Depending on what EHR it chooses, a five-clinician group therapy practice can be paying from $279 a month to over $600 a month for the same core functions, scheduling, notes, billing. That’s why reviews from solo practitioners are often not very helpful to group practice owners.
The best mental health EHR for group practices in 2026 will have to do three things that a solo tool does not: They will have to support multiple clinicians on one shared record, allow supervisors to co-sign or approve notes from interns and associates, and centralise billing so that claims don’t get scattered across separate logins.
Based on published pricing and supervision workflows, TherapyNotes Group and TheraNest Premier are the top two recommended options for practices with three or more clinicians. In the forefront of behavioural health teams that combine therapy and prescribing are ICANotes and Valant.
This guide compares seven EHRs built or adapted for group therapy work on cost per clinician, supervision tools, group telehealth capacity, and where each one starts to fall apart as a practice scales.
What Makes a Good EHR for Group Therapy Practice
A group practice EHR must clearly define three roles: the clinician who is doing the work, the supervisor who is reviewing it and the administrator who is billing for it. Solo-practitioner tools often add this in later, which is why reviewers see cracks in the products designed for solos once a practice adds staff.
- The four most important features when comparing options.
- Scheduling for multiple practitioners
- Oversight and Co-Signing
- Shared or centralised billings
Group telehealth with multiple participants
Supervisors can co-sign notes in SimplePractice, TherapyNotes, and TheraNest. TherapyNotes has the most complete supervision setup, with approval or co-sign levels, multiple supervisors, and billing under the supervisor. Within TherapyNotes, the Practice Administrator establishes the level for each supervisee: view their notes, review and approve each note, or review and co-sign each note.
Best Mental Health EHRs for Group Therapy Practices Compared
The table below lines up starting price, group-specific pricing, and supervision support for the seven platforms covered in this guide.
| EHR | Group Pricing | Supervision/Co-signing | Group Telehealth Capacity |
|---|---|---|---|
| TherapyNotes | $79/mo first clinician + $50/mo each additional | Approval and co-sign levels, multiple supervisors per supervisee | Up to 16 participants on Premium Telehealth ($15/mo) |
| SimplePractice | $99/mo Plus plan + $69 to $74/mo per additional clinician | Supervisor can review shared notes, request changes, and sign | Included on Plus plan |
| TheraNest | Premier at $89/therapist/mo flat, no per-seat scaling | Supervisor review and co-signing built into Premier | Up to 20 participants on Group Telehealth add-on |
| ICANotes | From $75/mo non-prescribing clinician, $35/mo notes-only | Facilitator and co-facilitator workflows built in | Third-party telehealth integration |
| Valant | Custom quote by provider count and type | Centralized scheduling, permissions, and reporting across sites | Included, configurable by program |
Source: vendor documentation and industry pricing reviews, 2026.
How Much Does a 5-Clinician Group Practice Pay per Month in 2026
Once a practice hires staff, the price differences really add up. SimplePractice pricing indicates Plus is $99 a month for the first practitioner and $74 a month for each additional practitioner. TherapyNotes pricing shows Group at $79 a month for the first clinician and $50 a month for each additional clinician.
For a five-clinician practice, TherapyNotes Group comes out to $79 plus four times $50, for a monthly total of $279, about $116 less than the comparable SimplePractice configuration.
TheraNest Flat Rate Model
TheraNest does things differently. TheraNest doesn’t charge per provider, so if you’re a group practice you can add as many clinicians and admin staff as you want without paying extra—which is a huge plus over EHRs that require you to pay for each provider license. For the Premier tier, the price is a flat rate of $89 per therapist, regardless of their caseload, and it includes telehealth. AI documentation is an additional $35.
Non-Clinical Staff Costs
Hidden costs often show up in front desk and billing staff accounts. TherapyNotes’ Group plan offers unlimited non-clinical users (i.e. practice admins, schedulers, billers) at no additional cost. SimplePractice is a little more mixed: practice managers cost $39 each per month, except when the account treats them as a biller or scheduler role.
SimplePractice for Group Practices: Pros and Cons
SimplePractice is still a familiar option thanks to its interface, but several independent reviews flag the same gap for larger teams. SimplePractice does have a group practice plan with per-clinician pricing, but it can be expensive at scale and doesn’t offer the admin-level reporting and role-based permissions that growing group practices usually need.
The math adds up quickly at volume. For example, a 15-clinician group practice on the Plus plan pays $99 base + 14 x $74 = $1,135 per month before any billing fees, add-ons or per-claim costs.
Supervision & Billing: The Best Choice for Interns and Associates in TherapyNotes
Practices that run supervision programmes, group homes, or intern tracks use TherapyNotes for one very specific reason. TherapyNotes is a great option for group practices and supervisory environments where multiple clinicians need to collaborate in one client file, supervisors need to review and co-sign intern notes, and everything is tracked through detailed audit logs. If you have supervision needs, interns, or multi-provider workflows, TherapyNotes is a wonderful fit.
And controls on access matter here too. In TherapyNotes, all users can see contact information for all clients, but clinical notes are only viewable by the clinicians assigned to that client, their supervisors, and Clinical Administrators who see all notes and assign clients to clinicians.
ICANotes and Valant for Behavioural Health Group Practices with Prescribing Providers
Therapy + medication management practices require a different set of features. ICANotes is a standout for behavioural health practices that want group scheduling, documentation, billing and telehealth all in one behavioral-health-specific platform. ICANotes supports one-time and recurring schedules, facilitator and co-facilitator workflows, and attendance that can be directly linked to billing and claims for groups specifically.
Valant practices on a different level. Valant is built for behavioural health practices of any size and is a great fit for group practices that mix therapy and prescribing, putting all your documentation, scheduling, billing, ePrescribing with PDMP support, telehealth, group therapy and IOP/PHP support in one system, with pricing determined by provider count, provider types and features you need.
FAQs
Best EHR for Group Therapy Practice?
TherapyNotes Group is the clear winner. It costs $79 a month for the first clinician and $50 per additional clinician, and it includes unlimited free non-clinical staff accounts. It also allows supervisor co-signing with audit logs. TheraNest Premier and ICANotes are both solid options, depending on your budget and whether or not you need to prescribe.
Do you offer support for multiple clinicians?
Yes, SimplePractice does allow multiple clinicians on its Plus plan, which is $99 per month for the first clinician, plus about $69-$74 per month for each additional clinician, depending on the size of your practice. It has role-based access and supervisor note review, but no admin-level reporting broken down by clinician for larger teams.
What Should Be In A Group Practice EHR?
A group practice EHR needs multi-clinician scheduling, supervisor vs. staff role-based permissions, supervision and co-signing workflows for interns, shared or centralised billing across clinicians, free or low-cost non-clinical staff accounts, and group telehealth that supports more than two participants per session.
TherapyNotes does not charge extra for non-clinical staff.
No, TherapyNotes has unlimited non-clinical staff accounts (schedulers, billers, practice administrators, etc.) at no additional charge on its Group and Enterprise plans that only charge per clinical provider.
If you’re a psychiatric group practice, which is better: ICANotes or Valant?
ICANotes pricing is published and starts around $75 a month for non-prescribing clinicians so it tends to work better for smaller to mid-size psychiatric group practices. Valant’s custom quote-based pricing is designed for larger, multi-site behavioural health organisations that have prescribing providers and outcome measurement needs.
