SimplePractice is a polished practice management platform built for solo mental health therapists. ClinicNote is a full-suite EMR built specifically for speech-language pathology clinics, including private practices and university training programs.
If you're a CCC-SLP, practice owner, or clinic director looking for purpose-built tools for speech therapy documentation, supervision, and insurance billing, here's what you need to know.
SimplePractice was designed for private practice therapists, primarily mental health counselors, psychologists, and social workers. It's a well-designed platform that handles scheduling, notes, and billing in a clean interface.
But it wasn't built with speech-language pathology in mind. That matters more than it sounds.
ClinicNote was built from the ground up for allied health clinics, with speech-language pathology as a core discipline. With 117 speech clinics on the platform and 7,000+ active users across 13 disciplines, ClinicNote understands the specific documentation requirements, supervision workflows, and billing structures that SLPs deal with every day: articulation disorders, language delays, fluency disorders, voice disorders, dysphagia, aphasia, and AAC.
| ClinicNote | SimplePractice | |
|---|---|---|
| Built for SLP | Yes, SLP is a core discipline | No, built for mental health therapy |
| University clinic support | Yes, purpose-built for training clinics | No |
| Supervisor/student workflows | Yes, real-time co-documentation and approval | No |
| SLP-specific templates | Yes, SOAP notes, treatment plans, evaluations, lesson plans | Generic therapy notes |
| Disciplines supported | 13, including SLP, audiology, OT, PT | Primarily mental health |
| HIPAA compliance | Yes | Yes |
| MFA + IP restrictions | Yes | MFA only |
| Insurance billing | Yes, clearinghouse integration | Yes |
| Patient portal | Yes | Yes |
| Scheduling | Yes | Yes |
| University IT compliance | Yes | Not designed for this |
| Time to learn | 1-2 hours | Several hours to days |
| Pricing model | Custom (transparent, affordable) | Per clinician/month |
SimplePractice offers progress note templates that work well for mental health practitioners. The interface is clean and note-writing is generally smooth. However, the templates are designed around psychotherapy notes, not speech-language pathology documentation.
SLPs need SOAP notes structured around the actual work of speech pathology: articulation and phonological targets, expressive and receptive language milestones, fluency and stuttering measures, voice quality and resonance, swallowing function and dysphagia management, aphasia treatment goals, and AAC device usage. SimplePractice's generic note formats require significant customization to get anywhere close, and even then they weren't built with the SLP clinical workflow in mind.
For private practice SLPs, that mismatch costs real time. When you're charting after every session and billing multiple CPT codes across a mixed caseload, you need a platform that already knows the difference between 92507 and 92521. With SimplePractice, you're building workarounds every time you sit down to chart.
ClinicNote ships with pre-built templates for every stage of the SLP clinical process: intake forms, evaluation reports, lesson plans, SOAP notes, treatment plans, and progress documentation. Templates are available as narrative formats or fillable electronic forms, depending on your documentation style.
Thousands of diagnosis codes are supported, and more are added on request. Speech therapy CPT codes integrate directly into documentation, so billing follows naturally from the clinical note rather than requiring separate re-entry. You document a dysphagia session, the right codes are linked, and the claim is ready to send without switching systems.
Bottom line: SLPs using SimplePractice spend more time adapting generic tools. ClinicNote works out of the box for speech therapy documentation.
This is where the platforms diverge most significantly for university programs and clinical fellowship sites.
SimplePractice has no concept of clinical supervision workflows. It's designed for independent practitioners who own their caseload and sign their own notes. There is no mechanism for: - Supervisors reviewing student documentation in real time - Supervisors providing in-document feedback before notes are finalized - Document completion tracking across a student caseload - Student-level permission restrictions (students seeing only their assigned patients)
For clinical fellows (CFs) completing their ASHA supervision hours, or for university training clinics where faculty supervise student clinicians, this is a fundamental gap. ASHA requires supervisors to observe, review, and co-sign clinical work. SimplePractice provides no infrastructure to do that inside the platform.
ClinicNote was designed with clinical supervision at its core. Supervisors can:
Review student documentation in real time before it's finalized
Provide feedback directly within the platform - Verify document completion across all student clinicians
Restrict student access to their assigned patients only (caseload-level permissions)
Apply IP address restrictions so students can only access patient records from approved locations
For university SLP programs, clinical fellowships, and any clinic with supervision requirements, this isn't a nice-to-have. It's the difference between compliant and non-compliant documentation.
SimplePractice charges per clinician per month, with tiered plans based on features. Costs scale as your practice or clinic grows, and some features (like telehealth and certain billing tools) are gated to higher tiers.
ClinicNote's pricing is customized to your clinic's size and structure, transparent and built to be affordable for university clinics and small-to-medium private practices. Rather than forcing you into a per-seat model that penalizes growth, ClinicNote works with you to find a structure that fits.
For university clinics running on grant funding or sliding-scale revenue, the pricing model matters as much as the feature set.
SimplePractice has earned a reputation for having one of the better user interfaces in practice management software. Onboarding is largely self-serve, and most solo practitioners can get up and running in a day or two.
ClinicNote's basics are mastered in 1-2 hours of virtual training. That speed matters in university settings, where a new cohort of student clinicians arrives every semester and needs to be productive quickly. It also matters in private practices where new staff need to start billing from day one. Comprehensive training is provided, not a video library left for clinicians to work through on their own.
SimplePractice offers email support, live chat, and an extensive help center. Support quality is generally rated well for routine questions, though complex issues can take time to resolve.
ClinicNote's support model is genuinely different. As Stacey Nye, Clinic Director at the University of Wisconsin-Milwaukee, put it: "My favorite thing about ClinicNote is the customer support. Everyone has been so incredibly patient and willing and generous with their time."
Custom reporting built for urgent compliance needs was delivered within one week. Diagnosis codes are added at client request. This is the kind of responsiveness that comes from a team that sees your clinic as a partner, not a ticket number.
SimplePractice is a strong choice if:
You're a solo mental health therapist or counselor
You don't have clinical supervision or student training requirements
You primarily use mental health CPT codes
You want a largely self-serve setup with minimal IT involvement
Ideal SimplePractice customer: Independent mental health practitioners who want polished, general-purpose practice management software.
ClinicNote is built for you if:
You're an SLP in private practice or running a speech therapy clinic
You treat across disorder types: articulation, language, fluency, voice, dysphagia, aphasia, AAC
You supervise clinical fellows, student clinicians, or interns toward their ASHA hours
You need SLP-specific documentation templates out of the box, without building them from scratch
You want speech therapy billing built into your documentation workflow, not bolted on separately
Your clinic is part of a university and needs to meet IT compliance requirements
You serve multiple disciplines (SLP, audiology, OT, PT) under one roof
Ideal ClinicNote customer: SLP private practice owners, clinic directors, and university training program coordinators who want purpose-built tools, not generic therapy software retrofitted for speech pathology.
If you're currently using SimplePractice and considering ClinicNote, here's what the transition looks like:
"My favorite thing about ClinicNote is the customer support. Everyone has been so incredibly patient and willing and generous with their time."
Stacey Nye, Clinic Director, University of Wisconsin-Milwaukee
ClinicNote offers a free 60-minute demo with faculty and decision-makers. You'll see the platform built for how SLP clinics actually work, not adapted from tools built for someone else.
Does SimplePractice work for speech-language pathologists? SimplePractice can be used by SLPs, but it wasn't designed for speech pathology. You'll need to build custom note templates and won't have access to SLP-specific workflows, supervision tools, or university clinic features. ClinicNote is purpose-built for SLP.
Can ClinicNote handle both university and private practice SLP clinics? Yes. ClinicNote was specifically designed for both settings. University clinics get supervisor-student collaboration tools and cohort training. Private practices get billing integration, custom templates, and flexible scheduling.
What happens to my SimplePractice data if I switch to ClinicNote? Historical records can be migrated as PDFs. ClinicNote's team guides you through the migration process during onboarding.
Does ClinicNote support AAC documentation? Yes. Augmentative and Alternative Communication (AAC) is one of the 13 supported disciplines.
Does ClinicNote support the CPT codes I use for speech therapy billing? Yes. Speech therapy CPT codes are built into the platform and link directly to clinical documentation, so you don't re-enter billing information after charting.