Solo Private-Pay Therapist Practice Management Under $30/Month
SimplePractice restructured pricing in 2022, moving telehealth out of the $29 Starter plan. Most solo therapists need the $69 Essential plan, which actually costs $89-94/month with clearinghouse fees and payment processing. TherapyNotes offers flat $49/month but is still designed for insurance-billing practices. Solo private-pay therapists who don't bill insurance need scheduling, notes, a client portal, and HIPAA telehealth for under $30/month. CoralEHR launched a free tier but is very new.
The wedge is private-pay simplicity. Strip out insurance billing entirely. A solo therapist needs: appointment scheduling with reminders, session notes with templates, HIPAA-compliant video calls, a client portal for intake forms, and payment collection. That's it. No claims, no clearinghouses, no ERA processing. Build on Jitsi (open-source video) and Stripe for payments. The HIPAA BAA with your infrastructure providers is the compliance bar, not the feature set.
landscape (4 existing solutions)
Therapist practice management is dominated by SimplePractice and TherapyNotes, both designed for insurance-billing practices. Solo private-pay therapists overpay for features they don't use. SteadyPractice and CoralEHR are attempting to serve this niche but are very early. The gap is a proven, HIPAA-compliant tool that includes scheduling, notes, telehealth, and a client portal at $15-25/month with no insurance billing overhead.