Home → DrinCloud vs TheraNest: an honest compar…
DrinCloud vs TheraNest: an honest comparison for mental health practices
First, the name. TheraNest is now Ensora Mental Health. Therapy Brands renamed itself Ensora Health on April 7, 2025, the plans live at ensorahealth.com/pricing/mental-health/, and its own pages still sell the product as TheraNest by Ensora Health, so both names are current. We keep the old one in the title because that is what people type into Google. DrinCloud is the US edition of a clinic system with 12+ years and 8,000+ clinics in 14 countries, built for practices paid directly by the client. If you bill insurance, TheraNest wins this comparison and you should jump to block seven. Our case starts at the second clinician: $159 against $188 with two, $179 against $282 with three, $407 against $564 with six. Prices on pricing, the rest in all comparisons.
TheraNest is a strong product and this is a close page. It is built around the insurance claim: 50 claims and 50 eligibility checks a month on the $59 Advanced plan, unlimited on the $89 Premier plan, payer enrollment with no commission taken, ERAs that post themselves, the Wiley Practice Planner, eRx with a PDMP check, and a revenue cycle service you can hand the whole mess to. It also beats us where insurance is not involved: a 21-day trial of its top plan with no credit card, a phone support line, a client app for iOS and Android, unlimited chart storage on the $29 plan, automatic no-show fees, and unlimited administrative users.
The math turns at clinician number two. One therapist is cheaper there, $29 or $64 with Ensai against our $49 and $69. Then every therapist charges again at $59 plus $35 for the AI, while Clinic covers 1 to 3 users for $119 and Medical Center covers 4 to 30 for $287. Two clinicians with AI for both is $159 here against $188 there, six is $407 against $564. Their card processing is 2.99% + $0.30 on their own processor; our clients run their own Stripe at the standard 2.9% + $0.30. Our scribe is $20 a provider against their $35.
What each one really costs (November 2026)
| Pricing | DrinCloud | TheraNest |
|---|---|---|
| What the product is called today | DrinCloudthe US edition of DriCloud, 12+ years, 8,000+ clinics | TheraNest, now Ensora Mental HealthTherapy Brands became Ensora Health on April 7, 2025; its pages still say TheraNest by Ensora Health |
| Entry plan | $49/moEssential, annual; $59 monthly. Record and superbills inside | $29/moEssentials, per therapist; $27 annual. No online booking, custom forms, texts or claims |
| Higher plans and how the bill grows | $107 · $119 · $287Solo one user, Clinic 1 to 3, Medical Center 4 to 30, Large Clinics $574 for 31 to 50 | $59 · $89Advanced and Premier, per therapist. Every hire charges again |
| Lower entry price for one therapist | ✗ No$49, or $69 with the scribe. We lose this row | ✓ Yes$29, or $64 with Ensai. With telehealth, $76 against our $79 |
| Cheaper from the second clinician up | ✓ Yes$159 with two, $179 with three, $407 with six | ✗ No$188 with two, $282 with three, $564 with six |
| Unlimited clients on every plan | ✓ Yesno client cap | ✓ Yesall three plans |
| AI note drafting, what it costs | ✓ $20/moper provider, printed beside the plans | PartialEnsai Session Assistant $35 per provider, $17.50 for 3 months |
| Free trial before you pay | ✗ Noa demo environment, or pay one month | ✓ 21 daysfull Premier access, no card. A clean win over us |
| Annual billing discount | ✓ 2 months free12 at the price of 10 | Partialone month free, about 8%: $319, $649, $979 |
| Administrative users at no extra cost | Partialthe 4th and 5th Clinic user are $45 each | ✓ Yesunlimited, free on every plan |
| Yearly CPT license fee on top | ✓ No feeyou type your own codes | ✗ $19.50per therapist each December, AMA license |
| Block score · Pricing and transparency (20%) | 3.4 | 3.1 |
Sources: ensorahealth.com/pricing/mental-health/, ensorahealth.com/faqs and ensorahealth.com/news/therapy-brands-is-now-ensora-health/ for the April 7, 2025 renaming, plus drincloud.com/pricing, checked November 2, 2026. DrinCloud figures are the annual rate; monthly billing runs $59, $128, $143, $344 and $689.
Two different shapes, and the sticker settles nothing. TheraNest charges per therapist and wins the solo row at $29 against our $49, or $64 against our $69 with AI on. Then the per-seat model turns on them, because every hire charges again while Clinic covers 1 to 3 users for $119. Their real wins here: 21 days of the top plan with no card, unlimited free admin users, every add-on priced. Ours: band pricing, a bigger annual discount, no AMA line in December. See pricing.
The real math: four invoices
| Scenario | DrinCloud | TheraNest |
|---|---|---|
| Solo therapist with AI notes | $69/moEssential $49 plus the $20 scribe | $64/moEssentials $29 plus Ensai $35. They win this one |
| 2 clinicians, AI for both | $159/moClinic $119 covers 1 to 3 users, plus 2 x $20 | $188/mo2 x $59 plus 2 x $35 |
| 3 clinicians, AI for all three | $179/moClinic $119 still covers all three, plus 3 x $20 | $282/mo3 x $59 plus 3 x $35 |
| 6 clinicians, AI for everyone | $407/moMedical Center $287 covers 4 to 30, plus 6 x $20 | $564/mo6 x $59 plus 6 x $35 |
Arithmetic with the rates on ensorahealth.com/pricing/mental-health/ and drincloud.com/pricing, checked November 2, 2026, with AI notes on for every clinician and telehealth excluded except where stated. TheraNest rows use Advanced, its cheapest plan carrying online booking, custom forms and claims. DrinCloud rows are the annual rate.
Ask the two questions we would ask before signing anything: what does the second clinician cost, and what does AI for the whole team cost. At TheraNest the answers are $59 and $35 a head, every month. Here the second and third cost nothing because Clinic covers 1 to 3 users, and four through thirty cost nothing because Medical Center covers that band. The crossover is clinician number two: below it they are cheaper and we say so. More on the AI scribe.
Charting, notes and the AI that drafts them
| Feature | DrinCloud | TheraNest |
|---|---|---|
| Custom clinical notes and form builder | ✓ Yesour own builder per specialty, from $49 | Partiala Dynamic Form Builder, but custom forms start on Advanced |
| Ready-made template library for therapy | Partialyou adapt our specialty forms; no community catalog | ✓ Yestemplates plus the Wiley Practice Planner, free on Premier |
| AI records the session and drafts the note | ✓ Yes$20 per provider | ✓ YesEnsai Session Assistant, $35 per provider |
| A recording scribe on the entry plan | ✓ Yesthe scribe switches on from $49 | PartialEssentials only polishes what you typed; recording is the $35 add-on |
| AI scribe per provider with no hour counter | ✓ Yes$20 a provider, unmetered | ✓ Yes$35 a provider |
| AI clinical assistant for differentials and interactions | ✓ Yesincluded on every plan | PartialEnsai answers chart questions and writes case summaries; no differentials |
| AI chatbot for clients, trained on your own practice | ✓ Yes$20 a month per practice | Not documented |
| Fields that carry history forward between sessions | ✓ Yeshistory, medication and allergies follow forward | Not documented |
| Group session notes | Not documentedwe chart per client | ✓ Yesgroup notes and group reports from Advanced |
| Treatment plans signed electronically | ✓ Yesremote e-signature, every plan | ✓ Yes |
| Unlimited chart storage included | Partial2 GB on Essential, 1 TB on Clinic, unlimited from Medical Center | ✓ Yesfree unlimited chart storage |
| Block score · Clinical record and AI (25%) | 4.1 | 3.4 |
Sources: ensorahealth.com/pricing/mental-health/, ensorahealth.com/product/theranest-mental-health/ and its medium and growing practice page, plus drincloud.com/features, checked November 2, 2026.
The heaviest block and the closest one. TheraNest owns the therapy specifics: a template library, the Wiley Practice Planner, group notes with group reports, and unlimited chart storage on the $29 plan while we meter it by band. Three things keep the scores apart. Custom forms do not exist below $59, the assistant that actually records is always a $35 add-on, and its AI documents rather than advises. Ours drafts at $20, answers clinical questions on every plan, and carries history forward. See the AI scribe.
Scheduling and client communication
| Feature | DrinCloud | TheraNest |
|---|---|---|
| Multi-clinician, multi-room calendar | ✓ Yesshifts tie the provider to the room, plus an operating room calendar | ✓ Yesone calendar, rooms blocked from double booking |
| Online booking on your own website | ✓ Yesembeddable widget, real-time availability, the slot is gone | Partialclients request, you confirm. Starts on Advanced |
| Waitlist that fills cancelled slots | ✓ Yesthe open gap offers itself | Not documented |
| Email, text and phone call reminders | Partialemail yes, SMS $36 per 300, WhatsApp $40, no phone call | ✓ Yesemail, text and call. Fifty of each on Advanced, unlimited on Premier |
| Two way calendar sync | ✓ YesGoogle Calendar | ✓ YesGoogle both ways, Apple one way |
| Recurring appointments and group rosters | Partialrepeat visits yes; group rosters not documented | ✓ Yesedit one occurrence, and a roster per group |
| One to one telehealth | ✓ Unlimitednever metered. From Solo, $10 on Essential | Partial$12 on Essentials, included from Advanced |
| Group telehealth sessions | Not documented | ✓ Yesunlimited group telehealth from Advanced |
| Secure two way messaging with the client | ✓ Yesportal messages, filed in the record | Partialencrypted messaging, from Advanced |
| Check-in kiosk and waiting room call screen | ✓ Yestablet check-in, a visit rating, a call screen | Not documented |
| No-show and late cancel fees applied automatically | Partialyou charge it from the invoice, by hand | ✓ Yesmissed sessions become fees on the invoice |
| Block score · Scheduling and client communication (15%) | 3.9 | 3.4 |
Sources: ensorahealth.com/product/theranest-mental-health/features/scheduling/ and its client portal feature page, ensorahealth.com/pricing/mental-health/, plus drincloud.com/features, checked November 2, 2026.
The second closest block, and TheraNest earns it. Automated phone call reminders, no-show fees that apply themselves, group rosters that survive a roster change and Apple Calendar on top of Google are four things we do not match, and its reminders are unlimited on Premier while we sell SMS in $36 packs. Two rows go our way for reasons that have nothing to do with therapy: our product grew up in buildings with waiting rooms. Their booking is a request you approve. For therapists working alone, fine.
Getting paid without an insurer in the middle
| Feature | DrinCloud | TheraNest |
|---|---|---|
| Charge at the desk, online or by payment link | ✓ Yesall three, every plan | ✓ Yesevery plan |
| What the card processing costs | ✓ 2.9% + 30cstandard Stripe US rates, 2.7% + 5c in person | Partial2.99% + $0.30, published openly. Above standard Stripe |
| Bring your own payment processor | ✓ Yesyour own Stripe account holds the money, and your volume rate stays yours | Not documentedone Ensora Payments rate, nothing about the arrangement |
| Charge the session or a deposit at booking | ✓ Yesthe card is taken when the slot is taken | Not documentedbalances are paid in the portal |
| Invoices created automatically from kept sessions | ✓ Yesinvoice from the visit, automatic receipts | ✓ Yeskept sessions are invoiced on their own |
| Superbill with NPI, EIN, CPT and ICD-10 | ✓ Yesa PDF with the balance; your own codes | Partialit files real claims; no superbill document described |
| Different rates per service, provider and location | ✓ Yesper service, specialty and professional | ✓ Yesrates by license type, billed to whoever rendered it |
| Sliding scale fees per client | ✓ Yesa rate on the client record | Not documented |
| Audit trail linking every payment to the session | Not documentedpayments post to the invoice, but we publish no audit log | ✓ Yesclaims, ERAs and adjustments logged against the appointment |
| Quotes and estimates the client approves | ✓ Yesquotes and treatment plans the client signs | Partialtreatment plans yes, priced estimates not described |
| Production and payroll reporting per provider | ✓ Yesproduction, occupancy and revenue by professional | ✓ Yesreporting, a payroll report, export to Excel |
| Block score · Getting paid without an insurer (15%) | 4.5 | 3.0 |
Sources: ensorahealth.com/product/theranest-mental-health/features/automated-billing/, ensorahealth.com/pricing/mental-health/ and drincloud.com/features, checked November 2, 2026. Card rates quoted for DrinCloud are the standard Stripe US rates on the client's own Stripe account, not a DrinCloud fee.
Read this block as a fit question, not a verdict: it is written for a practice the client pays directly. TheraNest's billing is built around the claim and it is good at that, with invoices feeding claims, ERAs posting themselves and every adjustment logged against the appointment, which is tighter bookkeeping than ours. What is missing is the cash-pay furniture: a deposit at booking, a sliding scale on the client record, a priced estimate they sign. And its card rate sits above standard Stripe. See superbills.
Languages, apps and how clients experience you
| Feature | DrinCloud | TheraNest |
|---|---|---|
| Interface language per user | ✓ YesEnglish, Spanish, Portuguese and more, per user | Not documentedno language option on its public pages |
| Communication language per client | ✓ Yesreminders, portal and documents follow the client's language | Not documented |
| Support in Spanish and Portuguese | ✓ Yesemail, and WhatsApp with video from Solo | Not documented |
| Phone support line | ✗ Nono number to call, and we say so | ✓ Yesa US phone line, plus a public knowledge base |
| Client portal with no app to download | ✓ Yesappointments, payments, documents, forms, messages | ✓ Yesany browser, no download |
| Native client app for iOS and Android | ✗ Nobrowser only | ✓ Yesan Apple and Android app |
| Post-session satisfaction surveys with statistics | ✓ Yesanonymous or named, after each visit | Not documented |
| Automated campaigns fired by a client event | ✓ Yesif X happened, send Y after Z days | Not documentedreminders yes, event triggers are not described |
| Referral source and birthday messages per client | ✓ Yesreferral source, plus birthday greetings | Not documented |
| Large US user base in mental health | ✗ Nowe are new to the US market and say so | ✓ Yesa long standing name among US therapists, a G2 top product in 2025 |
| Block score · Languages and client experience (10%) | 3.5 | 2.0 |
Sources: ensorahealth.com/faqs, ensorahealth.com/product/theranest-mental-health/features/client-portal/, its medium and growing practice page and its G2 award post, plus drincloud.com/features, checked November 2, 2026.
Three wins for TheraNest we will not argue with. It answers a telephone, which we do not. It has a client app for iOS and Android, which we do not. And it has years of US therapists who already know the software, which matters the week you hire someone. Our ground is the bilingual practice: the software in each user's language, and a language field on the client that decides what language their reminders, portal and documents arrive in. More for psychologists.
Insurance billing and prescribing: TheraNest wins outright
| Feature | DrinCloud | TheraNest |
|---|---|---|
| Electronic insurance claims | ✗ Noby design. We serve practices paid by the client | ✓ Yes50 a month on Advanced, then $0.23, unlimited on Premier |
| Automatic eligibility and benefit checks | ✗ No | ✓ Yes50 monthly on Advanced, then $0.25, unlimited on Premier |
| Payer enrollment and credentialing | ✗ Noyou are on your own with the payers | ✓ Yesone or two enrollments per therapist, no commission taken |
| Insurance billing automation | ✗ No | ✓ Yeson Premier, with claim scrubbing and ERAs posting themselves |
| Revenue cycle management as a service | ✗ Nonobody here will chase a payer for you | ✓ YesRCM Essentials and RCM Advanced, priced separately |
| Wiley Practice Planner library | ✗ No | ✓ Yesfree on Premier, $25 a therapist on Advanced |
| e-Prescribing with a PDMP check | ✗ Nowe print or send PDFs, which fails in CA, FL, NY, MI, MN and DE | ✓ Yes$135 setup plus $45 a therapist |
| CPT codes licensed inside the product | ✗ Noyou type your own codes; the code set is an AMA license | ✓ Yeshandled for you, $19.50 a therapist in December |
| Superbill the client submits for reimbursement | ✓ YesNPI, EIN, CPT, ICD-10 and the balance | ✓ Yes |
| Block score · Insurance billing and prescribing (10%) | 0.6 | 5.0 |
Sources: ensorahealth.com/pricing/mental-health/, ensorahealth.com/product/theranest-mental-health/features/credentialing/ and its automated billing page, ensorahealth.com/product/clearinghouse/ and ensorahealth.com/product/erx/, plus drincloud.com, checked November 2, 2026.
Five point zero against zero point six, and no copywriting changes it. If payers pay your rent, TheraNest is the correct purchase and you can stop reading: it files the claim, checks the benefit, enrolls you with the payer, posts the ERA, prescribes with a PDMP check and will run the whole revenue cycle for a fee. We built none of it on purpose, because that machinery is what makes most mental health software heavy, and a cash-pay practice never touches it. We also lack ONC certification, which is voluntary and matters only for Medicare and MIPS. See alternatives to DrinCloud.
Moving in, moving out and compliance
| Feature | DrinCloud | TheraNest |
|---|---|---|
| Free self-service import you run yourself | ✓ Yesany Excel or XML file, and a bad import is deleted and redone | Partiala documented switch from SimplePractice; no general importer |
| Full data export, free, no retention | ✓ YesCSV and PDF whenever you want | Partialreports export to Excel; no full account export described |
| Public API for developers | Partial$300 to set up, $80 a month, no public docs | ✗ Noits platform page calls an API framework coming soon |
| Partner marketplace inside the product | ✗ No | Partialan Ensora Marketplace is announced as planned, not live |
| Role based permissions and free administrative users | ✓ Yespermissions per user | ✓ Yesdetailed permissions, unlimited admin users free |
| Multi-location in one account | ✓ Yesmulti-clinic on the $287 plan | ✓ Yesmulti-location, one calendar across sites |
| Documented third-party integrations | ✓ YesStripe and Google Calendar, the honest list | ✓ YesPayments, Telehealth, eRx, Clearinghouse, Google and Apple calendars |
| HIPAA with a BAA on every plan | ✓ YesBAA included, encryption in transit and at rest | PartialHIPAA with MFA on all three plans; no BAA on the pricing page |
| Client data never used to train the AI models | ✓ Yeswritten into the terms | Not documented |
| Block score · Integrations and data (5%) | 4.2 | 2.8 |
Sources: ensorahealth.com/solutions/mental-health/, ensorahealth.com/product/theranest-mental-health/, ensorahealth.com/faqs and drincloud.com/security, checked November 2, 2026. 'Not documented' here means the item does not appear on those public pages on that date.
Both run on HIPAA terms and both let your numbers out, so the real question is who does the moving. Our importer is free, takes any Excel or XML file and you run it yourself, which is the part people underestimate until an import comes out wrong and has to be redone at somebody else's pace. TheraNest documents a switch from SimplePractice and exports reports to Excel, but no full account export. Neither of us has a developer story worth bragging about.
Which one fits you?
TheraNest is the better fit if...
- You bill insurance. Claims, eligibility checks, payer enrollment with no commission taken, ERAs posting themselves, and an RCM service you can hand the whole thing to. We score 0.6 against their 5.0 there.
- You prescribe. eRx with a PDMP check is $135 to set up plus $45 a therapist; we print or send PDFs, which fails in CA, FL, NY, MI, MN and DE.
- You are one therapist and want the cheapest real start: $29, or $64 with Ensai, against our $49 and $69, plus 21 days of Premier with no credit card.
- You want ready-made therapy documentation on day one: a template library plus the Wiley Practice Planner, free on Premier.
- You run groups: group scheduling with rosters, group notes, group reports and unlimited group telehealth from Advanced.
- You want a phone number to call, a client app, automatic no-show fees and unlimited chart storage on the entry plan. We have none of those four. Also useful: TherapyNotes vs SimplePractice.
DrinCloud is the better fit if...
- Your clients pay you directly and an insurance engine is dead weight you would rather not fund.
- You are two clinicians or more: $159 against $188 with two, $179 against $282 with three, $407 against $564 with six, AI for everyone on both sides.
- You want the AI price written down and low: $20 a provider against their $35, the clinical assistant included, the booking chatbot $20 a month per practice.
- You do not want a plan ladder. Our form builder, the superbills and the scribe all work from the $49 plan; their custom forms start at $59 and the recording assistant is always an add-on.
- Part of your caseload speaks Spanish or Portuguese: the software in each user's language, and reminders, portal and documents in each client's language.
- You would rather not see a $19.50 AMA license line per therapist on your bill every December.
- You run a physical front desk: tablet check-in with a visit rating, a waiting room call screen, a waitlist that refills cancellations by itself.
- You charge cash-pay the way it actually works: a deposit at booking, a sliding scale on the client record, a priced estimate they sign, and a superbill with NPI, EIN, CPT and ICD-10.
- You want your own Stripe account holding the money at the standard 2.9% plus $0.30, instead of 2.99% plus $0.30 on a processor you did not choose.
- You want the move in free and the exit open: Excel or XML in, CSV and PDF out, whenever you want. Prices on pricing.
Questions about this comparison
Is TheraNest the same product as Ensora Mental Health?
Which one is actually cheaper?
What does the AI cost on each side?
Can I migrate from TheraNest to DrinCloud?
Where does the final score come from?
Is this comparison impartial?
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TheraNest and Ensora Health are trademarks of their owner. This page is an informational comparison published by DrinCloud (Massive Bionics LLC), not affiliated with or endorsed by Ensora Health, using public data verified on ensorahealth.com/pricing/mental-health/, ensorahealth.com/product/theranest-mental-health/ and its feature pages, ensorahealth.com/solutions/mental-health/, ensorahealth.com/faqs, ensorahealth.com/news/therapy-brands-is-now-ensora-health/ and drincloud.com on November 2, 2026. 'Not documented' means the feature does not appear on the vendor's public website on that date, not that it does not exist. TheraNest columns that include AI notes use the $35 Ensai Session Assistant price published on its pricing page, and the scenario rows use the Advanced plan, its cheapest plan carrying online booking, custom forms and claims. Card rates quoted for DrinCloud are the standard Stripe US rates applied to a client's own Stripe account, not a DrinCloud fee. Scores come only from the table cells, with the published formula. If you represent Ensora Health and find an inaccuracy, write to info@dricloud.com and we will correct the data and the score immediately.
Correction history: first published November 2, 2026.