TherapyNotes is one of the two giants of behavioral health practice management, particularly loved by practices that bill insurance heavily. Its templated psychotherapy notes, to-do-list-driven workflow, integrated clearinghouse, ERA posting, and telehealth make it a complete back office for therapy practices, and its US-based phone support is a consistent differentiator in reviews. The company has moved carefully on AI — documentation assistance is arriving via integrations and staged features rather than a headline ambient scribe, so many users pair it with a third-party AI note tool and paste drafts in. Pricing is per-clinician with a first-clinician base rate, which stays economical for small groups. Choose it when insurance billing discipline and structured documentation matter more than cutting-edge AI; choose an AI-native platform when documentation automation is your primary pain.