Grow Therapy vs Simple Practice: Which is Best for Therapists in 2026?

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Grow Therapy vs SimplePractice Comparison for Therapists

Choosing between Grow Therapy and SimplePractice is one of the most critical decisions you will make when launching your private practice in 2026. However, framing it as an “apples to apples” software comparison is a mistake. These two platforms serve fundamentally different purposes and represent two entirely different paths to private practice ownership.

At its core, Grow Therapy is a mental health network and marketplace. It acts as your business partner, handling insurance credentialing, finding clients, and managing billing, while you work as an independent contractor under their umbrella. In contrast, SimplePractice is a Practice Management and Electronic Health Record (EHR) software. It provides the tools you need—scheduling, charting, and billing software—but you remain the sole CEO, entirely responsible for your own marketing, insurance contracts, and business growth.

In this guide, we break down the fundamental differences between joining a network (Grow Therapy) and building a truly independent DIY practice (SimplePractice), helping you decide which path aligns with your career goals, financial needs, and desired level of autonomy.

The Core Difference at a Glance

Feature Grow Therapy SimplePractice
Primary Role Marketplace & Insurance Network EHR & Practice Management Software
Business Model Partner/Network (Contractor Model) DIY Tool (You Own 100% of the Practice)
Credentialing Handled for you under their group NPI You must credential yourself independently
Client Referrals Provided via their marketplace You must generate your own referrals
Cost Structure “Free” (They take a cut of the insurance reimbursement) Flat monthly subscription fee (e.g., $29 – $99/mo)
Independence Level Moderate (Tied to their network rules) High (Full autonomy and brand control)

Deep Dive: Grow Therapy (The Network Model)

Grow Therapy is designed to remove the administrative friction of starting a private practice. By joining Grow, you are essentially plugging into an existing group practice infrastructure as an independent contractor (1099).

Turnkey Insurance Credentialing

The most significant advantage of Grow Therapy is speed to market. Credentialing with major panels like Aetna, Cigna, or UnitedHealthcare independently can take 90 to 120 days. Grow Therapy credentials you under their group contracts, often getting you in-network and ready to see clients within 1 to 4 weeks. You do not have to negotiate rates or manage CAQH updates yourself; Grow handles the relationship with the payers.

Built-In Client Referrals

Grow Therapy operates a consumer-facing marketplace. Clients searching for therapy in your state can find your profile, see your availability, and book directly. For therapists who dread marketing, SEO, or paying for Psychology Today profiles, this built-in referral engine is a massive relief. You have the ability to filter the types of clients you want to see, but the pipeline is managed by Grow.

Guaranteed Billing & Administrative Support

When a session is completed, Grow Therapy handles the claims submission. More importantly, they guarantee your payout. If a claim is denied by the insurance company, Grow absorbs the delay and handles the appeals process, ensuring you are paid on a predictable schedule (usually weekly). They also handle client verification of benefits and collect copays or deductibles on your behalf.

The Trade-offs: Autonomy and Payout Rates

The convenience of Grow Therapy comes at a cost. Because they handle the heavy lifting, they take a percentage of the contracted insurance rate. Your payout per session will generally be lower than if you were directly paneled with the insurance company. Additionally, you are building a caseload within their ecosystem. If you ever decide to leave Grow Therapy, you cannot take those insurance contracts with you; you would need to start the credentialing process from scratch under your own practice NPI.

Deep Dive: SimplePractice (The DIY Model)

SimplePractice is the industry standard for therapists who want complete ownership of their business. It is a software platform, not a partner. You pay a monthly fee to use their tools, but you keep 100% of the revenue you generate.

Complete Practice Ownership and Brand Control

With SimplePractice, you are the CEO. You build your own brand, create your own website (SimplePractice offers a basic website builder), and set your own policies. You decide whether to take insurance, operate strictly cash-pay, or use a hybrid model. If you decide to move to a different EHR in the future, your practice, your brand, and your insurance contracts move with you without disruption.

Maximum Financial Return

Because SimplePractice does not take a cut of your session fees, your earning potential is higher. If you credential yourself directly with Blue Cross Blue Shield, you receive the full contracted rate for every session. While you pay a monthly subscription fee to SimplePractice (typically $69 to $99/month for the most popular tiers), the ROI becomes significantly higher as your caseload grows compared to giving up a percentage of every session to a network.

Customizable Clinical Tools

SimplePractice shines in its clinical features. It offers highly customizable intake forms, robust treatment plan templates, and flexible SOAP/Wiley note integrations. You can build the software around your specific clinical workflow rather than adapting to the rigid, standardized notes required by a marketplace platform.

The Trade-offs: You Are The Admin

The DIY model means you are responsible for everything. You must navigate the grueling 90+ day insurance credentialing process yourself. You are responsible for marketing, networking, and filling your own schedule. If an insurance claim is denied, you must spend the time calling the payer to resolve the issue. If a client disputes a charge or their credit card declines, it is your responsibility to collect the debt.

Infographic comparing Grow Therapy Network vs SimplePractice DIY EHR

The Revenue Gap Calculator

Compare the estimated monthly revenue difference between a direct-paneled DIY practice (using SimplePractice) vs joining a network (like Grow Therapy). *Assumes an average direct insurance rate of $120 and a network payout of $90.*




$2,301
Additional Monthly Revenue with DIY Model

The Verdict
Choose Grow Therapy if you prioritize speed, convenience, and guaranteed referrals, and are willing to trade a percentage of your income and autonomy for administrative peace of mind.

Choose SimplePractice if you want to build a long-term, independent brand, maximize your per-session revenue, and maintain absolute control over your business operations.

Want the Best of Both Worlds?

Independent Provider Bundle

$499/month

  • Maintain 100% Practice Independence
  • Keep Your Full Insurance Rates
  • We Handle Credentialing (Free)
  • We Handle All Medical Billing & Denials
  • Use SimplePractice or Your Preferred EHR

Keep Your Independence

Don’t give up a percentage of your income. Let us handle the admin while you keep control.

Frequently Asked Questions

No. Grow Therapy provides its own proprietary platform for scheduling, telehealth, and clinical documentation (notes). You do not need to pay for a separate EHR if you operate entirely within their network.

Yes, many therapists use a hybrid model. They use Grow Therapy to quickly build a caseload of insurance clients, while maintaining a separate SimplePractice account to manage their private-pay (cash) clients and build their independent brand.

No. SimplePractice is purely a software tool. While they offer features to help you submit insurance claims and track payments, the actual process of getting paneled (credentialed) with insurance companies is entirely your responsibility.

If you leave Grow Therapy, you lose access to their insurance contracts. To continue seeing those clients using their insurance, you must go through the credentialing process independently under your own practice NPI, which can cause a gap in care or payment.

Grow Therapy is free to join; they make money by negotiating a bulk rate with insurance companies and paying you a lower contracted rate. SimplePractice charges a flat monthly fee (ranging from roughly $29 to $99 depending on features), but you keep 100% of the revenue you generate.

Yes, SimplePractice includes a fully integrated, HIPAA-compliant telehealth platform, screen sharing, and an interactive whiteboard on its higher-tier plans. Grow Therapy also includes built-in telehealth for all sessions conducted through their platform.


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