CounSol vs Ensora Mental Health (TheraNest): Scheduling, Billing & Pricing
CounSol and Ensora Mental Health are both built for private therapy practices, both price per clinician, and both cover scheduling, notes, a client portal, and billing. The differences show up in how insurance claims get filed and in what each tier includes.
Short answer
CounSol.com prices per user per month in four tiers (about $49.95 to $69.95, with insurance billing in the Plus tiers) and files claims through an Office Ally clearinghouse connection. Ensora Mental Health, formerly TheraNest, prices per therapist from $29 a month on its Essentials plan, with insurance billing on higher tiers, its own clearinghouse workflow, and an optional RCM service. Both include scheduling, a client portal, and Wiley Treatment Planner options.
At a glance
| CounSol.com | Ensora Mental Health (TheraNest) | |
|---|---|---|
| Pricing model | Per user per month: Standard, Standard Plus, Premium, Premium Plus (about $49.95 to $69.95); 14-day trial; month to month | Per therapist per month: Essentials from $29, Advanced for insurance billing, Premier for larger practices |
| Insurance claims | Plus tiers; 837 claims through an Office Ally account connected to CounSol | Claims through Ensora's clearinghouse workflow with ERA posting |
| Billing help | Software only | Optional Ensora RCM service |
| Client side | Portal for self-scheduling, payments, forms, secure messaging; reminders by email, text, or phone | Client portal, telehealth, reminders |
| Treatment planning | Wiley planners as an add-on | Wiley Treatment Planner integration |
Choose CounSol if
- You're mostly private pay or file a modest number of claims and are comfortable with Office Ally.
- You want month-to-month terms with clear per-user pricing.
Choose Ensora Mental Health if
- Insurance is a large share of revenue and you may want billing help from the same vendor later.
- You're a growing group that needs a Premier-tier feature set.
Know before you file claims through CounSol
CounSol's help pages describe setup as creating an Office Ally account, connecting it by SFTP, and asking Office Ally to enable 999 and 277 reports and ERA enrollment per payer. They also note Office Ally's monthly fee applies when more than half of a practice's claims go to government or non-participating payers.
What neither one does for you
Both CounSol and Ensora Mental Health get claims out the door. Neither diagnoses why a claim denied, corrects it, and resubmits it, or keeps authorizations and payer rules current. That work stays with your billing staff or an outside biller, whichever system you choose. It's the part Stable automates, alongside the EHR you already run.
More: TheraNest (Ensora) billing, SimplePractice alternatives, and billing across 17 behavioral health EHRs.
Vendor details checked against vendor sites, help pages, press releases, and software listings on October 19, 2026. Products and prices change; confirm with each vendor before deciding.
Frequently asked questions
How much does CounSol cost?
CounSol lists four per-user monthly plans, from about $49.95 for Standard to $69.95 for Premium Plus, with insurance billing on the Plus plans and a 14-day free trial.
Is TheraNest the same as Ensora Mental Health?
Yes. Therapy Brands rebranded as Ensora Health in 2025, and TheraNest became Ensora Mental Health.
How does CounSol submit insurance claims?
Through an Office Ally clearinghouse account connected to CounSol, which sends 837 claims electronically.
Insurance billing without the admin hours.
Stable works alongside your practice management system to submit, track, and fix claims, so insurance doesn't eat your week.
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