TheraNest by Ensora Health vs. TherapyNotes

TheraNest®️ is a cloud-based EHR and practice management platform built for mental and behavioral health. Developed by Ensora Health, it combines clinical documentation, insurance billing, scheduling, HIPAA-compliant telehealth, e-prescribing, and a client portal in one system for solo therapists, group practices, and mid-size behavioral health organizations. New in 2026 is Ensai℠, Ensora's AI. Ensai drafts progress notes from telehealth and in-person sessions, polishes notes clinicians write themselves, and compiles signed documentation into case summaries.

TherapyNotes™ is the most trusted online practice management and EHR software for behavioral health practices of all sizes. With over 60,000 users, we're considered the largest platform for mental health professionals, offering the most intuitive software and best customer support in the industry. Our streamlined scheduling, notes, billing, and a custom client portal — plus unlimited support and superior security — can help optimize how you manage your practice, letting you focus less on administrative tasks and more on your clients' needs.