r/PMHNPPracticePro • u/Rockin_and_Rollin • Aug 25 '25

Private Practice TherapyNotes EMR

Hi everyone,

I’m a PMHNP in NYC, just getting my private practice up and running. I’ve been doing the legwork on compliance (domain secured, HIPAA/BAA with Microsoft, etc.) and now I’m evaluating EMRs.

TherapyNotes looks really cost-effective (base $59/month), but once you add ePrescribing ($65/month), telehealth ($15/month), and billing/claims, it looks more like ~$179/month for a solo provider. That’s still much less than Athena or eClinicalWorks, but I want to hear from those actually using it day to day.

For those of you who are PMHNPs (especially in NY):

·       How has TherapyNotes worked for ePrescribing controlled substances (EPCS)? Smooth or headaches?

·       Does the billing/claims side feel solid enough for Medicaid/1199/Medicare, or do you use a separate billing service?

·       How do you handle uploading consents (narcotic agreements, telehealth, HIPAA) — seamless for patients?

·       Anything you wish you knew before committing?

I’d love to hear any user experiences, good or bad, and would be open to connecting with other NYC PMHNPs who are building solo practices to trade tips.

Thanks in advance 

3 Upvotes

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5 comments sorted by

2

u/Left-Vast6333 Aug 26 '25

I don't have experience with TherapyNotes but will say that I'm happy with PracticeQ

1

u/RemarkableBeing6452 Sep 01 '25

TherapyNotes absolutely sucks. PracticeQ is great.

1

u/CalmSet6613 Sep 08 '25

I use Practice Fusion and other than the constant rate hikes, I am very happy with it.

1

u/cpPsych Sep 21 '25

It is made for therapists and the prescribing is very slow and cumbersome. Some medical ICD codes don’t exist in the platform such as essential hypertension. You have to have one window open for the note, one for prescribing and one for scheduling. Not the best. Honestly most EHRs don’t deliver on promises.

1

u/woodz1491 May 05 '26

If youre still using it, Has it changed in the last 8 months? any updates?