Comparison
Metanoa vs TherapyNotes
On this page
TherapyNotes is a behavioral health EHR that counselors and psychologists choose for insurance billing that gets claims paid and for fast phone support. Metanoa is built for pediatric speech, OT, ABA and PT, from a solo therapist starting out to a clinic running several disciplines, with shared goals and parents in the loop.
Built for speech, OT, ABA and PT
Notes, goals and assessments are set up for pediatric therapy sessions. TherapyNotes is built for behavioral health practices such as counseling and psychology.
AI notes and reminders included
Every Metanoa plan includes AI note drafts and appointment reminders. On TherapyNotes, text reminders are $0.14 each and TherapyFuel is $40 a month per clinician.
Start at $15 a month
The Solo plan covers notes, scheduling, billing, reminders and reports. TherapyNotes' Solo plan is $69 a month.
Metanoa vs TherapyNotes at a glance
| Compare | Metanoa | TherapyNotes |
|---|---|---|
| Built for | Pediatric therapists and clinics serving children with developmental needs, from solo practices to multi-location centers | Behavioral health practices: counselors, psychologists, social workers |
| Clinic structure | Branches and departments, with department-level access | Solo and group plans, with free non-clinical staff seats |
| Goals | Shared goal bank filtered by discipline, with baselines and session plans from goals | Ask in the demo how goals are shared across clinicians |
| AI notes | Included on every plan | TherapyFuel, $40 a month per clinician |
| Parent access | Family Portal: session reports, comments on a specific goal, one login for siblings | Custom client portal with secure messaging |
| Reminders | Included | Free by email, $0.14 per text or call |
| Online booking | Online appointment form | Client portal |
| Mobile | Web app on any device | Mobile companion app |
| Insurance claims | Not supported | $0.25 per claim, plus $0.09 per claim on ERA |
| Telehealth | Not supported | Basic included, Premium $15 a month per clinician |
| Solo price | $15 a month | $69 a month |
| Team of five | Quoted for your clinic | $329 a month |
| Free trial | 15 days, no credit card | 30 days, no credit card |
Which one should you choose?
Choose Metanoa if:
- You're starting a solo pediatric practice and want AI notes, scheduling, billing, reminders and reports for $15 a month, with no add-ons to pay for.
- You run speech, OT, ABA or PT, and want goals and notes set up for those sessions. TherapyNotes' treatment plans are built around diagnosis and therapy sessions for behavioral health.
- You want every therapist writing goals from the same bank, with each department keeping its own team, prices and forms.
- Parents are part of the therapy, and you want them reading session reports and commenting on specific goals.
- Most families pay you directly.
Choose TherapyNotes if:
- Your practice is mainly counseling or psychology, and you want structured note forms built for that work.
- You bill insurance. It files claims, receives ERAs and checks eligibility, and users praise its claims handling, though some find secondary insurance harder.
- You see clients over video. Basic telehealth comes with every plan.
- You want support around the clock. It offers 24/7 phone and email support, and almost every user who mentions support is positive about it.
- You have a large front-desk or billing team. Non-clinical staff seats are free.
How they compare, feature by feature
Notes built for your discipline
Metanoa
Metanoa turns dictation or jottings from a session into a SOAP, DAP, GIRP or BIRP draft, and nothing is saved until the therapist reviews and confirms it. It captures speech in languages such as Spanish, Arabic and Hindi and writes the note in your clinic's language. AI notes are included on every plan.
TherapyNotes
TherapyNotes is practice management software for behavioral health. It offers SOAP, DAP, BIRP and custom progress note templates. Its AI add-on, TherapyFuel, drafts SOAP fields from a session summary and transcribes recorded sessions, for $40 a month per clinician (TherapyNotes). If you run speech or OT sessions, ask to see a full note for one of your session types in the demo before you decide.
Goals and treatment plans
Metanoa
In Metanoa, therapists pull goals from a shared bank filtered by discipline, record baselines and generate a session plan from the goals they pick for that day. Because therapists in the same discipline start from the same bank, goals are worded the same way across your team.
TherapyNotes
TherapyNotes builds each treatment plan around a diagnosis and presenting a problem. Clinicians write the goals and objectives themselves, and objectives carry forward into later progress notes so progress can be documented each session. When several therapists share a child, or a parent joins sessions, ask how that is documented.
Running a team or more than one location
Metanoa
Metanoa organizes a clinic into branches and departments. Each team member works in their own department, rate plans can be priced by department, each department has its own form library, and billing analytics break down by department.
TherapyNotes
TherapyNotes keeps team setup simple: a group plan adds clinicians at $60 a month each, and front-desk and billing staff are free (TherapyNotes). If your admin team is larger than your clinical team, that free staff seat matters.
Keeping parents in the loop
Metanoa
Metanoa's Family Portal is built around the child's goals. Parents get session reports, comment on a specific goal, sign forms on their phone and see photos or moments the therapist shares. A parent with two children in therapy uses one login for both.
TherapyNotes
TherapyNotes includes a custom client portal and secure messaging with every plan (TherapyNotes). To compare them fairly, sign in as a parent with two children in care, open a session report and sign a consent form on your phone in each system.
Scheduling, reminders and booking
Both
Both give you a shared calendar and appointment reminders.
Metanoa
Metanoa includes reminders on every plan, has an online appointment form for families, and runs in the browser on any phone, tablet or laptop.
TherapyNotes
TherapyNotes sends email reminders free, charges $0.14 per text or call reminder (TherapyNotes), and has a new mobile companion app.
Insurance billing and telehealth
TherapyNotes
This is where TherapyNotes is the stronger choice. It files electronic claims, processes ERAs, checks eligibility and includes basic telehealth on every plan (TherapyNotes). Users praise its claims handling, though some find secondary insurance harder (Capterra). If your practice depends on payers or video sessions, choose TherapyNotes or another tool that has them.
Metanoa
Metanoa doesn't file insurance claims or offer telehealth. Its billing is built for practices where families pay directly. When a therapist signs a session, Metanoa prices it from the client's rate plan by department, duration and amount, and holds it as a pending payment until you charge it. Each client has a wallet that tracks payments, refunds and adjustments.
What each costs
| Compare | Metanoa | TherapyNotes |
|---|---|---|
| Solo | $15 a month | $69 a month |
| Team of five | Quoted for your clinic | $329 a month ($89 + $60 per added clinician) |
| Non-clinical staff | Ask for your quote | Free |
| AI notes | Included | $40 a month per clinician |
| Text reminders | Included | $0.14 per text or call |
| Telehealth | Not supported | Basic included, Premium $15 a month per clinician |
| Insurance claims | Not supported | Each claim costs $0.25, plus $0.09 on ERA, so 400 claims a month adds about $136 |
| Free trial | 15 days, no credit card | 30 days, no credit card |
TherapyNotes also charges $0.14 per eligibility check and 3.1% plus $0.30 per card payment, and imports client data from another EMR free (TherapyNotes). Prices change often, so check each vendor before you decide.
Frequently asked questions
Can Metanoa bill insurance?
No. Metanoa doesn't file claims, post ERAs, check eligibility or connect to a clearinghouse. If insurance is a large part of your income, TherapyNotes or another system with claims is the better fit.
Does Metanoa have telehealth?
No. Metanoa is built for in-clinic sessions. TherapyNotes includes basic telehealth on every plan.
Is TherapyNotes good for speech or occupational therapy?
TherapyNotes is built for behavioral health, and most of its users are counselors, psychologists and social workers. It can work for a practice that also offers counseling, but ask to see a speech or OT note before you commit.
Which is better for a solo pediatric therapist?
If you'll bill insurance or offer teletherapy in your first year, TherapyNotes. If families pay you directly and you see children in person, Metanoa's Solo plan is $15 a month with AI notes, reminders, the goal bank and the parent portal included.
How much does each cost for a team of five?
TherapyNotes is $329 a month for five clinicians, before AI notes, text reminders and claim fees. Metanoa quotes team plans for each clinic, with AI notes and reminders included, so ask us for a quote.
Can I bring my client list over?
TherapyNotes imports client data from another EMR free (TherapyNotes). Our docs don't describe a bulk import yet, so existing clients are added to Metanoa as they come in. Ask us during your trial if you have a large list to move.
Is Metanoa HIPAA compliant?
Yes. Metanoa is HIPAA compliant, with encrypted storage, access controls and audit logs.
See how your practice would run on Metanoa
If you work with children in speech, OT, ABA or PT and want therapists and parents working from the same goals, set up your practice in the trial with a few of your own goals and invite a parent to the Family Portal.
No credit card needed.
How we compared
We compared both products using TherapyNotes' pricing page, user reviews on Capterra and Metanoa's own docs, all checked on October 24, 2026. Metanoa is our product, so we've linked every TherapyNotes fact to its source and named the areas where TherapyNotes is the better choice. Prices change often, so confirm them with each vendor before you decide.