SimplePractice vs Nexa The Real Comparison for Therapists
SimplePractice
$79/mo ($948/yr)
VS
Nexa
$279 once — own forever
or 3 payments of $99
Break even: 3.5 months. Save $2,902 over 3 years.
"I compared SimplePractice and Nexa side by side. The math wasn't even close. $3,181 over 3 years vs $279 once. Switched and never looked back."
— Therapist, Nexa customer
The verdict for therapists: SimplePractice is solid software, but at $79/month it costs $3,181 over 3 years. Nexa does most of what SimplePractice does for $279 once. For solo therapists and small teams, Nexa is the better deal.
Choose Nexa if:
You're done paying monthly forever
You're a solo operator or small team (1-5)
You need scheduler, Connect CRM, Invoicing in one purchase in one tool
You're tired of price increases
You want to own your tools like you own your equipment
Choose SimplePractice if:
You have a large team (10+) needing enterprise features
You're deeply invested in SimplePractice's specific workflow
You need a feature Nexa doesn't have yet
What SimplePractice Actually Costs Therapists
The 3-Year Damage
Year 1$948
Year 2 (+11.4% inflation)$1,056
Year 3$1,176
Total lost to SimplePractice$3,181
Nexa: $279. Once. You keep $2,902. And you own it — no more "we're updating our pricing" emails.
Your SimplePractice subscription has cost you $0.00 since you opened this page.
Feature-by-Feature
Feature
SimplePractice
Nexa
Invoicing
✓
✓
Scheduling
✗
✓
CRM
✗
✓
Time Tracking
✗
✓
Full Accounting
✗
✓ (SIMPL)
Task Management
✗
✓
Price
$79/mo
$279 once or 3 × $99
3-Year Total
$3,181
$279
You own it?
No — stop paying, lose access
Yes — forever
"The feature comparison convinced me. Nexa does 90% of what SimplePractice does — for 10% of the 3-year cost. And I actually own it."
— Therapist
Calculate Your Full Stack
SimplePractice plus whatever else you're paying for:
Email yourself this comparison?
Switching from SimplePractice
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.
✓ 30-day money-back guarantee. Zero risk.
Therapists are switching from SimplePractice every week.
The math doesn't lie.
What This Means 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 deal with unique challenges that generic software was not built for: 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. SimplePractice charges $79/month on top of these daily realities. The median therapist earns $52,000/year — $948/year in software subscriptions is a significant percentage of that income, paid every year, forever.
Nexa is $279 once. Invoicing, scheduling, CRM, time tracking, accounting — all connected, built for therapists. You own it like you own your Private office or teletherapy setup.
What therapists actually deal with
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
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
Private office or teletherapy setup
HIPAA-compliant video platform
Assessment and intake form tools
Professional liability insurance
Why therapists leave the big platforms
simplepractice: $69-99/month and it's become the industry default. That's $828-1,188/year. Good software but expensive for solo practitioners.
theranest: $39-68/month. Cheaper than SimplePractice but the interface is dated and teletherapy integration is clunky.
acuity: Scheduling only. No notes, no superbills, no insurance billing. You need a full EHR on top of it.
Where therapists actually talk shop
r/therapists (Reddit)
r/psychotherapy (Reddit)
r/TalkTherapy (Reddit)
r/privatepractice (Reddit)
Psychology Today Community (Forum)
Private Practice Skills (YouTube)
Brighter Vision (YouTube)
TherapyDen (YouTube)
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 solo therapists and small teams, yes. invoicing, scheduling, CRM, time tracking, task management, and full accounting — all for $279 once. SimplePractice may be better if you have a large team (10+) or need enterprise-specific features.
What does SimplePractice do that Nexa doesn't?
SimplePractice has features like Best-in-class client portal/onboarding and HIPAA compliant that some businesses rely on. For most solo therapists, these aren't dealbreakers.
How fast does Nexa pay for itself?
At $79/month, Nexa pays for itself in 3.5 months. After that: $948 saved every year.
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.
"$3,181 over 3 years to SimplePractice. Or $279 once for Nexa. I own my tools now. No more renting software."