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6 Best EHR Systems for Therapy Private Practices

6 Best EHR Systems for Therapy Private Practices

8

Min read

Feb 13, 2026

Being a mental health expert, you should invest in a reliable electronic health record (EHR) system. It's a critical tool that makes it easy for you to manage appointments, billing, and clinical notes. But one wrong decision and you'll end up with a system that slows you down and frustrates your staff. Don't stress out; in this article, we are going to discuss the best EHR for private practice, along with its pros and cons. So, let's start! 


Key Takeaways 

  • EHRs for private practice store digital patient records, allowing you to do everything, from note-taking to billing and patient progress tracking. 

  • To choose the right EHR, you should ensure the solution is scalable, secure, within your budget, and offers 24/7 support. 

  • Berries AI is compatible with the EHR system, enhancing the accuracy of your clinical documentation and summaries. 


What Is an EHR and Why Private Practices Need One?

Typically, an EHR is a comprehensive electronic record of a patient's medical history maintained by the care provider over time. It includes diagnoses, test results, and detailed treatment plans, and can be easily shared among many mental health experts. 

EHRs streamline daily clinical operations, improve communication between care teams, and keep patient data secure. In many regions, it might be a regulatory requirement and insurance standard to have an EHR. Just make sure the EHR you choose for private practice is HIPAA-compliant to avoid penalties.


Top EHR Systems for Mental Health Private Practice

If you want the best EHR for private practice, here are some options you can explore: 

TherapyNotes

TherapyNotes is a popular EHR choice among mental health professionals, offering clinical documentation tools such as DSM-5 to support accurate diagnosis. Professionals can create and customize treatment plans, psychological evaluations, and termination notes. 

In addition, there's a billing module that enables the creation of detailed financial statements and reports. It's a highly secure platform, and all data is stored in fully encrypted SAS 70 Type II certified data centers. 

Pros 

  • HIPAA-certified telehealth and client tools 

  • Impressive customer service available 24/7 

  • Quite easy to use, even for beginners 

Cons

  • Few options for workflow customization 

  • No built-in graphs, dashboard, or modern analytics 

SimplePractice

SimplePractice is an all-in-one EHR for private practice that makes it quite easy to add and maintain client records with minimal manual work. Its scheduling feature is praiseworthy, giving you full control over appointments and calendars. 

With telehealth integration, you can also serve clients via video calls for added convenience. Whether it's automating clients' payments or managing insurance claims, it does all while ensuring transparency. 

Pros 

  • Basic and easy-to-use notes and documentation templates 

  • Telehealth, billing, and scheduling all in one place for convenience 

  • Easy and quick setup 

Cons

  • Lack of some reporting features limits effectiveness 

  • Slow response from customer support could be frustrating 

TheraNest

Another one of the best EHR for private practice is TheraNest, which offers a clean dashboard that provides an overview of invoices and notes. There's drag-and-drop scheduling for quick appointment setup and reminders, reducing no-shows. 

For insurance claims, it's quite helpful as it supports electronic claim submission, claim tracking, and eligibility checks. The HIPAA-compliant EHR offers secure in-app messaging for smooth, safe communication between therapists and clients. 

Pros 

  • Reliable insurance billing and electronic claims 

  • Calendar functionality gives an overview of previous and future activities 

  • Customizable documentation templates

Cons

  • Learning curve for new users 

  • Beginner practitioners may find it a little costly 

ICANotes

ICANotes is a comprehensive EHR for solo practitioners and small-group practices, enhancing clinical efficiency. It features structured workflows, extensive customization, and a smooth digital charting system. 

You can easily navigate client records, allowing you to focus on care rather than administrative tasks. The filtering, sorting, and archiving clients help you access the information you need with ease. 

Pros 

  • Top-quality telehealth features, including screen sharing and secure texting

  • Supports multiple payment methods, including FSA, HSA, credit, and debit cards 

  • Fast and detailed note-taking 

Cons 

  • Lack of advanced customization features 

  • Take a little time to get used to all the available functionalities 

Headspace Care 

Headspace Care, formerly Gingerly, is also the best EHR for private practice, enabling you to cater to the needs of many individuals struggling with mental health. The platform has an extensive meditation and mindfulness library that you can directly incorporate into your treatment plans. From billing to insurance and scheduling, it handles all, so you pay attention to client experience and onboarding. 

Pros 

  • Suitable for kids, teens, and couples 

  • Amazing flexibility to manage your daily schedule and appointments 

  • Works for iOS and Android devices 

Cons

  • Higher charges 

  • Users report significant app instability 

Sessions Health 

Sessions Health is a cloud-based EHR that's intuitive and HIPAA-compliant, streamlining tasks such as appointment scheduling and e-signature. Note-taking is made simple with the best EHR for private practice, thanks to its customizable workflow templates. 

You can create detailed treatment plans and complete progress notes without any manual work. 

Pros 

  • Includes all high-end features at an affordable cost, offering high value for money 

  • Easy to use, as it has a very low learning curve 

  • Smooth appointment scheduling increases client satisfaction 

Cons

  • The telehealth feature doesn't support recording of the virtual session 

  • Report functionality is limited 

Berries is also developing an AI Native EHR that has incredible interoperability and security features. The platform is designed to be easy to use and allow rapid documentation so you don't experience burnout. E-prescribing, evidence-based alerts, and data management are all aspects of this EHR. 

EHR System

Key Features 

Pros

Cons

TherapyNotes 

DSM5 tools, customizable treatment plans, and encrypted data storage 

HIPAA-certified telehealth, beginner-friendly, and 24/7 customer support 

No advanced analytics, limited workflow customization 

SimplePractice

Client records management, telehealth, accurate billing, and insurance claims 

Easy-to-use templates and quick setup 

Not enough reporting features, slow customer support 

TheraNest

Drag-and-drop scheduling, alerts, electronic claims, and secure messaging 

Reliable insurance billing, clear calendar view, and customizable notes templates

Steep learning curve and costly 

ICANotes

Structured workflows, advanced filtering, and digital charting 

High-quality telehealth and multiple payment methods 

Lack of advanced customization and learning curve 

Headspace Care

Meditation and mindfulness library, billing, and on-time insurance scheduling 

Suitable for kids, teens, and couples, and flexible scheduling 

High pricing and software stability issues 

Sessions Health

Customizable treatment plans, telehealth, e-signatures

Low learning curve, affordable, and easy scheduling 

Limited reporting features and no telehealth session recording 


Features for Private Practice EHRs

The 2024 NEHRS found that 95.0% of U.S. office-based physicians had adopted electronic health record (EHR) systems. Here are some key features that the best electronic health records for therapists offer, making them a popular choice: 

  • Clinical Documentation and Note Templates: EHRs come with documentation and note templates, including SOAP and H&P, so you use them to ensure all relevant data points are captured. 

  • Scheduling and Calendar Management: You or the staff can use the best EHR for private practice to view, create, and edit appointments in either weekly or monthly formats. 

  • Billing and Insurance Claims Processing: Health insurers process about three billion medical claims annually. The standout feature of mental health EHRs is that they can check a patient's insurance eligibility to prevent errors. It converts clinical documentation into billable items and offers diverse payment options. 

  • Client Portal Functionality: Patients can also benefit from the EHR by accessing a 24/7 view of their medical information and by contacting medical professionals with any questions. They can book, cancel, or reschedule their appointments depending on their schedule. 

  • Telehealth Integration: Many patients find it difficult to come for a physical appointment. EHR for counselors makes it easy for you to schedule video sessions directly from the platform. You can take notes and e-sign during the video call to ensure accurate data recording. 

  • E-prescribing: The e-prescribing creates and transmits personalized electronic prescriptions to pharmacies by analyzing patient charts. Some tools even allow the real-time view of drug-drug and drug-allergy interactions for safe treatment. 

  • Treatment Planning Tools: EHRs provide customizable templates that let you design treatment plans for each patient with specific goals. Built-in tools send reminders to keep the patient on track for maximum improvement. 

  • Outcome Measurement Tracking: EHRs also enable you to monitor patient progress. Is there any symptom change? Has the treatment plan changed the client's emotional health? All this data is reported using charts and graphs so you can compare scores. 

  • Secure Messaging: EHRs also offer HIPAA-compliant, secure messaging so patients get answers to their queries and support whenever needed. The messages often include a timestamp and status, such as “read” or “delivered,” to make the client feel connected. 

  • Mobile Accessibility: Now, mental health experts no longer need a stationary system to access patient records. EHRs empower you to access patient data from any distant location using either your smartphone or laptop. 


How to Choose an EHR System for Your Private Practice 

Choosing the best EHR for private practice doesn't mean going with the most popular option, but with the one that fits your needs and budget. The following points help you in this process: 

Practice Size Considerations

Start by considering your practice size. Are you a solo clinician, or do you offer small-group practices? How many users will access the system? Know that a complicated system may overwhelm your team, while something too basic can limit growth, so strike the right balance. 

Specialty-Specific Needs 

Based on your specific mental health specialty, you'll need a different set of EHR features. As a child therapist, you should look for developmental tracking tools and for family or couple practices; the focus will be on excellent charting capabilities. 

Budget and Pricing Models

EHR costs vary based on the tool you choose and may include: 

  • Subscription fees 

  • Onboarding charges 

  • Add-ons 

Before you choose the best EHR for private practice, you should have a clear budget and stick to it. Know that cheaper isn't always better; just make sure the platform offers all the features you need and doesn't have hidden charges. 

Implementation Timeline

Well, some EHRs are set up completely within a few hours, while others need days to fully implement the customization. We suggest choosing a system with a low learning curve to save time and ensure your practice runs smoothly. 

Training and Support Availability

Go with the vendor that offers training for efficient software use and 24/7 support via phone, email, or chat. This minimizes downtime and frustration, making you feel your investment is worth it. 

Scalability for Practice Growth 

Your best EHR for private practice should be scalable to accommodate new users without instability. It must also offer billing and telehealth upgrades so you don't have to switch down the line. 


Takeaway 

If you've invested in the best EHR for private practice, you can pair it up with Berries AI to take your note-taking game to the next level. It enhances the accuracy of your clinical documentation, and you appear more trustworthy. Especially during your video sessions, you can rely on it to create summaries without additional burden. Berries is also bringing a highly functional AI EHR that you can invest in to manage your clinical tasks smoothly. 


FAQs

Do I legally need an EHR for private practice?

No, you don't legally need an EHR for private practice. It's helpful for handling important clinical tasks, but it's not a must-have. 

Can I use different systems for notes vs billing?

Yes, you can use different systems for notes vs billing, but it's not recommended due to additional compliance and data synchronization challenges.