You're Switching from SimplePractice.
Here's Why Therapists Choose Nexa.

SimplePractice
$79/mo
$948/year — every year, forever
Nexa
$279
Once. Own it forever.
or 3 payments of $99
Break even in 3.5 months. Then it's free forever.
"Switched from SimplePractice after the last price increase. Nexa does everything I needed for $279. Wish I'd done it sooner."
— Verified therapist, former SimplePractice customer

The Bottom Line

Therapists on SimplePractice pay $79/month — $948/year. Over three years, that's $3,181. Nexa is $279 once. Break-even runs about 3.5 months. The median therapist earns $52,000/year, so SimplePractice's annual cost is roughly 1.8% of typical revenue — every year, forever.

Key Numbers

$52,000
Median therapist income
3.5%
Typical SaaS spend as % of revenue
3.5 mo
Break-even vs SimplePractice
$2,902
3-year savings switching to Nexa

What SimplePractice Is Costing You

The Damage

SimplePractice monthly $79/mo
Annual drain $948/yr
Year 2 (11.4% SaaS inflation) $1,056
Year 3 $1,176
3-year total $3,181

That's $3,181 gone. And you don't own anything. Stop paying, lose access.

Your SimplePractice subscription has cost you $0.00 since you opened this page.

Why Therapists Leave SimplePractice

✗Multiple price increases since 2022
✗Vista Equity acquisition = profit focus
✗Group practice: 10 clinicians = $675/mo
✗5% + $3 claim fees add up for insurance practices
✗No automation/API for scaling
✗Telehealth reliability has declined per reviews
✗Why am I paying $240 more per year for features I didn't ask for?
✗Effective 1/1/2025, I will be leaving SP and going to Carepatron
✗Once SP increased their prices, the quality of telehealth severely decreased
Therapists are leaving SimplePractice every week.

You're not the only one who's had enough.

Why This Matters for Therapists

You see 6 clients today — four insurance-based and two private-pay. Between sessions you need to write notes, generate superbills, and file insurance claims. Your 3pm cancelled 30 minutes before the session — that's a $150 gap in your day. A new client needs intake paperwork before their first session tomorrow. SimplePractice charges $69/month for the 'Essential' plan or $99/month for 'Professional' — and you still need QuickBooks for practice accounting.

Therapists face unique challenges: SimplePractice costs $69-99/month for EHR plus practice management. Insurance billing and superbill generation eating admin hours. Managing a mix of insurance and private-pay clients. No-shows and late cancellations on $150+ sessions. On top of all that, SimplePractice charges $79/month ($948/year) — money that comes directly from your revenue. The median therapist earns $52,000/year. Software at $948/year is a meaningful percentage of that income, every year, forever. And you do not own anything.

Your Private office or teletherapy setup is yours. You bought it once. Nexa works the same way — $279 once for invoicing, scheduling, CRM, time tracking, and full accounting. All connected. All offline-capable. You own it like you own your tools.

Your Full Stack Cost

SimplePractice is just one piece. What else are you losing money on?

Want this breakdown emailed to you?

Your exact SimplePractice cost, full stack total, and what switching saves. 10 seconds.

"I was paying SimplePractice $79/month and didn't question it until I did the math. $3,181 over 3 years for tools I don't even own. Nexa was $279. Once. Done."
— Therapist business owner

What You Get Instead

Feature SimplePractice Nexa
Invoicing ✓ ✓
Scheduling ✗ ✓
CRM ✗ ✓
Time Tracking ✗ ✓
Full Accounting ✗ ✓ (SIMPL)
Task Management ✗ ✓
Price $79/mo forever $279 once
or 3 × $99
3-Year Cost $3,181 $279
Stop paying? Lose everything Keep everything forever

Switching Takes 1-2 Days

Most therapists are fully switched before the weekend.

1

Export your data

Go to Settings → Data Export. Download clients, invoices, expenses as CSV.

2

Set up Nexa

15-minute setup. Import your client list and data.

3

Parallel run

Run both for 1-2 weeks to verify everything transferred.

4

Cancel SimplePractice

Cancel subscription before next billing cycle.

✓ Run both in parallel. Cancel SimplePractice when you're confident. Zero risk.

What therapists actually deal with

A day in the life of a therapist

You see 6 clients today — four insurance-based and two private-pay. Between sessions you need to write notes, generate superbills, and file insurance claims. Your 3pm cancelled 30 minutes before the session — that's a $150 gap in your day. A new client needs intake paperwork before their first session tomorrow. SimplePractice charges $69/month for the 'Essential' plan or $99/month for 'Professional' — and you still need QuickBooks for practice accounting.

The tools a working therapist actually owns

Why therapists leave the big platforms

Where therapists actually talk shop

Local therapists on Nexa

Real therapists near you who run their business on Nexa — book directly, no platform fee. Are you a therapist? Post your business and get found in your area — $2.99 one-time. Or browse every therapist on Nexa →

FAQ

Is Nexa really a SimplePractice replacement for therapists?

For solo operators and small teams (1-5), yes. Nexa includes invoicing, scheduling, CRM, time tracking, task management, and full accounting. SimplePractice may be better if you have a large team (10+) or need enterprise-specific features.

$279 seems like a lot.

It's $7.75/month over 3 years. SimplePractice is $79/month — that's $3,181 over 3 years. Which is more? And if you'd rather split it, Nexa is also available as 3 payments of $99.

Can I pay in installments?

Yes. Nexa is $279 as a one-time payment, or 3 payments of $99 ($297 total). Either way it's a one-time purchase — no subscription, no recurring fees ever.

What if I don't like it?

30-day money-back guarantee. Full refund. If Nexa doesn't save you $500 in year one, you get every penny back.

Can I import my SimplePractice data?

Export your data from SimplePractice as CSV, import into Nexa in about 5 minutes.

Therapists in Elgin

The average solo operator there spends about $2,280/year on software — and therapist face their own version of that math. IL state licensing requirements apply.

Numbers reflect typical solo operators in the Elgin metro. Your situation will vary.

If You Need These — Nexa Has Them

Specific gaps Therapists run into with SimplePractice, and what Nexa does instead.

✗
SimplePractice gapNo API access for automation
✓
NexaBuilt into Nexa’s $279 once purchase — no separate add-on.
✗
SimplePractice gapNo AI clinical notes in base plans
✓
NexaEverything in $279 — no tiers, no locked features.
✗
SimplePractice gapLimited customization
✓
NexaBuilt into Nexa’s $279 once purchase — no separate add-on.

Where Therapists Talk Shop

If you want to compare notes or see how other therapists are running their tools, here's where the conversation happens.

Reddit
r/therapists, r/psychotherapy, r/TalkTherapy, r/privatepractice
Forums
Psychology Today Community
YouTube
Private Practice Skills, Brighter Vision, TherapyDen
Podcasts
Practice of the Practice Podcast, The Private Practice Startup, Selling the Couch
"SimplePractice raised prices again and I was done. Found Nexa — $279 once. I own it. No more 'we're updating our pricing' emails. Best business decision this year."
— Therapist, switched from SimplePractice

Stop Losing $948/Year to SimplePractice

$3,181 over 3 years. Or $279 once (or 3 × $99). Own your tools.

Get Nexa — $279 Once
or 3 payments of $99
✓ 30-day money-back guarantee — save $500 or full refund

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© 2026 Smith + Canon. Nexa is a one-time purchase. You own it forever.