Bismarck is home to about 74,000 people. The moderate cost of living means competitive pricing — and every dollar saved on software goes further.
Speech Therapists in North Dakota need a Business License. Requirements vary — contact your city or county business licensing office for current details.
Insurance: $500K-$1M general liability
Continuing Education: Check with state licensing board
North Dakota has a 0-2.5% income tax. Very low income tax (effectively 0% for most solopreneurs under new flat rate). Oil economy in west. Low population. Fargo is primary market.
When evaluating software costs, factor in your effective tax rate. A $924/year software expense is partially deductible — but Nexa at $279 once is a one-time deduction that eliminates the recurring expense entirely.
Whether you call it invoice management, a program for jobs, or a invoicing system — most speech therapists in Bismarck juggle Acuity Scheduling, FreshBooks, QuickBooks and other monthly services. That's $924/year in monthly software fees. Over 5 years at today's prices, that stack costs $4,620.
Nexa gives you the ability to stop renting software. Your CRM, invoice management, booking, jobs, time tracking, and financial tools — in a single program. One drag books a client. One drag generates an invoice. No duplicate data entry. No middleware. No sync fees. It's a buy once — eliminate recurring fees the moment you switch. For speech therapists in Bismarck weighing the switch, the 30-day money-back guarantee covers the migration window — you can run Nexa in parallel with your existing subscriptions, verify the workflow handles your real client load, and only cancel the monthly tools once you are confident the data and processes have settled in.
Most of my caseload is children, with some adults recovering from strokes or working on voice and fluency. A new client starts with an evaluation: standardised tests, observation and a conversation with parents or family about what they're seeing, which takes an hour and a written report. From that I set goals, specific and measurable, like producing a sound correctly in words or following two-step directions, and plan therapy around them. Sessions are usually thirty to forty-five minutes, and with young children therapy looks like play, because a game keeps them practising far longer than drills. I take data every session on how often they get it right, because progress has to be shown, not assumed. Families get home practice after each session, since what happens between visits matters as much as the session itself. Documentation is heavy: session notes, progress reports and plan updates, especially where insurance pays. Billing means checking coverage, submitting claims and handling denials, or private pay. I keep my licence and certification current with continuing education.
That is the work Nexa is built around: the job, the client, the hours and the invoice live in one place, so the paperwork side of the day doesn't need a second shift.
Every one of those was bought once and earns its keep for years. Nexa is priced the same way: $279 once, and it keeps working whether business is busy or slow.
Dated changes to the subscriptions a speech therapist might rent. Each one links the announcement or report it comes from. Tap one for the numbers.
For renewals on or after February 1, 2026, Pro Plus and Mac Plus went from $999 to $1,149 a year for one user, and each extra seat from $200 to $230.
Source: SWK Technologies, Insightful Accountant (Dec 2, 2025)
From July 1, 2025: Simple Start $35 to $38, Essentials $65 to $75, Plus $99 to $115, Advanced $235 to $275 a month.
Source: Woodard Report (May 27, 2025)
From October 27, 2024: Early $15 to $20, Growing $42 to $47, Established $78 to $80 a month.
Source: Insightful Accountant
Only changes we can link to a vendor announcement or a named publication are listed. Plans, add-ons and discounts vary, so check the vendor's current pricing page before you decide.
Biz Wiz creates a personalized business plan for speech therapists in Bismarck — licensing requirements, local competition, startup costs, pricing strategy, and a 90-day action plan. $19.99 once.
Bismarck speech therapists: stop renting software.
Get Nexa — $279 Once30-day full refund guarantee · buy once · Your data stays local
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Open on Reddit →Active community — tool picks, pricing, and day-to-day questions.
Open on Reddit →Active community — tool picks, pricing, and day-to-day questions.
Open on Reddit →We build a speech therapist's guide the same way every time, and we'd rather you trust it than take it on faith. Nexa is our product, so the test we hold ourselves to is simple: a tool only "wins" a job here when it genuinely does that job better for a speech therapist — and where something free, open-source, or buy-once does it better, we say so and link you to it. Where Nexa falls short (payroll is the honest example), we name the alternative outright.
Found something out of date? Prices change and we don't catch every move the day it happens. This guide is published and maintained by the Nexa team; if a figure here is wrong, tell us and we'll fix it — getting it right matters more to us than the sale.