SimplePractice

How we evaluated: We verified SimplePractice vendor facts (HQ, founding year, customer count, certifications, pricing) against simplepractice.com on 2026-05-26. Pricing tiers ($49, $79, $99) sourced directly from simplepractice.com/pricing. Capterra 4.6/5 across 2,823 reviews and G2 4.1/5 across 125 reviews cited from capterra.com and g2.com. Post-March-2025 pricing controversy sourced from Choosingtherapy.com 2026 alternatives review.

Pros and Cons

Pros

• Ease of use and intuitive onboarding praised consistently per Capterra 4.6/5 across 2,823 reviews (2026).
• All-in-one EHR + telehealth + billing eliminates app stitching for solo therapists per G2 4.1/5 across 125 reviews.
• HIPAA-compliant secure messaging and bank-level encryption give peace of mind for handling PHI per Capterra reviewer consensus 2026.
• Customizable templates, ICD-10 coding, and scheduled client questionnaires streamline clinical documentation per Capterra 2026.
• Mobile clinician app with biometric login and offline note drafting earns strong marks for between-session productivity per App Store reviews and Capterra.

Cons

• Pricing perceived as "predatory" after repeated rate hikes; the March 2025 restructure is cited as a major trigger to switch per Choosingtherapy.com SimplePractice Alternatives 2026 and Capterra.
• Insurance billing called confusing and weak for practices handling multiple payers per Capterra reviewer consensus 2026.
• Customer support response times slow; users report being unable to reach support after multiple attempts per Capterra 2026.
• Payment processing fee of 3.15 percent + $0.30 per transaction is higher than competitor Jane App's 2.85 percent + $0.25 per CoralEHR blog 2026.
• No public API or webhook layer limits integrations to whatever SimplePractice ships natively per SimplePractice Support documentation and SourceForge integration listing 2026.

Who Should Use SimplePractice

SimplePractice fits solo and small US behavioral health practices that prioritise ease of use, transparent pricing, and a single-vendor stack. The right shortlist candidate is typically:

• A solo therapist, psychologist, counselor, or licensed clinical social worker starting a private practice and wanting cloud-only delivery with no on-prem IT.
• A 2 to 10 clinician group behavioral health practice on the Plus tier ($99 per clinician) needing role-based permissions and multi-provider workflows.
• An occupational therapist, speech-language pathologist, or allied health solo practitioner valuing intuitive UI over deep specialty templates.
• A practice that wants HIPAA-compliant telehealth bundled with EHR rather than contracting Zoom Healthcare separately.
• A practitioner who values Capterra 4.6/5 with 2,823 verified reviews as a procurement signal.

Multi-discipline outpatient clinics (chiro + PT + massage + behavioral) typically prefer Jane App. Behavioral health practices needing deeper Wiley Practice Planners + e-Prescribing often choose TheraNest. Insurance-heavy practices may outgrow SimplePractice's billing module and move to TherapyNotes or Tebra.

Product Suite

SimplePractice ships a tightly integrated set of modules under one cloud platform:

• SimplePractice EHR: clinical documentation, SOAP notes, treatment plans, ICD-10 coding.
• Telehealth: HIPAA-compliant embedded video sessions on Essential and Plus tiers.
• Client Portal: intake forms, secure messaging, self-booking, and document upload.
• Billing and Insurance Claims: CMS-1500 claim submission via Claim.MD clearinghouse, ERA processing, superbills.
• Scheduling and Calendar Sync: with Apple, Google, Outlook 365.
• Secure Messaging: HIPAA-compliant clinician-client communication.
• Online Payments: AutoPay via Stripe with 3.15% + $0.30 per transaction.
• Custom Assessments and Intake Forms: scheduled questionnaires.
• Group Practice Management: role-based permissions on Plus tier.
• Mobile Apps: SimplePractice for Clinicians (iOS + Android), separate client portal mobile, telehealth mobile.
• Reporting and Analytics: practice performance dashboards.
• Practitioner Credentialing: included with Plus tier.

How Much Does SimplePractice Cost

SimplePractice publishes three transparent tiers on simplepractice.com/pricing (verified 2026-05-26):

• Starter: $49 per clinician per month. Core EHR, scheduling, HIPAA records, secure messaging, online booking, mobile apps.
• Essential: $79 per clinician per month. Everything in Starter plus telehealth, insurance claim filing, calendar sync, intake forms, AutoPay.
• Plus: $99 per clinician per month. Everything in Essential plus group practice management, role-based permissions, custom reporting, practitioner credentialing.

Payment processing via Stripe is 3.15 percent + $0.30 per transaction. SimplePractice runs a 50 percent off promotion for the first 3 months for new accounts but standard pricing applies thereafter. For a 5-clinician group practice on Plus tier, expect $495/month = $5,940/year in software licensing plus payment processing fees on top.

Compare against TheraNest ($29/$59/$89 per therapist), Jane App (CAD $54-$99/mo with 2.85% + $0.25 processing), and Practice Better ($29/mo functional med focus) in the clinic management category.

Hidden Costs and Contract Gotchas

• Annual price increases. Per Choosingtherapy.com 2026 alternatives review and Capterra, SimplePractice has raised prices repeatedly with the March 2025 restructure cited as the major trigger to switch. Negotiate caps or budget for annual escalation.
• Payment processing. 3.15% + $0.30 per transaction is higher than Jane App's 2.85% + $0.25. For practices doing high credit card volume, this adds up meaningfully.
• Telehealth tier gating. Telehealth is NOT in Starter ($49). Practices wanting video must subscribe to Essential or higher.
• Insurance billing depth. Reviewers cite billing as the weakest module. Multi-payer practices may need supplemental billing services.
• No API access. Integrations are limited to vendor-native partnerships. Custom tooling on top of SimplePractice is not possible.
• Support response times. Reviewers report multi-day delays. Confirm premium support availability if mission-critical.
• Data migration friction. Switching off SimplePractice requires a multi-week chart export. Budget exit-services cost.

Alternatives to SimplePractice

• TherapyNotes: behavioral health PM + EHR with strong billing depth.
• Jane App: multi-discipline outpatient (chiro + PT + massage + behavioral).
• TheraNest (Ensora Health): lower entry price ($29/therapist), Wiley Planners on Premier.
• Tebra (Kareo + PatientPop): per-provider pricing with marketing bundle.
• Practice Better: functional medicine and nutrition focus.
• TheraPlatform: telehealth-first allied health.
• CounSol.com: behavioral health-focused EHR.
• Carepatron: emerging cloud EHR for allied health.
• Spruce Health: secure messaging-first platform.
• My Best Practice: solo therapist EHR.

What Real Buyers Report

SimplePractice carries a 4.1 out of 5 G2 rating across 125 reviews and a 4.6 out of 5 Capterra rating across 2,823 reviews. The vendor self-reports 250,000+ practitioners serving 20 million+ clients. KLAS does not publicly rate SimplePractice (behavioral health solo segment).

The praise themes from real customers are consistent: ease of use and intuitive onboarding, all-in-one platform value, HIPAA-compliant secure messaging, customizable templates with ICD-10 coding, mobile clinician app productivity. The complaint themes are equally consistent: predatory pricing post-March-2025 restructure, weak multi-payer insurance billing, slow customer support, high payment processing fees, no public API.

Solo behavioral health practitioners tend to weigh SimplePractice's ease of use and transparent pricing highest. Multi-discipline allied health clinics and insurance-heavy practices more frequently choose Jane App, TheraNest, or TherapyNotes alternatives.

Bottom Line

SimplePractice is the right shortlist candidate when a US solo therapist, mental health counselor, or small behavioral health group practice wants the most-adopted cloud EHR + telehealth + billing platform in the segment, transparent flat-fee pricing ($49-$99 per clinician per month), and HIPAA + HITRUST CSF + PCI DSS compliance. The 250,000+ practitioner network and Capterra 4.6/5 across 2,823 reviews provide the procurement validation that matters for risk-averse buyers.

It is the wrong choice when a multi-discipline outpatient clinic needs chiro/PT/massage support (Jane App fits better), when a behavioral health practice needs deeper Wiley Practice Planners + e-Prescribing (TheraNest fits better), when multi-payer insurance billing depth is mission-critical (TherapyNotes or Tebra fit better), or when annual rate hikes are a procurement risk. Build annual escalator caps, payment processing volume math, telehealth tier validation, and migration cost into your total cost of ownership before signing. Then compare side-by-side with TheraNest, Jane App, and TherapyNotes to confirm SimplePractice's ease-of-use leadership justifies the premium pricing trajectory.