7 Best SimplePractice Alternatives 2026 (Compared by Features & Price)

Quick Answer: Best SimplePractice Alternatives

If you're looking for a SimplePractice alternative, ClinikEHR is the best choice in 2026. It offers AI-powered clinical notes, transparent pricing ($79/month all-inclusive), and modern features that SimplePractice lacks—all without hidden fees.

Top 3 Alternatives:

1. ClinikEHR - Best overall (AI notes, $79/month, no hidden fees)
2. TherapyNotes - Good for traditional practices ($59/month + fees)
3. TheraNest - Budget option ($39/month, basic features)

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Why Look for SimplePractice Alternatives?

SimplePractice is a solid EHR, but many practitioners are switching due to:

• Hidden fees: 5% + $3 per insurance claim adds up to thousands annually
• No AI features: Manual note-taking takes 15-30 minutes per session
• Limited telehealth: Only 30 sessions/month on Starter plan
• Expensive e-prescribing: Requires $25-50/month third-party integration
• Rising costs: Prices increased 15% in 2025

If any of these frustrate you, it's time to explore better options.

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1. ClinikEHR - Best Overall Alternative

Pricing: $79/month (all-inclusive)

Why It's Better:

ClinikEHR is the modern alternative to SimplePractice, built specifically for solo practitioners and small practices who want AI-powered efficiency without hidden fees.

Key Features:

• ✅ AI clinical notes (SOAP, DAP, BIRP) - saves 2+ hours daily
• ✅ Unlimited telehealth (no session limits)
• ✅ Free e-prescribing (built-in, no extra cost)
• ✅ E-Lab integration with LabCorp (seamless lab orders)
• ✅ 0% insurance billing fees (vs SimplePractice's 5% + $3)
• ✅ 0% credit card processing fees
• ✅ Advanced analytics dashboard
• ✅ HIPAA-compliant with BAA
• ✅ Mobile apps (iOS & Android)

Pros:

• Transparent pricing with no hidden fees
• AI saves massive time on documentation
• Modern, intuitive interface
• Excellent customer support
• Built for 2026, not 2012

Cons:

• Newer platform (less brand recognition)
• Smaller user community than SimplePractice

Best For: Practitioners who want modern AI features, transparent pricing, and maximum ROI.

Annual Savings vs SimplePractice: $9,300+

Try ClinikEHR Free | Compare with SimplePractice

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2. TherapyNotes - Traditional Alternative

Pricing: $59/month + processing fees

Why Consider It:

TherapyNotes is an established EHR with strong documentation features. It's reliable but lacks modern AI capabilities.

Key Features:

• Good documentation templates
• Insurance billing support (with fees)
• Telehealth included
• Scheduling and client portal
• HIPAA-compliant

Pros:

• Established platform (since 2009)
• Strong documentation tools
• Reliable performance
• Good for insurance-heavy practices

Cons:

• No AI features
• Dated interface
• Credit card processing fees (2.9% + $0.30)
• Limited customization
• No e-prescribing included

Best For: Traditional practices that don't need AI and prefer established brands.

Learn More: TherapyNotes Official Site

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3. TheraNest - Budget Alternative

Pricing: $39/month

Why Consider It:

TheraNest is the most affordable option, but you get what you pay for—basic features with limited capabilities.

Key Features:

• Basic scheduling
• Simple documentation
• Client portal
• Billing tools
• Telehealth (limited)

Pros:

• Lowest price point
• Easy to learn
• Good for solo practitioners
• Month-to-month contract

Cons:

• Very basic features
• No AI capabilities
• Limited telehealth
• Weak reporting
• No e-prescribing
• Feels outdated

Best For: Budget-conscious solo practitioners with simple needs.

Learn More: TheraNest Official Site

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4. ICANotes - Specialty Alternative

Pricing: $99/month

Why Consider It:

ICANotes specializes in behavioral health with strong documentation templates, but it's expensive and lacks modern features.

Key Features:

• Specialty-specific templates
• Strong documentation
• E-prescribing included
• Insurance billing
• HIPAA-compliant

Pros:

• Excellent templates for behavioral health
• E-prescribing included
• Good for psychiatrists
• Strong compliance features

Cons:

• Expensive ($99/month)
• No AI features
• Clunky interface
• Steep learning curve
• Limited telehealth

Best For: Psychiatrists who need specialty templates and don't mind paying premium prices.

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5. Valant - Enterprise Alternative

Pricing: Custom (typically $150+/month)

Why Consider It:

Valant is designed for larger practices and organizations. It's powerful but overkill for solo practitioners.

Key Features:

• Comprehensive EHR
• Practice management
• Revenue cycle management
• Analytics and reporting
• Multi-location support

Pros:

• Enterprise-grade features
• Strong analytics
• Good for large practices
• Comprehensive billing

Cons:

• Very expensive
• Complex setup
• Overkill for solo practitioners
• No AI features
• Requires training

Best For: Large group practices and organizations, not solo practitioners.

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6. Kareo - Medical Practice Alternative

Pricing: $160+/month

Why Consider It:

Kareo is designed for medical practices, not specifically for mental health. It's comprehensive but expensive.

Key Features:

• Medical EHR
• Practice management
• Billing services
• Patient engagement
• Telehealth

Pros:

• Comprehensive platform
• Good for medical practices
• Strong billing features
• Multi-specialty support

Cons:

• Very expensive
• Not mental health-specific
• Complex interface
• No AI clinical notes
• Overkill for therapists

Best For: Medical practices, not ideal for therapists or counselors.

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7. Practice Better - Wellness Alternative

Pricing: $29-99/month

Why Consider It:

Practice Better is designed for health coaches and wellness practitioners, not licensed therapists.

Key Features:

• Client management
• Meal planning
• Forms and questionnaires
• Scheduling
• Client portal

Pros:

• Good for health coaches
• Affordable
• Strong client engagement
• Meal planning features

Cons:

• Not designed for licensed therapists
• No insurance billing
• Limited clinical documentation
• No e-prescribing
• Not HIPAA-focused

Best For: Health coaches and wellness practitioners, not licensed clinicians.

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Comparison Table: All 7 Alternatives

Feature	ClinikEHR	TherapyNotes	TheraNest	ICANotes	Valant	Kareo	Practice Better
Price	$79/mo	$59/mo	$39/mo	$99/mo	$150+/mo	$160+/mo	$29-99/mo
AI Notes	✅	❌	❌	❌	❌	❌	❌
Telehealth	Unlimited	Included	Limited	Included	Included	Included	Basic
E-Prescribing	✅ Free	❌ Extra	❌ No	✅ Included	✅ Included	✅ Included	❌ No
E-Lab (LabCorp)	✅ Included	❌ No	❌ No	❌ No	❌ No	✅ Included	❌ No
Insurance Billing	0% fees	Fees apply	Fees apply	Fees apply	Included	Included	❌ No
Best For	Solo/Small	Traditional	Budget	Psychiatry	Enterprise	Medical	Wellness
Setup Time	2-3 hours	3-4 hours	2 hours	4-5 hours	1-2 weeks	1-2 weeks	2 hours

Winner: ClinikEHR offers the best value with modern AI features and transparent pricing.

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How to Choose the Right Alternative

Consider these factors when evaluating SimplePractice alternatives:

1. Your Practice Size

• Solo practitioner: ClinikEHR, TheraNest
• Small group (2-5): ClinikEHR, TherapyNotes
• Large practice (6+): Valant, Kareo

2. Your Budget

• Under $50/month: TheraNest (basic features)
• $50-100/month: ClinikEHR (best value), TherapyNotes
• $100+/month: ICANotes, Valant, Kareo (enterprise)

3. Your Specialty

• Therapists/Counselors: ClinikEHR, TherapyNotes
• Psychiatrists: ClinikEHR, ICANotes
• Medical practices: Kareo
• Health coaches: Practice Better

4. Must-Have Features

• Need AI notes: ClinikEHR (only option)
• Need e-prescribing: ClinikEHR, ICANotes, Valant, Kareo
• Need insurance billing: ClinikEHR (0% fees), TherapyNotes, ICANotes
• Need telehealth: All except Practice Better

5. Hidden Costs

• ClinikEHR: $0 hidden costs
• Others: Credit card fees, insurance billing fees, e-prescribing fees

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Migration: Switching from SimplePractice

Timeline: 2-3 weeks
Active Work: 3-4 hours
Data Loss: None

Steps:

1. Export data from SimplePractice
2. Set up new EHR account
3. Import client records and templates
4. Run both systems in parallel (2 weeks)
5. Complete switch and cancel SimplePractice

Learn More: How to Switch EHR Without Losing Data

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Product Insight: Why ClinikEHR Wins

We built ClinikEHR because we saw practitioners paying too much for outdated EHR systems. SimplePractice made sense in 2015, but in 2026, you deserve better.

What Makes ClinikEHR Different:

• AI-First: Clinical notes AI saves 2+ hours daily
• Transparent Pricing: $79/month, no hidden fees
• Modern Technology: Built in 2024-2026 with latest tech
• Solo Practice Focus: Every feature solves real problems
• No Nickel-and-Diming: 0% on billing, 0% on payments

Try Risk-Free: 30-day free trial, no credit card required.

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Conclusion

While SimplePractice is a decent EHR, better alternatives exist in 2026. ClinikEHR offers the best combination of modern AI features, transparent pricing, and value for money.

Quick Recommendations:

• Best Overall: ClinikEHR ($79/month, AI features, no hidden fees)
• Best Traditional: TherapyNotes ($59/month, established platform)
• Best Budget: TheraNest ($39/month, basic features)

Save $9,300+ annually by switching to ClinikEHR today.

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Frequently Asked Questions

1. Can I import my SimplePractice data into these alternatives?

Yes. Most alternatives (including ClinikEHR) support importing client records, notes, and billing data from SimplePractice. The process typically takes 1-2 hours with support team assistance.

2. Which alternative has the best AI features?

ClinikEHR is the only alternative with built-in AI clinical notes. It generates SOAP, DAP, and BIRP notes in seconds, saving 2+ hours daily.

3. Are these alternatives HIPAA-compliant?

Yes. ClinikEHR, TherapyNotes, TheraNest, ICANotes, Valant, and Kareo are all HIPAA-compliant with BAA agreements. Practice Better is less focused on HIPAA compliance.

4. Which alternative is cheapest?

TheraNest at $39/month is the cheapest, but ClinikEHR at $79/month offers better value with no hidden fees (vs SimplePractice's real cost of $854/month).

5. Do any alternatives offer free trials?

Yes. ClinikEHR (30 days), TherapyNotes (21 days), and TheraNest (21 days) all offer free trials. ClinikEHR doesn't require a credit card.

6. Which alternative is best for solo practitioners?

ClinikEHR is best for solo practitioners due to its AI features, transparent pricing, and focus on small practices. TheraNest is a budget alternative.

7. Can I use these alternatives for telehealth?

Yes. ClinikEHR offers unlimited telehealth, while others have varying limits. Practice Better has basic telehealth features.

8. Which alternative has the best customer support?

ClinikEHR and TherapyNotes both offer excellent phone, email, and chat support. ClinikEHR provides dedicated onboarding assistance.

9. How long does it take to switch from SimplePractice?

Most practitioners complete the switch in 2-3 weeks with only 3-4 hours of active work. Running both systems in parallel for two weeks ensures a smooth transition.

10. What if I don't like my new EHR?

ClinikEHR offers a 30-day money-back guarantee. Most alternatives have month-to-month contracts, so you can cancel anytime without penalties.

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Related Reading

EHR Comparisons:

• ClinikEHR vs SimplePractice 2026
• SimplePractice Pricing 2026: Complete Breakdown
• Best EHR for Solo Practice 2026
• Top 5 EHR for Mental Health 2026
• 15 Best Clinical Notes Software 2026

Practice Management:

• How to Switch EHR Without Losing Data
• EHR Pricing Explained: Hidden Costs 2026
• Best EHR for Multiple Providers 2026

AI & Documentation:

• AI Clinical Notes for Therapists
• Best AI Note Taking for Psychiatry 2026

External Resources:

• SimplePractice Official Site
• TherapyNotes Official Site
• HIPAA Compliance Guide