Cambridge is home to about 118,000 people. The above-average cost of living means adhd coaches charge more for services — but their software costs the same as everywhere else. Software costs hurt more where rent is already high.
ADHD Coaches in Massachusetts 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
Massachusetts has a 5% + 4% surtax over $1M income tax. Flat 5% income tax plus 4% surtax on income over $1M. High cost of living. Boston metro is expensive but high-demand market. No local income taxes.
When evaluating software costs, factor in your effective tax rate. A $888/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 adhd coaches in Cambridge juggle Calendly, Acuity Scheduling, HoneyBook, FreshBooks along with other platforms. That's $888/year in tool subscriptions. Within 5 years at today's prices, that stack costs $4,440.
Nexa means you own your business software. Your CRM, invoice management, booking, jobs, time tracking, and financial tools — in a single program. One click books a client. One click generates an invoice. No copying between apps. No integration hacks. No integration tax. It's a lifetime license — stop overpaying the moment you switch. For adhd coaches in Cambridge 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.
My 9am is a week-four check-in on a monthly four-session package, and she finally hit a five-day streak on her morning launch routine, so we spend half the call working out why day six fell apart (phone in the bedroom again). At 10 I run a body-double session: cameras on, mics muted, both of us working in silence for fifty minutes, with a two-minute check-in at the top and the bottom where she says out loud what she'll finish. Noon is my own admin block, which I protect with a timer like I tell my clients to. At 1 I do an intake with someone newly diagnosed, and I go through the executive-function questions: time blindness, task initiation, working memory, the wall of awful around email. Partway through he describes months of not sleeping and low mood, so I say plainly that coaching isn't therapy and give him two clinicians to call before we set goals. At 3 I host a group call for six clients doing a Pomodoro sprint and a weekly review. Two people no-show my 4pm, which is the diagnosis, not a slight, so at 5 I send friendly rebooking links and remind them the missed-session policy is in their agreement. At 7 I write session notes, check who logged their habit homework this week (three of six, which is normal), mark the body-double hours separately because they bill at a different rate, and send the renewal invoice for the package that ends Friday.
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 an adhd coach 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 February 4, 2025: Starter $19 to $36 (89%), Essentials $39 to $59, Premium $79 to $125 a month.
Source: Fstoppers (Jan 24, 2025)
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 adhd coaches in Cambridge — licensing requirements, local competition, startup costs, pricing strategy, and a 90-day action plan. $19.99 once.
Cambridge adhd coaches: own your business software.
Get Nexa — $279 OnceTry it risk-free for 30 days · lifetime license · Your data stays local
We build an adhd coach'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 an adhd coach — 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.