TheraNest (now Ensora Mental Health) vs CoralEHR
TheraNest was a trusted independent EHR for over a decade. Then KKR acquired Therapy Brands in 2021, and in April 2025 the platform rebranded to Ensora Mental Health. Therapists have reported visible degradation since. Here's how it compares to CoralEHR today.
We migrate you from Ensora Mental Health (formerly TheraNest) in 48 hours, free → Open in side-by-side comparison table →
Choose Ensora Mental Health (formerly TheraNest) if…
- You're already deeply invested in TheraNest's group-practice workflows and don't want to migrate
- You need built-in insurance billing and a clearinghouse for high claim volume
- You bill per-client (legacy pricing) and your contract grandfathers you into the older model
- You're a multi-site or supervisor-led group practice and need TheraNest's hierarchy features
- You're already using Therapy Pay and don't want to switch payment processors
Choose CoralEHR if…
- You want to leave a PE-owned platform (KKR acquired Therapy Brands in 2021) before further support degradation
- You want one transparent price ($29/$79/$35-per-clinician) — no sales calls, no per-therapist surprise scaling
- You're a private-pay practice that doesn't need TheraNest's insurance billing infrastructure
- You want AI throughout — notes, treatment plans, and form builder — included on every plan; TheraNest has no AI features
- You want freedom to choose your payment processor — TheraNest forced clients onto Therapy Pay
- You want a 30-day free trial with no credit card and a 20% annual discount
Feature-by-Feature Comparison
O Overview
| Feature | Ensora MH | CoralEHR |
|---|---|---|
| Best For | Solo & group MH practices | Solo private-pay |
| Scheduling & Reminders | ✓ Email & SMS | ✓ Email & SMS reminders |
| Key Integrations | Stripe, clearinghouses | Stripe, Google Cal |
| Data Export | CSV, PDF export | CSV, PDF export |
P Pricing
| Feature | Ensora MH | CoralEHR |
|---|---|---|
| Starting Price (Solo) | $29/therapist/mo | $29/mo |
| Per Additional Clinician | $29 / $49 / $89 per therapist | From $35/clinician/mo |
| Free Trial | ✓ 21-day free trial | ✓ 30-day free trial, no credit card |
| No Setup Fees | ✓ | ✓ No setup fees + free white-glove migration |
| Annual Discount | ✓ | ✓ ~20% off annual billing |
B Billing & Claims
| Feature | Ensora MH | CoralEHR |
|---|---|---|
| Insurance Billing | ~ Advanced & Premier tiers | ✗ Private-pay focused |
| Electronic Claims | ✓ | ✗ |
| Superbills | ✓ | ✓ |
| ERA/EOB Processing | ✓ | ✗ |
| Integrated Payments | ✓ Integrated | ✓ Stripe integration |
| Cost Per Claim | $0.25/claim | N/A |
| Client Invoicing | ✓ | ✓ |
| Revenue Dashboard (30/90/365-day, AR aging, payouts) | ~ Basic billing reports | ✓ 30/90/365-day filters, AR aging buckets, full payouts dashboard |
T Telehealth
| Feature | Ensora MH | CoralEHR |
|---|---|---|
| Built-in Video | ~ Built-in on Premier; $12/mo add-on on lower tiers | ✓ HIPAA-compliant video |
| Included in Base Price | ~ Premier only; $12/mo add-on on Essentials & Advanced | ✓ All plans |
| HIPAA-Compliant Video | ✓ | ✓ E2EE |
| Screen Sharing | ✓ | ✓ |
| Group Video Sessions | ✓ | ✓ |
| Mobile Telehealth | ✓ iOS & Android app | ✓ |
D Documentation & AI
| Feature | Ensora MH | CoralEHR |
|---|---|---|
| Progress Notes | ✓ | ✓ Template-aware sections, markdown + rich text |
| Note Type Coverage | ✓ SOAP/DAP/BIRP | 8 types |
| Treatment Plan Templates | ✓ | 22 templates |
| AI-Powered Notes | ~ AI Session Assistant — Premier plan only ($89/therapist/mo) | ✓ Scratchpad → AI draft → AI judge → clinician redraft → sign |
| AI Features Beyond Note-Drafting | ~ AI Session Assistant (note-drafting only) — Premier plan | 11 AI features |
| AI Form Builder (plain-language → form) | ✗ | ✓ Describe a form in plain language; iterative chat refinement; version history with diff |
| AI Progress Reports (PDF, date-ranged) | ✗ | ✓ Weekly summaries of patient data — assessments, treatment plan, notes, recommendations. Clinician-reviewed; AI assists, does not replace clinical judgment |
| Custom Forms | ✓ | ✓ Drag-and-drop, undo/redo, autosave, 17 question types |
| E-Signatures | ✓ | ✓ |
| Wiley Treatment Planners | ✓ Included in Premier plan ($89/therapist/mo) | ✗ Built-in modality templates instead |
M Modality-Specific Tools
| Feature | Ensora MH | CoralEHR |
|---|---|---|
| EMDR Builder (Shapiro 8-phase, SUD/VOC) | ✗ | ✓ Shapiro 8-phase, target sequencing, SUD 0-10, VOC 1-7, body-scan installation |
| IFS Builder (Schwartz parts mapping) | ✗ | ✓ Manager / exile / firefighter parts mapping, burden tracking |
| ERP Builder (Foa fear hierarchies, SUDS) | ✗ | ✓ Foa fear-domain hierarchies, SUDS pre/peak/post (0-100), response prevention |
| ACT Builder (hexaflex, VLQ) | ✗ | ✓ Hexaflex, 10-domain VLQ, 7 named defusion techniques, 1-5 snapshots |
| SPT Builders (Synergetic Play Therapy) | ✗ | ✓ SPT-Child (caregiver partnership) + SPT-NARM (adult disconnection patterns) |
| Modality-Specific Builder Count | 0 | 6 builders |
P Patient Symptom Tracking
| Feature | Ensora MH | CoralEHR |
|---|---|---|
| Roadmapped Conditions | ✗ | Tourette's live; ADHD + OCD next |
I In-Session Therapy Tools
| Feature | Ensora MH | CoralEHR |
|---|---|---|
| Digital Sand Tray (play therapy miniatures) | ✗ | ✓ Search 200+ miniatures, favorites, "Surprise Me" mode, fullscreen pop-out for client-facing sessions |
| EMDR Bilateral Stimulation Tool | ✗ | ✓ Horizontal/vertical/diagonal BLS patterns, speed control, dual-screen client view |
| Guided Breathing Exercises | ✗ | ✓ Box, 4-7-8, calm breath patterns with visual pacing |
| Grounding Exercise (5-4-3-2-1 sensory) | ✗ | ✓ 5-4-3-2-1 sensory grounding exercise |
| Feelings Volcano (children's emotional regulation) | ✗ | ✓ Feelings volcano — children's emotional regulation interactive |
| Worry Muncher (cognitive defusion) | ✗ | ✓ Worry muncher — cognitive defusion exercise |
| Total Built-in Therapy Tools | 0 | 6+ tools |
I Interoperability & Data Portability
| Feature | Ensora MH | CoralEHR |
|---|---|---|
| FHIR R4 API | ✗ | ✓ FHIR R4 endpoints for Patient, Encounter, Observation, Condition, MedicationStatement, DocumentReference |
| US Core Profiles (USCDI) | ✗ | ✓ US Core profiles compliant — meets USCDI v3 data classes |
| SMART on FHIR App Launch | ✗ | ✓ SMART on FHIR app launch with OAuth 2.0 / OIDC for third-party app integration |
| Multi-Provider Data Sharing | ✗ | ✓ FHIR-based handoff to neurologists, PCPs, psychiatrists for shared patient care; powers TicVision and other vertical integrations |
C Client Portal
| Feature | Ensora MH | CoralEHR |
|---|---|---|
| Online Scheduling | ✓ | ✓ |
| Digital Intake Forms | ✓ | ✓ |
| Secure Messaging | ✓ | ~ Coming soon |
| Client Payment Portal | ✓ | ✓ |
| Document Sharing | ✓ | ✓ |
| Appointment Reminders | ✓ | ✓ |
S Security & Compliance
| Feature | Ensora MH | CoralEHR |
|---|---|---|
| HIPAA Compliant | ✓ | ✓ |
| BAA Provided | ✓ | ✓ |
| Two-Factor Auth (2FA) | ✓ | ✓ |
| Data Encryption | ✓ AES-256 | ✓ E2EE on AWS |
| Audit Logs | ✓ | ✓ |
| SOC 2 Certified | ✗ | ✓ SOC 2 included on every plan |
S Support
| Feature | Ensora MH | CoralEHR |
|---|---|---|
| Phone Support | ✓ | ✓ Founder's personal line |
| Live Chat | ✓ | ✗ |
| Email Support | ✓ | ✓ |
| Knowledge Base | ✓ | ✓ |
| Onboarding Assistance | ✓ | ✓ Personalized pilot onboarding |
| Dedicated Account Manager | ✗ | ✓ Founder-led support |
Pricing Snapshot
TheraNest / Ensora Mental Health prices per-therapist after a March 2025 model change. Plans range roughly $29–$89/per-therapist/month depending on features and active-client count, with telehealth as a $12/month add-on and Wiley Treatment Planners as a $25/month add-on. There is no published flat price — pricing varies by plan and add-on combination, and group practices report scaling costs as they add clinicians. A 21-day free trial is available.
CoralEHR starts at $29/mo (Starter), $79/mo (Professional), or From $35/clinician/mo (Practice for 6+ clinicians). Every plan includes a 30-day free trial with no credit card, a 20% annual billing discount, free white-glove migration from TheraNest, and a price-lock guarantee — AI-powered notes, treatment plans, and form builder, plus telehealth, scheduling, Stripe payments, and personalized onboarding included with no add-on costs. AI scribe is coming soon.
For a solo private-pay therapist on TheraNest's lowest tier (~$39–$49/month after recent updates) plus the $12 telehealth add-on, switching to CoralEHR's $29/month Starter (telehealth included) is a real monthly saving — and removes exposure to further per-therapist scaling and forced billing-processor changes.
Overview
TheraNest launched in 2008 and built a strong reputation as an independent, mental-health-focused EHR for solo therapists and group practices. In May 2021, private equity firm KKR acquired Therapy Brands (TheraNest's parent company) for $1.25 billion. In April 2025, the platform rebranded to Ensora Mental Health as part of a broader Therapy Brands → Ensora Health portfolio consolidation.
Therapists who have used the platform across the acquisition timeline have reported a series of post-acquisition changes that match the standard PE-portfolio playbook: pricing model changes, forced payment processor migration, customer support degradation, and engineering attention redirected to platform consolidation rather than feature improvement. Trustpilot, BBB, and review-aggregator complaints from 2024–2025 cite multi-week support response times, Therapy Pay billing failures during forced migration, and rebrand chaos that disrupted login URLs and documentation.
CoralEHR takes the opposite structural posture. It's founder-owned, with a single transparent published pricing model (no sales calls), a 30-day free trial with no credit card, free white-glove migration, and a price-lock guarantee. It's purpose-built for private-pay therapy practices — no insurance billing infrastructure to subsidize, no PE owner pressuring for margin extraction.
The fundamental question for a TheraNest user in 2026 isn't which platform has more features today — TheraNest still has more (insurance billing, group-practice hierarchy, longer track record). The question is whether KKR's portfolio company will keep getting better, or whether the next 2–3 years look more like the last two.
Strengths & Weaknesses
TheraNest / Ensora Strengths
- Insurance billing built-in — claims submission, ERA/EOB, integrated clearinghouses
- Group practice features — multi-clinician hierarchy, supervisor sign-off workflows
- Wiley Treatment Planners available as add-on
- Long track record — over 17 years of platform iteration
- Mobile apps — native iOS and Android
TheraNest / Ensora Weaknesses
- PE-owned (KKR) — Therapy Brands acquired by KKR in 2021; standard PE-degradation patterns visible since
- April 2025 rebrand chaos — login URLs changed, documentation became inconsistent across TheraNest/Ensora branding
- Forced Therapy Pay migration — clients lost ability to choose payment processor; reports of billing failures during transition
- Support degradation — Trustpilot/BBB complaints cite multi-week response times and reduced human support post-acquisition
- No AI features — no AI-powered notes, dictation, or documentation assistance
- Telehealth is an add-on — $12/month extra on top of base plan
- Per-therapist pricing flip — March 2025 model change raised effective costs for many group practices that previously paid per-client
CoralEHR Strengths
- Founder-owned, not PE — no portfolio-company margin pressure or rebrand chaos
- Transparent single pricing — $29 / $79 / From $35-per-clinician published; no sales call required
- Price-lock guarantee — your rate never changes
- AI throughout — AI-powered notes, treatment plans, and form builder included on every plan (AI scribe coming soon)
- Free white-glove migration — we move your TheraNest notes, clients, calendar, and intake forms in 48 hours
- All features included — telehealth (E2EE), payments (Stripe), scheduling, no per-feature add-ons
- Choose your payment processor — Stripe-based, not locked into a portfolio company's billing arm
- 30-day free trial, no credit card
CoralEHR Weaknesses
- No insurance billing — designed exclusively for private-pay practices
- Newer platform — less established track record than TheraNest's 17+ years
- Smaller integration ecosystem — fewer third-party connections
- Secure messaging coming soon — not yet available
- AI scribe coming soon — current AI is note-generation only
Migration Notes
Migrating from TheraNest / Ensora Mental Health to CoralEHR is straightforward, and we do the work for free:
- Export your TheraNest data — TheraNest supports CSV and PDF exports for client records, clinical notes, and billing history. If you've been told export is unavailable, escalate via support — by law (HIPAA) you have the right to your records. Reviewers report intermittent export issues post-acquisition; document any obstruction.
- CoralEHR migrates everything in 48 hours — our team imports your client demographics, appointment history, clinical notes, intake forms, and active treatment plans. You don't touch a CSV.
- Redirect scheduling links — update your Psychology Today profile, website, and email signature to point to your new CoralEHR scheduling link.
- Move payment processing to Stripe — if you were on Therapy Pay (forced post-acquisition), CoralEHR uses Stripe directly. Lower processor lock-in risk.
- Re-collect consents — use CoralEHR's digital intake forms to gather updated consent documents under the new platform.
Most solo and small-group practices complete the full migration in a single onboarding session.
Calculate Your Savings
Enter your current EHR costs and see exactly what switching to CoralEHR would save.
Frequently Asked Questions
Common questions about Ensora Mental Health (formerly TheraNest) vs CoralEHR.
Ready to Try CoralEHR?
See how CoralEHR simplifies private-pay therapy practice management with AI-powered notes, built-in telehealth, and Stripe payments.
30-day free trial · no credit card required
Back to all comparisons
Reviewed by Aanish Sachdev, Co-Founder of CoralEHR
Stay Updated on EHR Trends
Get notified about EHR reviews, practice management tips, and new comparison tools.