A TheraNest Alternative With a Free Plan
Scheduling, notes, forms, telehealth and a client portal with no base fee. Start free, then flat monthly plans from $19 when you need more. TheraNest starts at $29 per therapist per month.
🧩 Feature Comparison
| Feature | PracticeLite | TheraNest |
|---|---|---|
| Starting price | $0/month (Free plan) | $29/month per therapist (Essentials); Advanced $59, Premier $89 |
| Active clients | 5 on Free, unlimited on Practice ($19/mo) | Unlimited on every plan |
| Appointment Scheduling | ✅ Included on every plan | ✅ Included |
| Progress Notes | ✅ Included on every plan | ✅ Included |
| Client Billing | Usage-based (2.7% + $0.27) | ✅ Included |
| Credit Card Processing | Included (same fee as above) | 2.99% + $0.30 |
| Client Portal | ✅ Included on every plan | ✅ Included |
| SMS reminders | Included from Practice ($19/mo), 250/mo | Text and phone reminders: 50/month on Advanced, unlimited on Premier |
| Insurance Billing | $19/month add-on for Practice & Practice Pro, includes 50 claims and 50 eligibility checks | 50 claims and 50 eligibility checks/month on Advanced, unlimited on Premier |
| Telehealth | ✅ Zoom & Google Meet, every plan | $12/month per therapist on Essentials; included on Advanced and Premier |
| Additional Clinicians | $29/month per team member (Practice Pro only) | Each therapist at their plan price; billers and schedulers free |
| Custom Forms | ✅ Included on every plan | ✅ Included |
TheraNest (now sold by Ensora Health) prices are their published monthly list prices (ensorahealth.com/pricing/theranest-mental-health, checked October 2026), before annual-billing discounts and their paid add-ons. Plans don’t match feature for feature; check that PracticeLite covers what you use.
💰 Real Cost Comparison
Solo Practitioner
Group of Three, Billing Insurance
✅ How the Pricing Differs
| TheraNest | PracticeLite |
|---|---|
| $29, $59 or $89 per therapist per month | Free for up to 5 active clients; Practice $19/month |
| Each additional therapist at their plan price; billers and schedulers free | Practice Pro: $39/month + $29/month per additional team member |
| Text and phone reminders: 50/month on Advanced, unlimited on Premier | 250 SMS reminders/month included on Practice |
| Claims and eligibility checks: 50 each/month on Advanced, unlimited on Premier | Insurance billing add-on: $19/month, 50 claims and 50 eligibility checks included |
| Telehealth: $12/month per therapist on Essentials | Telehealth via Zoom and Google Meet on every plan |
| Card processing: 2.99% + $0.30 | Card processing: 2.7% + $0.27 |
🧩 Perfect for Practices That Want:
Predictable, Low Costs
No surprise billing or hidden fees
Flexible Growth Without Upsells
Upgrade tiers as your practice expands
Focused Features Without Bloat
Start free, upgrade only when you need to
Setup in Minutes, Not Hours
Get started in minutes, not hours
🔁 Migration Made Easy
Sign Up For Free
Start using immediately—no credit card required.
Import Client Data
Our team helps with secure data migration.
Run in Parallel
Use both platforms while you transition.
Make the Switch
Cancel TheraNest when you’re ready—no pressure.
💬 Frequently Asked Questions
Is PracticeLite really free?
Yes! The Free plan includes scheduling, notes, and client management for up to 5 active clients, no credit card required. Upgrade to Practice ($19/mo) or Practice Pro ($39/mo) for unlimited clients, SMS reminders, and more.
How much does TheraNest cost?
As of October 2026, TheraNest (now sold by Ensora Health) is $29 (Essentials), $59 (Advanced) or $89 (Premier) per therapist per month on monthly billing, with unlimited clients. Advanced includes 50 claims, eligibility checks and reminders a month; Premier includes unlimited. Billers and schedulers are free.
Does PracticeLite have all the same features as TheraNest?
Not all of them. We cover the essentials (scheduling, notes, forms, telehealth, a client portal, payments and reminders) at a flat monthly price, starting at $19 for unlimited clients. Check that PracticeLite covers what you use.
What about telehealth?
Telehealth via Zoom and Google Meet is included on every plan, including Free.
How does team pricing work?
Practice Pro is $39/month and each additional team member is $29/month. TheraNest prices each therapist at their plan’s rate ($29, $59 or $89), and billers and schedulers are free.
💡 An EHR That Grows With You
Start free, upgrade only when you need to. PracticeLite makes it affordable to grow.
✓ No setup fees • ✓ Cancel anytime • ✓ Start using immediately