Searching for TherapyNotes alternatives usually means your practice is not just browsing. You probably already know the category and are now trying to decide whether another platform better fits how you schedule, bill, and grow.
TherapyNotes is a well-established platform, especially for practices that care deeply about billing operations. But it will not be the ideal fit for every team, especially if your decision now includes marketing, online booking, and how the software presents your practice to prospective clients.
What TherapyNotes Publicly Lists in 2026
As of April 2026, TherapyNotes support documentation lists solo pricing at $69 per month and group pricing at $79 for the first clinician plus $50 for each additional clinician, with unlimited non-clinical users included on the group structure. The same documentation also lists billing-related usage charges like $0.14 eligibility checks, $0.14 electronic claims, and 3.1% + $0.30 payment processing.
That can make TherapyNotes attractive for practices that want a mature billing-oriented system. It can also push some shoppers to compare alternatives if they want a different subscription shape or a more modern front-end experience for new-client acquisition.
What to Compare Against TherapyNotes
If your main priority is simplicity for solo practice, Sessions Health often comes up because of its lower public base subscription and straightforward pricing. If your priority is broader mainstream familiarity, SimplePractice usually stays in the conversation. If you care about scheduling and website-led intake, Jane may be relevant because of its emphasis on online booking and its website builder add-on.
Pebble belongs on the list for a different reason. We are not trying to win by feeling like a slightly different copy of the same category. Pebble is being built around an integrated story that connects scheduling, telehealth, private pay billing, and insurance billing with a public-facing marketing website.
Why the Website Angle Matters
This is one place where a lot of EHR comparisons miss the real business problem. Therapy software is often judged only after the client already exists in the system. Pebble is explicitly trying to support the earlier part of the journey too: getting found, looking credible online, and turning a website visitor into a booked appointment.
If growth matters to you, that difference is not cosmetic. It affects how much manual intake work your practice ends up carrying and how cleanly demand turns into scheduled care.
The Bottom Line
TherapyNotes is still a real contender in 2026, especially if your practice thinks from the billing desk backward. But if you want lower platform entry pricing, a different revenue model, or a tighter connection between website, scheduling, and billing, Pebble is worth including in the alternatives set.
To keep comparing, start with our best EHR for therapists in 2026 overview and our SimplePractice alternatives guide.