Top 8 EHR Platforms for Solo Practitioners

Running a solo practice means balancing patient sessions with endless administrative tasks, notes, insurance claims, scheduling, and billing. Without the right tools, this can quickly feel overwhelming and take time away from what matters most: delivering exceptional patient care.

That’s where the right EHR for solo practitioners makes a difference. A modern cloud-based EHR does more than just store patient data securely. It keeps your practice organized, simplifies insurance claims, and frees up time to focus on client care.

In this guide, we’ll break down the top EHR systems for therapists and wellness professionals in 2025 with key features, pricing, and best-fit scenarios, so you can choose the one that truly works for your solo or small practice.

What is an EHR for Solo Practitioners?

An Electronic Health Record (EHR) is more than just EMR software. For independent physicians, therapists, and wellness professionals, the best EHR software acts as an all in one EHR, combining scheduling, clinical documentation, treatment plans, billing, and an online patient portal into a single system.

The right practice management software ensures:

• Secure storage of patient information and patient records
• HIPAA compliance to protect patient data
• Streamlined workflows for appointment reminders, notes, and e-prescribing
• Faster payments through integrated billing and revenue cycle management
• Easy access from any mobile device with an internet connection

In short, the best EHR helps you save time, reduce time-consuming paperwork, and spend time where it matters, on clients and quality care.

Top 8 EHR Systems for Solo and Small Practices

Below is a quick breakdown of EHR platforms that work especially well for solo practitioners, helping them balance documentation, billing, and client care without unnecessary complexity.

1. Practice Fusion

Practice Fusion is a widely used cloud-based platform built for medical practices and adopted by many solo practitioners. It offers customizable templates, e-prescribing, lab integrations with partners like Quest Diagnostics, and a secure patient portal.

Key Features:

• E-prescribing hub with drug interaction alerts and refill requests
• Direct lab integrations (Quest Diagnostics, LabCorp, and more)
• Meaningful Use–certified EHR to support compliance requirements
• Built-in charting shortcuts to reduce documentation time
• Patient messaging and scheduling through a secure online patient portal
• Option to integrate with third-party billing services

Pricing: ~$199/month per provider (free 2-week trial)

Best For: Solo and individual practices that need medical-grade tools and all-in-one charting.

2. SimplePractice

SimplePractice is one of the best EHR systems for therapists, thanks to its intuitive interface and focus on client experience. It streamlines practice management with tools for scheduling, billing, and documentation, all within a cloud based EHR that works seamlessly on desktop and mobile.

Key Features

• Online patient portal with intake forms, consent, and secure messaging
• Built-in telehealth with HD video and screen sharing
• Appointment reminders via text messages, email, or voice calls
• Insurance eligibility checks and direct insurance claims submission
• Mobile app that lets providers chart and manage schedules on the go
• Reporting dashboards to track patient information, billing, and revenue

Pricing: It starts at $49/month for Starter, $79/month for Essential, and $99/month for Plus plan, with a 30-day free trial and the option to cancel anytime.

Best For: Solo practice therapists who want a modern all in one EHR with a smooth client portal.

3. Praxis

Praxis eliminates rigid templates with its adaptive AI EHR software. Instead of fixed forms, it uses “concept processing” to learn your style, making clinical documentation faster and more personalized the more you use it. It functions as both an Electronic Medical Record (EMR) and an Electronic Health Record (EHR) system, and is officially a Certified EHR, meaning it supports interoperability across healthcare organizations.

Key Features

• AI-powered charting that adapts to your writing style over time
• No reliance on rigid templates, streamlined note-taking process
• Certified EHR with compliance and data-sharing capabilities
• Advanced reporting and analytics for practice insights
• Secure communication tools for patients and providers
• Supports both independent physicians and therapy-based practices

Pricing: $219/month for 60 months or $259/month for 48 months (ownership model). After completion, lifetime ownership with updates and support is $70/month. Additional providers are offered at discounted rates.

Best For: Independent physicians or solo practitioners who want adaptive documentation and a long-term ownership model.

4. BreezyNotes

BreezyNotes is a therapy-focused EHR system designed specifically for mental health providers in solo and small practices. Unlike larger practice management systems, it keeps things simple with SOAP notes, scheduling, reminders, and billing, all in an easy-to-use cloud based platform. Its flexible pricing tiers make it accessible for solo clinicians starting out, while still offering scalability for those who grow into larger private practices.

Key Features

• SOAP note templates built for therapy workflows
• Scheduling with automated appointment reminders
• Billing and superbill generation with optional BreezyBilling add-on
• Secure online patient portal for communication and access
• Flexible tiers that scale with your practice size

Pricing: Starts at $19/month (Solo), $59/month (Starter), $99/month (Enterprise), $189/month (Unlimited). BreezyBilling is available at custom pricing.

Best For: Solo therapists who want an affordable, all in one EHR solution that avoids unnecessary complexity.

5. Sessions Health

Sessions Health is a modern cloud based EHR built specifically for therapists in private practice and small practices. It stands out with a clean design and flexible tools that cover scheduling, billing, documentation, and telehealth in one place. With a focus on reducing time consuming admin, Sessions Health helps providers save time and focus on clients.

Key Features

• Customizable progress notes and treatment plans
• Secure telehealth with integrated video sessions
• Automated appointment reminders via email and text messages
• Streamlined billing with superbills and direct insurance claims support
• Intuitive dashboards for tracking patient information and practice growth
• Client-friendly online patient portal for forms, scheduling, and payments

Pricing: Free plan available for up to 3 clients; Professional plan $39/month (unlimited clients), with $29/month per additional practitioner and a 30-day free trial.

Best For: Solo therapists who want an affordable all in one EHR with HIPAA compliance and client-facing tools.

6. Ensora Mental Health (Formerly TheraNest)

Ensora (previously known as TheraNest) is a flexible, cloud-based EHR built for solo practitioners and small behavioral health practices. It strikes a sweet spot between affordability and robust features, giving you more than the basics without overwhelming you with enterprise-level complexity.

With tools for progress notes, scheduling, billing, and HIPAA-compliant telehealth, Ensora offers a comprehensive suite that can scale as your private practice grows.

Key Features

• Templates for progress notes, treatment plans, and assessments
• HIPAA-compliant telehealth built directly into the system
• Client scheduling with automated appointment reminders
• Secure patient portal for communication, payments, and document sharing
• Integrated billing with credit card processing and claim support
• Optional e-prescribing add-on for prescribers

Pricing: Starts at $27/month (Essentials), $54/month (Advanced), and $82/month (Premier), billed annually with one month free.
Best For: Solo clinicians seeking an all in one EHR that combines documentation, billing, and telehealth while leaving room to scale.

7. TherapyNotes

TherapyNotes is one of the most widely trusted EHR systems for mental health professionals. Built specifically for therapists, psychologists, and counselors, it provides structured documentation templates, integrated scheduling, and reliable billing tools. Known for excellent customer support and stability, it’s a favorite among solo providers who want a dependable cloud based EHR designed for therapy.

Key Features

• Specialty templates for individual, couples, and group therapy notes
• Built-in telehealth with secure, HIPAA-compliant video sessions
• Unlimited charting with customizable templates for notes
• ERA/EOB support for insurance claims and integrated billing
• Credit card processing and revenue cycle management tools
• Secure online patient portal for scheduling and reminders

Pricing: Starts at $59/month for solo practitioners, $69/month for the first clinician in group or enterprise plans (+$40/month per additional clinician).

Best For: Solo therapists in private practice who want a therapy-specific all in one EHR with excellent documentation and billing support.

8. Valant

Valant is a premium cloud based EHR software built specifically for behavioral health. While often used by larger practices, it also offers tailored solutions for solo practitioners who want advanced automation, compliance tools, and insurance-friendly workflows. Its comprehensive suite combines outcome tracking, billing, and documentation, making it a strong fit for providers who manage complex caseloads or insurance-heavy practices.

Key Features:

• Over 80 built-in outcome measures (CBT, DBT, MFT, psychiatry, and more)
• Automated insurance claims and integrated billing workflows
• Secure online patient portal (MYIO) for scheduling, telehealth, and payments
• Compliance-ready documentation and audit reporting
• API integrations to integrate directly with other EHR systems
• Tools to track patient information and measure treatment progress

Pricing: Custom quotes, typically starting around $200+/month for solo providers.
Best For: Solo and small practices that rely heavily on insurance billing and want an automation-rich, compliance-focused practice management system.

Quick Comparison of Top EHR Systems

Here’s a quick comparison of the top EHR systems for solo practitioners , and their best-fit scenarios to help you make a faster, more informed decision.

Making Your Decision

Choosing the best EHR for your solo practice comes down to three essentials:

• Workflow fit – Does the system simplify documentation, billing, and scheduling so you can save time and focus on clients?
• Cost vs. value – Will the platform reduce time consuming administrative tasks and help you get paid faster through integrated billing and claims?
• Scalability – Can the EHR adapt if your private practice grows from a solo setup into a larger team?

Here’s how to think about your options:

• If you want a cloud based EHR with strong billing and medical-grade tools, Practice Fusion is a safe choice.
• For therapy-specific, user-friendly workflows, SimplePractice, Sessions Health, or TherapyNotes are excellent options.
• If you value adaptive documentation, Praxis stands out with its AI-powered, ownership-based model.
• For providers who need scalability with balanced features, Ensora (TheraNest) or BreezyNotes are strong fits.
• If your practice is insurance-heavy and you want automation and advanced reporting, Valant is the premium option.

No matter which you choose, the right EHR system will help you improve efficiency, safeguard patient information, and deliver better patient care across every client interaction.

FAQs

Q1. Do solo practitioners really need an EHR system?
A. Yes. Without an EHR for solo practitioners, you risk data errors, compliance issues, and wasted hours on paperwork.

Q2. Which is the best EHR for therapists?
A. TherapyNotes and SimplePractice are among the best EHR systems for mental health.

Q3. What makes a good practice management system for small practices?
A. Easy scheduling, integrated billing, appointment reminders, and a secure patient portal.

Q4. Can I access these systems on a mobile device?
A. Yes, most cloud based platforms allow easy access from any mobile device with an internet connection.

Q5. Which EHR has the best patient portal?
A. Valant and SimplePractice both have strong online patient portal features for better patient care.

Q6. What is the most affordable EHR option for solo practitioners?
A. Sessions Health offers a free plan (up to 3 clients), and BreezyNotes starts at $19/month, both are budget-friendly for new solo practices.

Q7. Do all EHRs handle insurance billing?
A. Not all. TherapyNotes, Valant, and Practice Fusion are strong for insurance-heavy practices, while lighter tools like BreezyNotes and Sessions Health focus on superbills and client payments.

Q8. How long does it take to set up an EHR system?
A. Most cloud-based EHRs can be set up in a few hours, especially if they offer free trials and onboarding guides. More advanced systems like Praxis or Valant may take longer due to customization.

Q9. Are telehealth features included in all EHRs?
A. Many therapy-focused platforms like SimplePractice, Sessions Health, Ensora, and TherapyNotes include built-in telehealth. Some systems may charge extra or require an add-on.

Q10. What happens if I grow from a solo practice to a group?
A. Most of these platforms (like TherapyNotes, Ensora, and Valant) allow you to scale by adding additional providers, so you don’t need to switch systems as your practice expands.

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