By Julia W.
File Under Uncategorized
Which platform fits your practice better? SimplePractice and TherapyNotes are two widely used tools for therapy practices, but they differ in how they handle integrations, automation, and daily workflows. Here’s a quick breakdown:
| Feature | SimplePractice | TherapyNotes |
|---|---|---|
| API | Limited API | No API |
| Automation | Offers advanced workflow automation | Limited, manual workflows |
| Telehealth | Built-in or third-party integration | Proprietary telehealth ($20/month) |
| Payment Processing | Stripe integration | External processors |
| AI Notes | $35/month per clinician | $40/month per clinician |
| Calendar Sync | Bi-directional Google Calendar sync | Basic calendar management |
| Pricing | Starts at $49/month | Starts at $59/month |
SimplePractice is ideal for practices prioritizing automation and scalability, while TherapyNotes works well for those seeking straightforward, cost-effective solutions.

SimplePractice brings together essential tools within a single platform, offering a streamlined approach that minimizes the hassle of juggling multiple systems. This all-in-one solution helps practitioners focus more on their clients and less on administrative headaches. Below, we’ll explore the platform’s integration features and how they enhance everyday practice efficiency.
One of SimplePractice’s standout strengths is its built-in functionality that eliminates the need for external software. For instance, its integrated telehealth platform supports HIPAA-compliant video sessions, removing the need for third-party tools. To date, it has facilitated over 132 million telehealth appointments.
The platform also simplifies scheduling with features like online booking, automated reminders, and self-scheduling. These tools have proven to reduce no-shows for more than 90% of practitioners.
"I was doing all these emails and texts and all that administrative stuff. So with SimplePractice, I don’t have to waste a lot of time – because our time is money, right?" – James Guay, LMFT
The client portal brings everything together in one secure location. Clients can complete intake forms, make payments, review billing history, share documents, and communicate directly with their therapist – all without needing separate systems for billing, document management, or communication.
Another time-saving feature is SimplePractice’s AI-powered Note Taker. For $35/month per clinician, it automates session note creation, handles dictation, and generates pre-session summaries. When paired with billing automation – covering invoicing, AutoPay, electronic claims, and insurance verification – practitioners can save over 27 hours per month on administrative tasks.
Mobile access extends these tools through the SimplePractice app, which even supports the AI Note Taker for in-person sessions, enabling practitioners to manage their practice from anywhere.
For those who rely on external tools, SimplePractice offers seamless integration options. Calendar synchronization is available with Apple Calendar, Google Calendar, and Microsoft 365 Outlook Calendar. The advanced Google Calendar sync, for example, allows users to connect multiple personal calendars and manage appointments directly from Google Calendar.
| Feature | Basic Google Calendar | Advanced Google Calendar | Basic Apple Calendar | Basic Microsoft 365 |
|---|---|---|---|---|
| View appointments in external calendar | Yes | Yes | Yes | Yes |
| View external events in SimplePractice | Limited | Yes | No | Limited |
| Create events in external calendar | Limited | Yes | No | Limited |
| Edit appointments in external calendar | Yes | Yes | No | Yes |
| Multiple personal calendars | No | Yes | No | No |
For prescribing practitioners, SimplePractice integrates with Prescription Drug Monitoring Programs (PDMP) via an e-prescribing add-on. Starting at $14.70/month with an $89 setup fee, this feature helps track controlled substances and monitor overdose risks.
Payment processing is handled through Stripe integration, ensuring secure credit card transactions. The platform also supports optional add-ons like Wiley Treatment Planners and enables data extraction using tools like Datavant, which can pull appointment, demographic, encounter, and provider data.
SimplePractice’s design prioritizes ease of use, with 96% of practitioners reporting that the platform is simple to set up. Its clean, modern interface, complete with logical navigation and helpful tooltips, makes it accessible even for those who aren’t tech-savvy.
Customization is another key feature. Practices can tailor templates and workflows to suit their needs, whether they’re solo practitioners or part of a group. Additional tools like role-based access controls, secure internal messaging, and shared calendar management make team collaboration more efficient.
By consolidating scheduling, documentation, billing, telehealth, and client communication into one platform, SimplePractice reduces the need for multiple software subscriptions, shortens staff training time, and simplifies troubleshooting.
With HIPAA compliance and HITRUST certification, all integrated features – from telehealth to payment processing – meet strict security standards. This gives both practitioners and clients peace of mind. Together, these capabilities streamline scheduling and enhance daily operations, making SimplePractice a trusted choice for many practices.
TherapyNotes takes a different approach compared to platforms like SimplePractice, relying heavily on external partnerships for key functions. While this can allow for some flexibility, it also introduces dependencies that practices need to weigh carefully when assessing their workflow requirements.
One of TherapyNotes’ most prominent partnerships is with CLAIM.MD for electronic claims submission and Electronic Remittance Advice (ERA) processing. As of April 1, 2024, TherapyNotes shifted its primary clearinghouse services from Change Healthcare to CLAIM.MD. This transition followed a cyberattack on Change Healthcare, which disrupted services. The switch required practices to re-enroll with payers for claims and ERA processing – a process that takes approximately 2–3 weeks for claim approvals and up to 6 weeks for ERA approvals. During the February 2024 outage, TherapyNotes provided an alternative by allowing practices to download 837/5010 claim files for submission through other clearinghouses, such as Office Ally, ensuring business operations could continue.
For telehealth, TherapyNotes provides its own built-in service at an additional cost of $20 per month per clinician, rather than integrating with external platforms like Zoom or HIPAA LINK. According to HIPAA LINK.net, Inc.:
"TherapyNotes was not designed to integrate with 3rd party telehealth platforms because they offer their own built-in Telehealth service."
Next, let’s look at how TherapyNotes addresses automation in practice workflows.
TherapyNotes includes basic automation features like calendar management and appointment reminders, which help with scheduling tasks and notifying clients of upcoming sessions. However, these features are limited in scope. For instance, the system does not include advanced workflow triggers, such as sending forms automatically based on client actions, nor does it support bulk actions for managing multiple appointments at once.
Recently, TherapyNotes introduced AI-powered documentation tools, available for an extra $40 per month per clinician, which aim to streamline note-taking. While helpful, these tools don’t fully resolve the platform’s broader workflow challenges, leaving some inefficiencies unaddressed.
TherapyNotes also faces notable challenges when it comes to integration. A major issue is the absence of a native API, which prevents direct connections to external tools like marketing platforms, billing systems, or data dashboards. As Crown Counseling, a behavioral health practice with over 35 users, shared:
"TherapyNotes has zero API, meaning we can’t connect anything: marketing tools, billing platforms, CRMs, or data dashboards." – Crown Counseling
In addition to API limitations, Crown Counseling reported that the platform’s lack of bulk action functionality requires time-consuming manual cleanup. To overcome the limited built-in reporting and analytics features, the practice spends $400 per month on a third-party reporting solution. Other operational challenges include the inability for administrators to adjust note or billing settings on behalf of users, forcing therapists to handle these issues individually. The custom form builder also poses difficulties, often requiring manual workarounds. These issues become more pronounced for larger practices, especially those with multiple locations that require robust scheduling and detailed reporting capabilities.
Such integration limitations can significantly affect how smoothly practices manage their daily operations and long-term growth.
When evaluating integration features, it becomes easier to see which platform fits your current tools and future goals. The way each system connects with external services and automates daily tasks highlights their strengths and limitations. Below is a table that breaks down the key differences for a side-by-side comparison.
Here’s an overview of the integration features offered by each platform:
| Integration Category | SimplePractice | TherapyNotes |
|---|---|---|
| API Availability | Limited API; not fully open platform | No API available |
| Payment Processing | Built-in Stripe integration with real-time processing and Link by Stripe for encrypted payments | Depends on external payment processors |
| Telehealth | Third-party integrations available | Proprietary telehealth service with a patient portal |
| Calendar Syncing | Bi-directional Google Calendar sync | Basic calendar management only |
| AI Documentation | Built-in AI Note Taker | AI features available ($40/month per clinician) |
| Prescription Management | Includes built-in ePrescribe functionality | Not specified |
| Billing Automation | AutoPay for automated billing and credit card payments | Manual billing processes |
| Bulk Actions | Available for administrative tasks | Requires manual adjustments, no bulk options |
| Form Automation | Supports automated paperless intakes and form triggers | No automation for sending forms to new patients |
| Third-Party Tools | Zapier integration, Yung Sidekick AI notes (copy-paste method) | Cannot connect marketing tools, CRMs, or data dashboards |
| Mobile Access | Full mobile app functionality | No mobile app available |
SimplePractice stands out with its bi-directional Google Calendar syncing, enabling seamless scheduling across platforms. In comparison, TherapyNotes restricts users to basic calendar management within its system.
For payment processing, SimplePractice integrates with Stripe, offering real-time transactions and Link by Stripe for secure, one-time payments through an encrypted digital wallet. This streamlined approach contrasts with TherapyNotes, which relies on external processors, potentially complicating the payment experience.
The lack of automation in TherapyNotes can create challenges for larger practices, as noted by one user:
"The lack of automation, inability to perform bulk tasks, and poor reporting capabilities force our admin team into tedious manual work that more modern systems have already eliminated."
SimplePractice addresses these concerns with tools like automated appointment reminders, superbill generation, and paperless intake forms. Plus, its Zapier integration connects to hundreds of business tools, allowing for customized workflows.
While SimplePractice’s API is somewhat limited, it still offers more flexibility than TherapyNotes’ non-existent API. Looking ahead, SimplePractice has plans to expand its interoperability by 2025, signaling ongoing improvements in how it integrates with external platforms. These differences can significantly impact both daily operations and long-term scalability.
Integration features play a pivotal role in how therapists manage appointments and maintain productivity. These tools impact not only scheduling but also the overall workflow, influencing how efficiently a practice operates.
SimplePractice offers a 24/7 client portal that empowers clients to take control of their appointments. Through the portal, clients can handle tasks like signing documents, accessing invoices and superbills, making payments, requesting or canceling appointments, and securely communicating with their therapists. For added convenience, the dedicated mobile app allows clients to manage their appointments on the go.
Therapists using SimplePractice have the ability to customize appointment settings, including durations, intervals, and booking windows. For new clients, the platform provides an optional prescreener feature and the option to require credit card information during booking, which helps reduce no-shows.
One standout feature is the platform’s appointment reminder system. SimplePractice offers unlimited, customizable reminders via email, text, or voicemail at no additional cost. These automated notifications can cut no-show rates by up to 50%.
In contrast, TherapyNotes provides a secure client portal focused on document management and appointment scheduling. However, its reminder system charges $0.14 per SMS or phone reminder, and the messages are pre-written with no customization options.
"I definitely prefer SimplePractice. I find TherapyNotes to be less user-friendly as it is very rigid (you have to do things the exact way it wants you to or it doesn’t accept it). Plus, you can’t even create accounts for couples, which is annoying, since I see lots of couples."
– jlh26, User on r/therapists
Automation is a key factor in streamlining daily operations. SimplePractice automates essential tasks such as sending appointment reminders, generating superbills, syncing calendars, and updating documentation with its AI-powered Note Taker. The platform also simplifies client intake with paperless forms that can be automatically sent and completed before appointments. Plus, integrations with tools like Zapier and bi-directional Google Calendar sync allow practices to create custom workflows across different apps.
TherapyNotes, on the other hand, focuses on built-in features rather than external integrations. It includes customizable note templates, ePrescribe functionality, and a user-friendly interface for quick access to scheduling, documentation, and billing. However, the lack of API options limits integration with other tools. TherapyNotes does offer custom integration services, but these come at an additional cost, as highlighted by OSP Labs.
"TherapyNotes integration services streamline behavioral health practice management by seamlessly connecting TherapyNotes with other healthcare systems. OSP can enable efficient data exchange, ensuring accurate and up-to-date patient records across platforms. Our developers can customize integration to automate billing, scheduling, and documentation processes, reducing manual entry and errors."
– OSP Labs
The differences in workflow management become even more noticeable in larger practices. SimplePractice supports bulk administrative tasks, saving time and reducing repetitive work. In contrast, TherapyNotes often requires manual adjustments, which can increase the workload for administrative staff.
For therapy practices that value streamlined client access and automation, these integration differences can significantly impact both daily operations and long-term scalability. The choice between a platform focused on automation and one with more rigid built-in features ultimately determines how much time therapists can dedicate to patient care versus administrative duties.
Your choice between SimplePractice and TherapyNotes depends on your practice’s unique needs, size, and future plans. Both platforms cater to mental health professionals but take distinct approaches to integration and practice management.
SimplePractice positions itself as an all-in-one solution with robust third-party integrations. It connects effortlessly with tools like Google Calendar, Zoom, and Stripe, while also offering built-in telehealth capabilities – eliminating the need for external video conferencing software. Its strengths lie in automation and customization, making it a great fit for practices that aim to streamline workflows and scale efficiently. However, this flexibility comes at a price. Plans start at $49/month for solo practitioners and rise to $99/month for group practices, with an additional $69–$74 monthly fee for each extra clinician.
In contrast, TherapyNotes emphasizes simplicity and affordability. While it offers fewer third-party integrations and relies on tools like Zoom for telehealth, it provides all essential features at a predictable cost. Solo practitioners pay $59/month, and group plans start at $69/month, with an added $40 per clinician. Notably, its billing integration with Change Healthcare processes claims at just $0.14 per claim – far less than SimplePractice’s $0.35–$0.50 per claim.
"SimplePractice’s customizability was the main reason I chose it over TherapyNotes when I first started my practice." – Nicole Lecherza-Drew, Psy.D., Licensed Psychologist and Owner of Vici Psychological Care
For solo practitioners or small practices, TherapyNotes often provides better value. Its straightforward setup and all-inclusive pricing eliminate unexpected costs, making it ideal for therapists who prefer structured workflows without extensive customization.
For growing or group practices, SimplePractice shines with its scalability. The Plus Plan offers advanced group management features, team collaboration tools, and role assignment capabilities that TherapyNotes doesn’t include. Additionally, its marketing tools, such as a professional website builder and a listing on the TherapyFinder directory, can help attract new clients.
Integration differences also influence daily operations, from telehealth to billing. While SimplePractice offers integrated video functionality, some users report occasional connectivity issues. TherapyNotes, on the other hand, relies on Zoom, which is often praised for its reliability. Billing efficiency is another key factor. TherapyNotes users frequently highlight its seamless insurance coordination, while SimplePractice users have mixed experiences with claims processing. For practices heavily reliant on insurance billing, TherapyNotes’ lower per-claim costs could be a significant advantage.
In summary, technical comfort and practice needs play a big role. Those who value customization and automation may prefer SimplePractice, while therapists seeking straightforward workflows and predictable costs might lean toward TherapyNotes.
Here’s a quick comparison to help you decide:
| Practice Type | Best Choice | Key Reasons |
|---|---|---|
| Solo/Small Practice | TherapyNotes | Lower costs, predictable pricing, easy setup, structured workflows |
| Growing Practice | SimplePractice | Automation tools, marketing features, scalability, extensive integrations |
| Group Practice | SimplePractice | Advanced team management, role assignment, collaboration tools |
| Budget-Conscious | TherapyNotes | All-inclusive pricing, lower billing costs, no surprise fees |
| Tech-Savvy/Customization | SimplePractice | Extensive customization, third-party integrations, automation options |
SimplePractice and TherapyNotes take very different approaches when it comes to integrating third-party tools. SimplePractice leans heavily on built-in features, like its telehealth option, which minimizes the need for external applications. TherapyNotes, on the other hand, often depends on outside tools – such as separate video conferencing platforms – to deliver similar capabilities.
These differences can have a noticeable effect on daily workflows. SimplePractice’s integrated setup helps streamline tasks, saving time and reducing complexity so practitioners can focus more on client care. Meanwhile, TherapyNotes, though comprehensive, may require users to navigate additional steps to set up and manage external integrations, which could add more effort and coordination to the mix.
The pricing for AI-powered tools in SimplePractice and TherapyNotes depends on the subscription plan you select. SimplePractice offers AI features starting at $29 per month, with its most comprehensive plan priced at $99 per month. On the other hand, TherapyNotes has a base rate of $49 per month for solo practitioners, with additional costs for certain AI-driven features like telehealth or e-prescribing.
While SimplePractice offers a lower entry price for its basic plans, the overall cost for both platforms can vary depending on the specific AI functionalities and integrations you decide to include. It’s a good idea to carefully review the details of each plan to see what’s included and to account for any extra fees.
SimplePractice works with Stripe to provide secure online credit card payment processing. The cost is 3.15% plus $0.30 per transaction. In contrast, TherapyNotes partners with Change Healthcare for billing and claims, while also offering online payment options, focusing on streamlining billing processes.
These integrated payment solutions help therapy practices by saving time, cutting down on manual work, and maintaining steady cash flow. They simplify financial management, making it easier for practitioners to focus on their clients.