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Best mental health practice management software in 2026

An honest comparison of the top practice management platforms for mental health practitioners. See features, pricing, and find the best fit for your practice.

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What to look for in practice management software

Transparent Pricing

Watch for per-claim fees and add-ons that can double your monthly cost. If you're thinking about downgrading, understand the hidden costs first.

Clinical Workflows

Templates should match how you actually document, not force you to adapt.

Security & Compliance

HIPAA compliance and BAA should be included, not an upsell.

At a glance

The price row shows each platform at its most feature-complete setup: the plan plus the add-ons needed to match what Mente360 includes by default. That is where the difference shows.

  Mente360 SimplePractice Sessions Health TherapyNotes
Full-featured price $89 for the first clinician, then $59 to $49 per additional seat, everything included $114 a month for a solo $84 a month for a solo $109 a month for a solo
AI note generation Included Add-on, $35/seat Add-on, $35/seat Add-on, $40/seat
Built-in telehealth Included, group sessions up to 10 Included Paid add-on, $10/seat Basic included; Premium Telehealth costs more
Calendar sync Two-way: Google, Microsoft 365, Apple Two-way: Google, Microsoft 365, Apple Google two-way; Outlook and Apple one-way One-way sync out only, all calendars
Insurance claims (837P and ERA) Included via an integrated clearinghouse, with 35 claims per seat included. $0.39 per claim from October 1, 2026; no included claims $0.25 per claim $0.14 per claim plus $0.14 ERA
Best for 2 to 15 clinician groups that want AI notes, automation, telehealth, and billing on one plan Practices that value the mobile apps, the Therapy Finder directory, and the largest ecosystem Cost-conscious solos Practices that prioritize low per-claim fees, 24/7 phone support, and structured notes

All-in pricing: each vendor's group plan plus AI notes for every clinician plus telehealth where it is an add-on, at list price. Usage fees are not included. Competitor pricing verified September 2026 from each vendor's published pricing. Vendor pricing may change. How we compare

Methodology

All-in pricing: each vendor's group plan plus AI notes for every clinician plus telehealth where it is an add-on, at list price. Usage fees are not included.

  • SimplePractice: Plus plan (Essential for a solo) plus the Note Taker add-on.
  • TherapyNotes: Group plan (Solo for a solo) plus TherapyFuel.
  • Sessions Health: the subscription plus the telehealth add-on and AI Assist.

Competitor pricing verified September 2026.

What would your practice pay?

See your all-in monthly cost against SimplePractice, TherapyNotes, or Sessions Health. Configuration is always all-in: AI notes and telehealth included.

Mente360, all-in

$89 /month

$89 per clinician

SimplePractice, all-in

$134 /month

Included with Mente360, an add-on or higher tier elsewhere

    Seat pricing is bracketed: at 10 clinicians every additional seat moves to $49.

    All-in pricing: each vendor's group plan plus AI notes for every clinician plus telehealth where it is an add-on, at list price. Usage fees are not included. Competitor pricing verified September 2026 from each vendor's published pricing. Vendor pricing may change. How we compare

    All-in cost by practice size

    The same all-in figures as the calculator above, for 1, 3, 5, and 10 clinicians.

    Clinicians Mente360 SimplePracticeTherapyNotesSessions Health
    1 $89 $114 $109 $84
    3 $207 $352 $299 $232
    5 $309 $570 $479 $380
    10 $530 $1,115 (est.) $929 $750

    Platform details

    A closer look at where each platform fits, with the trade-offs that matter most.

    Mente360

    Recommended

    Built by a therapist and engineer team. Modern interface, no per-claim fees, and every feature included on each seat.

    Pricing: $89 for the first clinician, then $59 to $49 per additional seat, everything included

    Best for: Practices that want every feature at one transparent price

    Pros

    • All features included on every seat
    • Telehealth, billing, and AI notes included
    • Full two-way calendar sync
    • 19 auto-scored outcome measures including C-SSRS

    Cons

    • Newer platform
    • In-person ambient AI is on the roadmap

    SimplePractice

    Popular, polished, and well-marketed, with a tiered model that meters key features behind higher plans and add-ons.

    Pricing: $114 a month for a solo (Essential plus Note Taker); $570 for 5 clinicians (Plus plus Note Taker)

    Best for: Solo practitioners who want a polished, established brand

    Pros

    • Well-known brand
    • Built-in client portal
    • Telehealth on every plan

    Cons

    • Tiers gate key features
    • AI Note Taker is a $35/seat add-on
    • $0.39 per claim from October 1, 2026; no included claims

    TherapyNotes

    Established and documentation-focused, with a classic interface and AI and premium telehealth sold as add-ons.

    Pricing: $109 a month for a solo; $479 for 5 clinicians (Group plus TherapyFuel)

    Best for: Documentation-first practices comfortable with a classic interface

    Pros

    • Established platform
    • Strong documentation
    • Real-time eligibility checks

    Cons

    • Interface feels dated
    • AI scribe is a $40/seat add-on
    • One-way calendar sync only

    Sessions Health

    A streamlined, lower-cost option for solo and small practices, with telehealth and AI offered as paid add-ons.

    Pricing: $84 a month for a solo; $380 for 5 clinicians (subscription plus telehealth plus AI Assist)

    Best for: New or budget-conscious solo practices

    Pros

    • Simple and easy to use
    • Low starting price
    • Transparent per-seat pricing

    Cons

    • Telehealth is a paid add-on
    • AI is a paid add-on
    • Fewer assessments and reports

    Ready to see Mente360 in action?

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