Healthie EHR Review + Our Comparison

Crown Counseling Review — 2025

Healthie EHR: Our #1 Pick for Group Practices

Modern, scalable, and built for the way practices actually work in 2025. Here's everything you need to know.

4.5

Overall / 5

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What Is Healthie — And Why Do We Rank It #1?

Healthie is a cloud-based EHR and practice management platform that has become our top recommendation for mental health practices in 2025. It started in the nutrition and dietetics space, but its architecture — open API, brandable client app, flexible documentation, and genuine group practice infrastructure — makes it the most forward-thinking EHR available to therapists today.

At Crown Counseling, we run a 30+ therapist group practice in Brooklyn. We have lived through multiple EHR migrations. We know what a bad platform costs you in clinician hours, billing errors, and client friction — and we know what a great one frees you up to do. After evaluating every major platform on the market, Healthie is where we land, and it's what we recommend to practices that are serious about building something scalable.

This isn't a platform we rank highly because of an affiliate relationship. It's a platform we rank highly because it solves problems that other EHRs — particularly TherapyNotes, which we'll address directly below — have simply never gotten around to solving. Open API. Flexible scheduling. Automated intake. Smart email reminders. A client app that doesn't look like it was built in 2011. These things compound. Over a 30-provider practice, the time savings and client experience improvements are significant.

Here's our complete breakdown of everything Healthie does, how it compares, and who it's right for.

Healthie Dashboard — Screenshots

Here's what Healthie actually looks like in use. These screenshots come directly from our evaluation sessions with the platform.

Healthie — Live Dashboard Screenshots

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Healthie — main dashboard overview

Key Features, Reviewed

Here's how Healthie performs across the features that matter most to therapy practices.

Healthie Pricing Plans (2025)

Healthie's pricing is per-provider and scales with your practice. All plans include telehealth — there are no surprise add-ons for core features. Annual billing saves approximately 17%.

Who Should (and Shouldn't) Use Healthie

Why We Chose Healthie Over TherapyNotes

TherapyNotes is one of the most widely used EHRs in mental health — and it ranks #4 in our full comparison of the best EHRs for therapists. It's not a bad platform. But after evaluating it carefully alongside Healthie, we moved on, and we think most modern practices should too. Here's where Healthie wins on the features that actually affect your daily operations.

Open API: The Difference Between a Tool and a Platform

TherapyNotes has no developer API. None. That means your EHR is a closed box — you can't connect it to your email marketing tools, your analytics dashboards, your intake automation, or anything else without a human doing it manually. Every data workflow that involves TherapyNotes requires someone on your staff to be the bridge.

Healthie ships with a full, documented developer API. You can build automated workflows, connect to your other software tools, pull reporting data into business intelligence dashboards, and create custom client experiences. For a growing practice, this is the difference between having software and having infrastructure. The ability to connect Healthie to our other systems has saved our admin team hours every week at Crown Counseling.

Scheduling: Modern vs. Functional

TherapyNotes' scheduling works. But "works" is a low bar. Healthie's scheduling is genuinely modern — providers can manage complex availability rules, set buffer times, define multiple appointment types, and embed a real booking widget directly on your practice website. The org-level calendar with color-coding per provider is something any practice manager will immediately appreciate. Clients can self-book online in seconds without calling the office.

TherapyNotes has no embeddable booking widget. Clients call or get sent a link to a basic web portal. For a practice trying to reduce friction in the new client journey, that gap compounds over time — every call your front desk takes instead of a self-service booking is overhead that Healthie eliminates.

Automated Intake: Set It and Forget It vs. Manual Every Time

One of the highest-friction moments in any therapy practice is client intake — getting the paperwork completed before the first session. Healthie handles this elegantly: when a client books, intake forms are automatically sent to them through the client portal and mobile app. They complete everything before they walk through the door, and it flows directly into their chart. No staff involvement required.

TherapyNotes requires manual form assignment. There is no automated intake sequence triggered by booking. For a practice seeing any volume of new clients, this is multiple hours of admin time every week that Healthie eliminates automatically and TherapyNotes simply doesn't address.

Email Reminders and Automated Messaging

Healthie has deeply configurable automated messaging built in — appointment reminders via email and SMS, follow-up sequences, care plan check-in messages, and the ability to send broadcast communications to client groups. These trigger automatically without your staff touching anything.

TherapyNotes has basic appointment reminders. That's largely where it stops. No care plan messaging sequences, no ability to message targeted client segments, no broadcast functionality. For a practice that wants to reduce no-shows, improve between-session engagement, and communicate with clients at any real scale, the gap here is significant.

Client Mobile App

Healthie clients get a fully functional iOS and Android app where they can book appointments, complete intake, join telehealth sessions, message their provider, access their care plan, and log health data. The white-label option means the app carries your practice branding, not Healthie's.

TherapyNotes has no client mobile app. Clients access a web portal from their browser. In 2025, a browser-only client experience is a real friction point, especially for younger client populations who expect native apps for everything they interact with regularly.

Telehealth: Included vs. Extra

Healthie includes HIPAA-compliant telehealth via Zoom at every plan tier — no add-on fee. TherapyNotes charges an extra $15/month per provider for telehealth. For a 10-provider practice, that's $150/month in fees for a feature Healthie includes as standard. At our scale of 30+ providers, that difference is meaningful.

Where TherapyNotes Edges Ahead

To be fair: TherapyNotes has more mature, deeply specialized insurance claims processing for very high-volume billing operations. If your entire practice runs on complex multi-payer billing with intensive denial management workflows, TherapyNotes' tooling has been refined over many years for exactly that scenario. That's a legitimate edge for a specific practice type.

But for the vast majority of therapy practices, Healthie's billing is more than sufficient — and the advantages across scheduling, intake, reminders, API, client app, and telehealth are decisive. TherapyNotes ranks #4 in our comparison. Healthie ranks #1. That gap is real.

Healthie vs. The Competition

How Healthie stacks up against all major alternatives. For full in-depth reviews of each platform across every practice size, read our complete EHR comparison for therapists →

What Crown Counseling Actually Thinks

We've been running Crown Counseling as a 30+ therapist group practice in Brooklyn for several years. We've migrated EHR platforms, experienced outages, fought with billing software, and watched our admin team lose hours every week to tools that weren't designed for the way a real group practice operates. The EHR decision is not a small one. It touches every clinician, every client, and every administrative process in your practice.

When we landed on Healthie, the difference was immediate. The platform is built by people who understand that a practice is a business, not just a clinical operation. The API means our tools talk to each other. The automated intake means new clients arrive to their first session with paperwork done. The org-level calendar means our practice manager can see availability across all 30+ providers in one view. The AI scribe means our clinicians spend less time documenting and more time with clients. These things compound.

We want to be direct about something that doesn't get said enough: the EHR market is full of platforms coasting on market share. TherapyNotes, which many practices use because it was the first thing they set up, hasn't shipped an API. Hasn't shipped a client mobile app. Still charges extra for telehealth in 2025. That's not a platform investing in your growth. That's a platform that has decided its existing user base is too sticky to lose. We disagree with that bet for our practice, and we think you should too.

Healthie isn't perfect. The billing setup has a learning curve, and if you're doing very high-volume insurance claims, you should evaluate the billing workflow carefully before switching. But for practices that want a platform that will still be the right answer in five years — one that integrates with your tools, grows with your team, automates the tedious work, and actually impresses your clients — Healthie is it.

Healthie FAQ