TherapyNotes 2026: The New Group Practice Champion?

While SimplePractice often captures the spotlight for solo practitioners, TherapyNotes has quietly become the dominant choice for group practices in 2026. Our latest testing shows why administrative teams are increasingly favoring this "old guard" platform over newer, flashy competitors.

Built for Scale, Not Just Style

In 2026, scale is the name of the game for group practice owners. TherapyNotes' permissions system is significantly more robust than SimplePractice's. It allows for granular control over what billers, supervisors, and associates can see. For a practice with 10+ clinicians, this isn't just a "feature"—it's a HIPAA necessity. Their internal supervision tools, where a supervisor can review and sign off on an associate's note within the system, are still miles ahead of the competition.

The Billing Advantage

Insurance billing in TherapyNotes feels more like a dedicated billing software and less like an add-on. For practices dealing with hundreds of claims a week, the ERA (Electronic Remittance Advice) auto-posting in TherapyNotes is remarkably reliable. In 2026, they've introduced a new "Claim Batching" feature that has saved our test practices an average of 3 hours of admin work per week.

The Mobile Gap

It's not all praise, however. TherapyNotes still lacks a true native mobile app in 2026. While their website is responsive and works well on a tablet, it doesn't offer the same "on-the-go" speed that SimplePractice's native iOS and Android apps provide. For the clinician who wants to sign notes from their phone between sessions, TherapyNotes can feel a bit clunky.

Price Comparison

Pricing is where TherapyNotes truly shines for larger teams. Their per-provider cost scales much more gracefully than SimplePractice. By the time you reach 5 clinicians, TherapyNotes can be up to 25% cheaper per month. For a business with thin margins, that's enough to pay for a part-time receptionist or a significant marketing budget.