Practice Harbor is practice management and EHR software for therapists, priced at $19 per month for a licensed clinician and free for pre-licensed clinicians. This page compares Practice Harbor with SimplePractice on price, add-ons, AI notes, and fit for a solo or small group practice.
Comparison
Practice Harbor vs SimplePractice
Full disclosure up front: I built Practice Harbor, so read this the way you'd read any founder's comparison — check the claims. Every SimplePractice number below comes from their published pricing page as of September 2026, and I've included a section on what they genuinely do better, because they do some things better.
The short version
SimplePractice is the category's long-standing leader: mature, widely adopted, with an ecosystem of add-ons. Practice Harbor is one plan with everything included — built around the idea that AI note-taking, telehealth, group therapy, and measurement-based care shouldn't be upsells. If your practice uses AI notes, the monthly difference is large; if you need ePrescribe, SimplePractice offers it and we don't.
Pricing and features, side by side
| Practice Harbor | SimplePractice | |
|---|---|---|
| Base price (solo) SimplePractice features vary by tier | $19/month solo — everything included | $49 Starter · $79 Essential · $99 Plus |
| Each additional clinician | Group practices: $39 base + $19 per additional licensed clinician; pre-licensed associates FREE | $74/month (group Plus plan) |
| AI note-taking | Included — record the session, dictate, upload a recording, or type; AI structures the note in your template | Care Aide add-on: $59/month (+$49 per additional clinician); Note Taker $35/month (included with Care Aide) |
| Telehealth | Included (group telehealth too) | Included on Plus; see plan details for lower tiers |
| Electronic claims | $0.25 per claim (ERA posting included) · $0.15 per eligibility check — pay for what you use | $0.39 per submitted claim on every plan since October 1, 2026 (volume tiers down to $0.33); the free claims on Essential/Plus ended that day. Insurance Navigator upgrade: $1.79/claim |
| Card processing | Flat 3.15% + 30¢ | See their published processing terms |
| Group therapy (scheduling, notes, billing) | Included — roster groups, per-member notes, group claims | Group appointments and group telehealth on the Plus plan |
| Measurement-based care | Included — 14 scored measures (PHQ-9, GAD-7, PCL-5, C-SSRS Screener, and more), scheduled automatically | Available; see plan details |
| ePrescribe | Not offered | $49/month + $89 setup add-on |
| Client portal, e-signed intakes, superbills | Included | Included (varies by tier) |
SimplePractice details reflect their published pricing and feature pages as of September 2026. Plans change — always confirm on their site.
Where SimplePractice is stronger
- Track record and community. They've served the field for over a decade; the community knowledge base is unmatched.
- Template marketplace. A large library of shareable note and intake templates.
- ePrescribe. Available as an add-on; Practice Harbor doesn't offer prescribing.
- Client-facing directory. Monarch gives their customers a listing surface we don't have an equivalent for.
Where Practice Harbor is stronger
- One honest price. $19/month solo; group practices $39 + $19 per additional licensed clinician, with pre-licensed associates free — AI notes, telehealth, groups, and measures included rather than tiered and added-on.
- AI documentation without a second subscription. Record, dictate, upload a recording, or type; the note structures itself in your template, and AI can fill your treatment plan form from the client's own chart. No per-clinician AI fee.
- Usage-priced insurance. $0.25/claim and $0.15/eligibility check — a low-volume insurance caseload doesn't pay for an insurance-heavy plan tier.
- Transparent card processing. Flat 3.15% + 30¢, stated on the pricing page.
- Group therapy as a first-class feature. Roster groups with per-member notes and group claims, included.
Switching
Upload your SimplePractice export under Settings → EHR Import and our team brings over clients, couples, progress notes as readable chart notes, treatment plans, documents, past appointments, and insurance details, usually within 1–3 business days. You review each client side by side before finishing, and an import can be undone. Our step-by-step switching guide maps out a one-week transition, including the parallel-run safety net.
Questions therapists ask
What does a solo therapist actually pay per month on each?
Practice Harbor: $19 flat for a solo clinician, claims at $0.25 each. SimplePractice with AI notes: the $79–$99 plan plus the $59 Care Aide add-on — typically $138–$158/month per their published pricing as ofSeptember 2026, before processing fees. Since October 1, 2026 they also charge $0.39 per submitted claim on every plan (their support center: "Free claims for Essential and Plus plans are ending"), so a practice that files 100 claims a month adds about $39 there versus $25 here.
What does SimplePractice do better?
Longevity, community, the template marketplace, ePrescribe, and the Monarch directory. This page would be less useful if it pretended otherwise.
Can I move my clients over?
Yes — upload your export and our team brings over clients, notes, treatment plans, documents, and past appointments, usually within 1–3 business days. The switching guide walks every step.
Try Practice Harbor free — or keep comparing: vs Carepatron · vs TherapyNotes · vs Jane
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