SearchTools.ai's automated opinion — blended from public reviews, community signals, and development activity. Not an editorial rating or statement of fact.Click the score for the full breakdown.Quality
Estimated visits per month, across the web app and mobile apps.Visits21.2M/mo
Largest visitor share — 98% of traffic from United States.Top region98%United States

What it is

Overview

SimplePractice is a HIPAA-compliant EHR that consolidates scheduling, telehealth, billing, and documentation for therapists, counselors, and psychiatrists. The all-in-one structure is what reviewers most often praise — appointment reminders, video sessions, insurance claims, and client intake forms run through a single login. Built as a hybrid system with AI-assisted documentation and workflow automation layered into the core EHR. The audience is solo practitioners and small group practices managing 10 to 50 clients weekly, based on 21.2 million monthly visits.

At a glance

Usability & Quality overview

Inputs
Outputs
Platforms

Best for

  • solo therapists
  • small practices needing straightforward scheduling and notes
  • users who value an easy client-facing workflow

Watch out for

  • telehealth reliability
  • billing and insurance complexity
  • support responsiveness
Real product, not a wrapperIndependent product

SimplePractice automates scheduling, billing, telehealth, and documentation in one workflow without requiring you to prompt each step separately. It integrates with insurance clearinghouses and payment processors. The AI Note Taker add-on is a third-party transcription wrapper, not proprietary. The tool does not have proprietary data, specialized fine-tuning, or transformative UX — it's a solid workflow tool, not a breakthrough.

Strong evidence

Quality score

Updated monthly·38.3K ratings analyzed·4 sourcesHigh confidence
51/100

SimplePractice streamlines therapist scheduling, notes, and billing, but insurance-heavy workflows can be clunky.

Score breakdown
=51/100
User verdict ×40 22Adoption ×22 18Honesty ×16 6Trust ×10 3Value ×12 4Adjustments -349 to reach 100

This score is our editorial judgment, computed automatically from the sources, weights, and dates shown above. It reflects the data we could verify as of October 25, 2026, not a guarantee or statement of fact about SimplePractice. Third-party ratings and quotes belong to their original platforms and authors. Thin data lowers our confidence label, and we say so instead of guessing. Work on SimplePractice? Dispute any datapoint and we will review it, publish your response, and correct verified errors.

Plans

Pricing

Pricing modelPaid
Paid options from$35/month
BillingMonthly

How free is free?

No free tier

Paid only; starts at $49/mo (Starter plan)

Behind the paywall

  • Core EHR features (scheduling, billing, notes)Starter ($49/mo)
  • AI-generated progress notes (Note Taker)Note Taker add-on ($35/mo) or Care Aide ($59/mo)
  • Appointment reminders and calendar syncEssential ($79/mo)
  • Group appointments and telehealthPlus ($99/mo)
  • ePrescribe functionalityePrescribe add-on ($49/mo + $89 setup)

Cost to actually use

Based on 85 classified review complaints about rate limits, credits, and billing.

CasualNo free tier available; minimum $49/mo for basic practice management.
DailyDaily practice use requires Starter ($49/mo) minimum, Essential ($79/mo) recommended.
HeavyGroup practices need Plus ($99/mo) plus $74/clinician; total costs $600+/mo typical.

Community feedback

Aggregated reviews

Ratings and quoted comments below are aggregated from third-party sources and reflect those users' views, not SearchTools.ai's.

What reviewers talk about

themes inside the Sentiment pillar — not score ingredients

49Output Quality98 mentions
Scored from 98 mentions · high confidence
POSITIVE trustpilot

“I have used many EHR systems but Simple Practice has been by far the easiest to use. It has every feature you can possibly ask for — it’s user friendly, has an app which is even easier to use and now you can write notes on the app on your phone! Wow! Their video streaming is flawless, the billing feature and the group session integration and other features have made me hooked to it! Just get this and you won’t regret! ”

NEGATIVE trustpilot

“I do not recommend this system to prescribers. It can take up to 8 weeks before they have you approved for prescribing. The invoicing is extremely difficult. The insurance verification is incorrect. It is good for keeping chart notes but that is it. ”

NEGATIVE trustpilot

“Simple Practice WAS a great tool. Then they increased their rates with very little warning. Recently they also changed their policies on PHI and User Data in very concerning ways. Steer clear! They are very ambiguous about third party involvement and what they DO with data. (They will tell you what they don't do, but are unclear about the things they do, do with client and user data). They also tried to push this through in a very short time. Only when users pushed back did they give us more ti”

POSITIVE trustpilot

“I have been remarkably impressed with SimplePractice! It is going to be a staple in my practice for years to come without a doubt. It is convenient, intuitive, customizable, and sleek. I love how much it offers from continuing education credits, to the mobile app, scheduling widget, and more and more. I am grateful I found this tool and tell every clinician I know that SimplePractice is the way to go! Thank you! My two wishes for the platform are: 1. Having a waiting room/admit feature in the t”

14Value & Pricing79 mentions
Scored from 79 mentions · medium confidence
POSITIVE trustpilot

“I find SimplePractice to be a great service that charges a fair price for a product that focuses on the basics of uptime and clarity for client use.”

NEGATIVE trustpilot

“There is no customer service. I was bombarded by "online suggestions" only.. I was trying to cancel my subscription and could not find it on the site; only when I received a bill could I get to the page of cancellation. It is a FRAUD ”

NEGATIVE trustpilot

“I've used three EMR systems and Simple Practice is the worst. It is nearly impossible to speak to a person even after you've written them many times. As someone with a neurological disability covered by the ADA, and as a 30 year clinician, I was disgusted by their lack of support. It was a painful experience working with them because many of those who were supposed to help did not know their product/ system well enough to answer questions. And they charged me for three months after I cancelled. ”

NEGATIVE reddit

“Just wanted to share that I am in the same boat. I love the utility of SP, but I have 9 total staff on my team and the price is becoming untenable. It's my second highest expense outside of my rent. I would also love something that worked similarly that I didn't have to pay $1,000/month for.”

16Reliability32 mentions
Scored from 32 mentions · medium confidence
POSITIVE trustpilot

“I have used many EHR systems but Simple Practice has been by far the easiest to use. It has every feature you can possibly ask for — it’s user friendly, has an app which is even easier to use and now you can write notes on the app on your phone! Wow! Their video streaming is flawless, the billing feature and the group session integration and other features have made me hooked to it! Just get this and you won’t regret! ”

NEGATIVE trustpilot

“Since I joined Simple practice in September of 2024, rates have increased twice. Fine, I'll deal with it. Out of nowhere ERAs stopped posting for one of the insurance companies I accept. I waited three weeks for it to resolve itself, but all claims were stuck in the "received" status. I tried to chat with a live agent and was told by AI to submit an e-mail ticket. I submitted two, separated by 5 days, and saw that both had had their statuses changed to "solved" one of them within 10 minutes of t”

NEGATIVE capterra

“Great for Solo Therapist — I have had Simple Practice for over 3 years. At first things were lovely, little connection and tech issues and the it was a very reliable system to use. Once SP increased there prices, the quality of the telehealth functions severely decreased. Even my clients make jokes about how unreliable the telehealth features are. I am almost embarrassed to continue using the software. Effective 1/1/2025, I will be leaving SP and going to Carepatron. I am excited about this chan”

NEGATIVE app_store

“Application Will Not Sync: Nearly every time I open the app on my iPad I have to delete it and redownload it.”

34Support38 mentions
Scored from 38 mentions · medium confidence
POSITIVE trustpilot

“SimplePractice has been great with support on how to best use their platform. I was able to call and speak with someone last week and they easily answered my questions around submitting my first insurance claim. They went above and beyond with helping me adjust a few other things in my settings as well. I'm still adjusting to using SimplePractice (and comparing it to other EMR's that I've used), but overall it's going well. There are a few things I wish were different (like the client messag”

NEGATIVE trustpilot

“I've been using SimplePractice for maybe 10 years now. I have a group practice with eight providers and pay about $600 a month. Everything is fine until something comes up and you need customer service - which doesn't exist. The last time I tried - you have to go through a long ridiculous text message menu to get to a place where you can send and email - and they didn't answer. This is not the first time that happened. 10 days later, they send an email saying they can't help me because I didn't ”

NEGATIVE trustpilot

“There is no customer service. I was bombarded by "online suggestions" only.. I was trying to cancel my subscription and could not find it on the site; only when I received a bill could I get to the page of cancellation. It is a FRAUD ”

NEGATIVE trustpilot

“Initial set up was easy. However, poor customer service--I get the same answer from all of them, addresses for insurance were wrong costing me $/rejected claims, you are virtually left trying to figure out billing and their answer to not communicating with insurances--you get to manually add payments in your free time. The EMR is very basic, no area for vital signs etc. 100$ a month so I can teach myself billing, claims and scheduling. Fun times-not! ”

52Ease of Use107 mentions
Scored from 107 mentions · high confidence
POSITIVE trustpilot

“I have used many EHR systems but Simple Practice has been by far the easiest to use. It has every feature you can possibly ask for — it’s user friendly, has an app which is even easier to use and now you can write notes on the app on your phone! Wow! Their video streaming is flawless, the billing feature and the group session integration and other features have made me hooked to it! Just get this and you won’t regret! ”

NEGATIVE trustpilot

“I do not recommend this system to prescribers. It can take up to 8 weeks before they have you approved for prescribing. The invoicing is extremely difficult. The insurance verification is incorrect. It is good for keeping chart notes but that is it. ”

POSITIVE trustpilot

“I have been using Simple Practice since 2018. It seems cliche to say that this platform makes running my practice simple, but in this case that really is the best word. I think for me there are 3 things that make running my solo private practice almost too easy. 1. Scheduling. I love that I can schedule clients for weeks at a time. I can properly schedule clients who are every other week and weekly and be able to add in one-time sessions in between and minimize the problem of double booking mys”

NEGATIVE trustpilot

“I finally became licensed on Friday 1/3/25 and opened my own simple practice account. I spent the whole weekend (72 hours+) setting it up which was an absolute nightmare because I had to manually transfer each and every one of my clients (with all thier information) to my new account from my advisor's old account. I also had to send intake forms to each of my clients on at a time because there is no option to do a mass email. Yesterday evening I went to thier online form and wrote a complaint ab”

30Trust derived from dimensions + predator detectionview math

A composite of the quality dimensions weighted by mention volume, then capped by predator / abuse-detection rules.

Reasoning

predation flagged: k=16/n=137 (raw 12%), posterior 0.116, tier=dark_pattern, billing gate fired → trust 30

Reviewers report billing concerns

Reviewers on web_crawl, g2, capterra, trustpilot, reddit report recurring billing concerns with this tool, including unexpected charges and difficulty cancelling subscriptions. 39 billing-related complaints were identified across 5 platform(s). Review the billing terms carefully before subscribing.

Based on flagged reviewer reports across public review platforms — details in the evidence panel below.

Why this tool carries a billing-practices warning

Set October 25, 2026

Reviewer billing complaints crossed our detection thresholds, but this tool also has strong verified review evidence — so it is warned, not flagged Do-Not-Recommend. Here is exactly what the system saw.

Billing complaints
39
Sources flagged
5 (Web Crawl, G2, Capterra, Trustpilot, Reddit)
Billing ratio
23.8%
Source-bias diversity
Peer discussion + Vendor-curated + Adversarial ✓ diverse
Predatory complaint ratio
11.7%
Routing zone
operational
SourceCategoryCount
TrustpilotOperational13
TrustpilotQuality5
TrustpilotPredatory access1
TrustpilotPredatory billing1
G2Quality6
G2Operational1
CapterraOperational12
CapterraQuality7
CapterraPredatory billing1
CapterraPredatory access1
App StoreOperational17
App StoreQuality5
App StorePredatory deception1
App StorePredatory billing1
Google PlayOperational15
Google PlayQuality4
RedditOperational21
RedditPredatory deception10
RedditQuality9
social_sentimentQuality3
social_sentimentOperational3
  • Reddit
    “I don't know why anyone continues to attempt to use Simple Practice for billing. The billing functionality is terrible and they expect their users to know how to manage databases. Do yourself a favor and find a billing company to submit your claims and just use Simple Practice as”
  • Reddit
    “therapystack is decidedly anti-AI and there's 2 plans, $25/month for basic functionality and $35/month to include things like insurance billing”
  • Reddit
    “[WTF] why do they keep trying to change the interface.... wtf is this new billing tab instead of the insurance where it was cleanly laid out. Now I have to click 3x more, slows me down inefficient. What is the obsession by programs to constantly change stuff? let it be???? makes ”
  • Reddit
    “They had to make the billing more difficult to make their new “insurance navigator” tool more valuable. Created a problem so they can sell the solution.”
  • Reddit
    “[Billing Changes- Awful] Oh my! I have been a SimplePractice user since 2022 (in my own practice. 2020 in another practice). What they have done with billing and insurance pages has been AWFUL! Something that took 2 steps now takes 4+ steps to do. Instead of being simpler, it has”

Watch & learn

Video content

YouTube
You’re Using SimplePractice WRONG! (Simplepractice Tutorial 2026) YOUTUBE6 views

You’re Using SimplePractice WRONG! (Simplepractice Tutorial 2026)

tothepointtutorials-n6q19 days ago

Capabilities

Key features

Healthcare & Medical Assistant

Supports clinical documentation, triage, and health questions with AI assistance

The honest take

What users love & flag

Distinct themes surfaced across 38.3K reviews from 4 sources — each grounded in real review text, ranked by how often it comes up.

What users love10
All-in-one platform consolidating scheduling, billing, telehealth, documentation, and client portal
Automated appointment reminders via phone, text, and email reduce no-shows
HIPAA-compliant telehealth integration works smoothly without requiring separate software
Easy-to-use interface for both practitioners and clients
Prefilled templates and customizable intake forms save setup time
Autopay and credit card processing streamline billing
Mobile app allows on-the-go scheduling and documentation
Insurance claim submission integrated into the platform
Client portal is user-friendly and reduces administrative stress
Wiley Treatment Planner integration saves time on treatment planning
What users flag10
Poor customer service — difficult to reach a live representative, long wait times, support often unhelpful
Insurance claim errors due to incorrect clearinghouse addresses costing users money and rejected claims
Billing complexity — users report having to manually add payments and teach themselves billing
Telehealth reliability issues — connection drops, glitches, clients report unreliable video sessions
Difficulty cancelling subscriptions — one reviewer charged for three months after cancelling
No chart option for family cases — only adults, minors, and couples, making family therapy setup difficult
Reporting and customization features feel limited
No option for clients to self-schedule new appointments
App bugs and auto-generation issues create extra work
Price increases with minimal warning — multiple reviewers report frustration with rising costs

Questions

Frequently asked

What is SimplePractice?

SimplePractice is a HIPAA-compliant practice management platform designed for healthcare practitioners like therapists, psychiatrists, speech-language pathologists, and occupational therapists. It consolidates scheduling, telehealth, billing, documentation, and client management into a single system to reduce administrative burden and allow practitioners to focus more on client care.

How much does SimplePractice cost?

SimplePractice offers three main plans: Starter at $49/month with basic features, Essential at $79/month adding appointment reminders and calendar sync, and Plus at $99/month including group appointments and advanced analytics. All plans include unlimited clients, telehealth, and online payments, with a 30-day free trial available and 50% off for 3 months if you convert within 7 days.

How does the AI Note Taker feature work?

The AI Note Taker generates comprehensive progress notes from recorded telehealth or in-person sessions, or from dictation. It's available as a standalone add-on for $35/month or included in the Care Aide package at $59/month, which also includes Session Sidekick, Treatment Planner, and Client Summaries.

Can SimplePractice handle insurance billing?

Yes, all SimplePractice plans include Insurance Essentials for managing insurance billing. There's also an upcoming Insurance Navigator add-on at $1.79 per claim that provides expert guidance from insurance specialists, automatic benefits verification, claim error detection, and client cost estimates.

What platforms is SimplePractice available on?

SimplePractice is available as a web application, iOS app, and Android app. Clients can also access their information through the Client Portal via website or mobile app to request appointments, view documents, and communicate securely with their practitioner.

Does SimplePractice support ePrescribing?

Yes, SimplePractice offers an ePrescribe add-on specifically for psychiatrists at $49/month plus an $89 one-time setup fee. This feature enables medication management, prescription ordering, and refills directly within the platform.

Can I use SimplePractice for group practices?

Yes, the Plus plan at $99/month allows you to add additional clinicians starting at $74 per clinician per month. This plan includes group appointments, group telehealth, and advanced analytics capabilities suitable for managing multi-clinician practices.

What compliance certifications does SimplePractice have?

SimplePractice is certified for HIPAA, HITRUST, and PCI standards, ensuring that client data, video sessions, and payment processing meet healthcare security and privacy requirements. The platform serves over 250,000 practitioners and 20 million clients.

Does SimplePractice help with insurance credentialing?

Yes, SimplePractice offers free credentialing services to help practitioners get paneled with up to two insurance payers when signing up for the platform. This helps new practitioners start accepting insurance more quickly.

What's included in the Care Aide add-on?

Care Aide costs $59/month for the account owner and includes four features: Note Taker for AI-generated progress notes, Session Sidekick for live support during telehealth sessions, Treatment Planner for creating treatment plans, and Client Summaries that provide client-ready session recaps. It comes with a 45-day free trial.

How does SimplePractice reduce client no-shows?

SimplePractice includes automated appointment reminders on the Essential and Plus plans, along with calendar synchronization to keep schedules updated. The Client Portal also allows clients to request appointments online and receive secure communications, helping maintain engagement and reduce missed appointments.

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