Pros

  • Comprehensive therapist-specific billing tools including electronic claims and ERA posting
  • Strong HIPAA compliance and data security features
  • Responsive customer support with dedicated behavioral health expertise

Cons

  • Dated user interface that may feel clunky compared to modern competitors
  • Limited third-party integrations and mobile app functionality
  • Pricing scales per provider, which can add up for larger practices

Best For

Solo therapists or small mental health practices needing an affordable, all-in-one solution for billing, EHR, and scheduling.

Pricing

Starts at $59/month per provider for the basic plan, with premium tiers up to $99/month including advanced features like telehealth; annual discounts available.

Visit MyClientsPlusmyclientsplus.com
7
CounSol.com logo

CounSol.com

specialized

Counseling-specific practice management with billing, telehealth, scheduling, and documentation tools.

Overall Rating8.2/10
Features
8.0/10
Ease of Use
8.7/10
Value
8.5/10
Standout Feature

Automated superbill generation with customizable templates tailored for therapy sessions, exportable directly to clients or insurance.

CounSol.com is a practice management software designed specifically for therapists and counselors, offering integrated tools for scheduling, secure video conferencing, client portals, and billing. It simplifies therapist billing by generating customizable superbills, invoices, and handling online payments through integrations like Stripe, while supporting HIPAA compliance for secure data handling. The platform also includes features like automated reminders and progress notes to streamline administrative tasks for mental health practices.

Pros

  • HIPAA-compliant with strong focus on therapist-specific workflows
  • User-friendly interface ideal for solo practitioners
  • Integrated telehealth and payment processing for seamless billing

Cons

  • Limited advanced insurance claims submission (relies on superbills more than full clearinghouse)
  • No native mobile app for on-the-go access
  • Customer support can be slower during peak times

Best For

Solo therapists or small counseling practices seeking an affordable, all-in-one platform for billing, scheduling, and telehealth without overwhelming complexity.

Pricing

Starts at $59/month (billed annually) for Solo plan; Pro plan at $79/month; group plans custom; 14-day free trial available.

8
Kareo logo

Kareo

enterprise

Cloud-based medical billing and practice management software supporting therapist insurance claims and revenue cycle.

Overall Rating7.8/10
Features
8.5/10
Ease of Use
6.9/10
Value
7.4/10
Standout Feature

AI-powered claims scrubbing and denial prevention that boasts 99% clean claims rate

Kareo is a cloud-based practice management and billing platform tailored for independent healthcare providers, including therapists, offering integrated EHR, revenue cycle management, and patient engagement tools. It specializes in streamlining insurance billing for behavioral health with features like automated claims scrubbing, eligibility verification, and denial management to maximize reimbursements. Therapists benefit from customizable therapy note templates, scheduling, and telehealth integration within a single platform.

Pros

  • Comprehensive revenue cycle management with high claims acceptance rates
  • Behavioral health-specific EHR templates and superbills
  • Integrated telehealth and patient portal for efficient workflows

Cons

  • Steep learning curve for new users
  • Customer support response times can be inconsistent
  • Pricing scales up quickly for small solo practices

Best For

Mid-sized therapy practices needing robust insurance billing and full practice management without extensive IT support.

Pricing

Starts at $160/provider/month for core billing and EHR (billed annually), plus per-claim fees or RCM services; custom quotes for advanced features.

Visit Kareokareo.com
9
ICANotes logo

ICANotes

specialized

Psychiatric EHR with automated progress notes, e-prescribing, and integrated billing for mental health providers.

Overall Rating8.1/10
Features
8.6/10
Ease of Use
7.7/10
Value
7.4/10
Standout Feature

Point-and-click progress note builder that instantly populates CPT and ICD-10 codes for billing

ICANotes is a behavioral health-specific EHR platform that integrates comprehensive clinical documentation with robust billing tools tailored for therapists and mental health providers. It automates claims generation from progress notes, handles insurance verification, eligibility checks, and electronic submissions to major payers. The software supports superbills for cash-pay clients and includes revenue cycle management features to streamline therapist billing workflows.

Pros

  • Specialized templates for behavioral health notes that automatically generate accurate billing codes
  • Integrated claims scrubbing and submission to over 2,500 payers with high clean claim rates
  • HIPAA-compliant tools for insurance eligibility and patient payment posting

Cons

  • Higher cost structure compared to standalone billing software
  • Steeper learning curve for non-EHR users due to its documentation-heavy interface
  • Limited advanced analytics or reporting customization for billing insights

Best For

Therapy practices seeking an all-in-one EHR with behavioral health-focused billing integration.

Pricing

Starts at $149/provider/month (Classic plan), up to $249/month (Enterprise), plus $600-$1,200 one-time setup fee and per-claim fees.

Visit ICANotesicanotes.com
10
Valant logo

Valant

enterprise

Behavioral health EHR and practice management system with advanced billing and revenue cycle management.

Overall Rating7.9/10
Features
8.2/10
Ease of Use
7.5/10
Value
7.4/10
Standout Feature

Integrated outcomes measurement tools that link patient progress data directly to billing codes for value-based reimbursement support

Valant is a cloud-based EHR and practice management platform tailored for behavioral health providers, including therapists, psychiatrists, and counselors. It streamlines therapist billing through automated claims submission, electronic remittance advice (ERA) posting, denial management, and support for mental health-specific CPT codes and modifiers. The software integrates clinical documentation with revenue cycle management to reduce errors and accelerate reimbursements.

Pros

  • Robust behavioral health billing with high clean claims rates and integrated denial workflows
  • Seamless EHR-billing integration for efficient superbills and outcomes tracking
  • HIPAA-compliant telehealth and scheduling tied to billing for comprehensive practice management

Cons

  • Steep learning curve for non-tech-savvy users due to feature depth
  • Custom quote-based pricing lacks transparency and can be expensive for small practices
  • Limited customization options compared to more flexible billing platforms

Best For

Mid-sized behavioral health practices (5+ providers) needing an all-in-one EHR with strong billing capabilities.

Pricing

Custom quote-based; typically $300-$500 per provider/month depending on practice size and modules.

Visit Valantvalant.io

Conclusion

The top 10 therapist billing software options provide distinct strengths, from comprehensive EHR and telehealth integration to affordable cloud-based solutions, but SimplePractice leads as the most tailored choice, excelling in all-in-one functionality. TherapyNotes stands out for its secure, integrated practice management, while TheraNest offers strong value for budget-conscious providers. Whether prioritizing versatility, security, or cost, each tool addresses unique needs, making the decision reliant on specific practice priorities.

SimplePractice logo
Our Top Pick
SimplePractice

Take the next step—discover why SimplePractice is trusted by therapists worldwide and start streamlining your practice processes.