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Cohessra

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Practice software for counselors.

Cohessra is built for mental health counselors in cash-pay private practice: LedgerCare runs invoices and payments, and ClientConnect gives clients one place to pay, schedule, message, and share files.

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A small room with a sofa, an armchair and a rug in front of a window with a roman blind — CounselorsLedgerCareClientConnect

What changes with Cohessra.

LedgerCare
Invoices, from sent to paid
Generate invoices, attach supporting files when needed, and track outcomes from sent to paid in invoice management software that handles every step inside one platform.
ClientConnect
Reminders that go out for you
Clients get notified about new invoices, unread messages, and upcoming appointments automatically, so your team sends fewer reminders and clients arrive prepared.
ClientConnect
Messages that stay off email
Keep every conversation inside a secure client messaging thread that doesn’t get buried in inboxes.
ClientConnect
Intake forms and files in one place
Send intake forms, consent documents, and session files through a secure document sharing portal.

The plan that fits.

1 practitioner
Solo
$39/mo
or $33/mo billed annually ($396 a year)
For one practitioner and one location.
- 1 practitioner
- 1 location
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Most Popular
Practice
$89/mo
or $75/mo billed annually ($900 a year)
For up to 3 practitioners and 3 locations.
- Up to 3 practitioners
- Up to 3 locations
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Every plan includes a 30-day free trial after your demo.

Compare every plan

FAQs

Frequently asked.

Questions

Cash-pay practice management software for solo practitioners and small clinics needs invoicing, a client portal, and scheduling without insurance overhead. Cohessra is cash-pay practice management built for therapists, counselors, and dietitians in one affordable practice management software platform.

Map Cohessra to Your Practice

We’ll tailor the walkthrough to how your team bills, schedules, and communicates, and then recommend the right starting plan for your cash-pay private practice.

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Demo notes

This is a demo build. Values marked * are samples until Cohessra confirms them. Facts, prices, product words and articles are taken from their own site; section headings and short labels are ours.

Demo times45-minute weekday times, 10:00 AM to 5:00 PM US EasternSample times, built in the browser from today's date: the next 15 weekdays, US federal holidays skipped, and times already past on the current day disabled (the page's own list of 20 weekdays is the fallback with JavaScript off). Their real build keeps their own booking service, which offers 45-minute weekday slots; this demo does not contact it.
AuthorsVictor, Segun O, Pooja RaniCohessra supplies the author's bio and photo. Their site gives only a first name or a short name, no role, no bio, no photo.
Pages not on their siteContact, Appointments, five profession pages, Chicago, IllinoisBuilt because the job post names them. Appointments says plainly that scheduling ships inside ClientConnect; the profession pages use only their own product words and plan caps.
Location pagesChicago, Illinois is the template for the other six locationsThe Chicago page has two blocks. The Illinois block (who licenses the five professions, and the state's mental health records law) is the shared state block. The Chicago block holds facts that apply only inside the City of Chicago: the business license exemption, the minimum wage, paid leave and sick leave, the required notices, and the City's mental health services. Each fact is from a chicago.gov or cookcountyil.gov page, with its source listed on the page. The page says nothing about Cohessra beyond what their own site says: no office, team, customers or local promise. Each of the other six locations (Lake County, Milwaukee, Indianapolis, Dallas, Miami, Albuquerque) would get its own page with its own local facts, researched the same way, on top of a shared state block. Lake County would get county-level facts, so the two Illinois pages differ and neither repeats the other under a new heading.
PhotographyStock photographs with no identifiable peopleLicensed stock, replaced with Cohessra's own photographs when they have them. Every article cover is a stock photograph chosen for its subject, with no one identifiable. Their four illustrated covers are optimised and ready to restore: four PNGs of about 2 MB each (8.1 MB in all) became AVIF files of 26 to 50 KB at 1200 px (149 KB in all).
Pricing table33 rows, as on their pricing pageThree row names are reworded to their hedged security words (HIPAA-ready messaging, BAA available where applicable, secure storage practices) in place of 'HIPAA-compliant' and 'HIPAA BAA included'.
Their legal pagesNot rebuilt; two footer linksThe demo builds no legal pages. The footer links their current Privacy Policy (cohessra.com/legal/privacy) and Legal overview (cohessra.com/legal). Their Business Associate Agreement page is not linked from the new footer while its final text is with legal counsel: their own BAA page says the final executed BAA will be provided by legal counsel.
Security wordingTheir HIPAA-compliant lines are shown in their own hedged words, or left out; one insurance line is read with the plansThe job post forbids unsupported HIPAA claims, and their Security page says HIPAA-ready, designed to support compliance programs, with a BAA available where applicable. So where their pages call Cohessra or LedgerCare HIPAA-compliant, this build leaves the words out or uses their hedged ones. Home: the sentence in the hero lead, the clause in the Secure Portal + Messaging step, the platform block's sentence and the HIPAA-Compliant Billing Software heading over the security card. Products: ClientConnect's HIPAA-compliant messaging reads secure messaging. LedgerCare: the HIPAA Compliant Billing Software heading and sentence are left out, and the MFA heading reads MFA sign-in. ClientConnect: the security card's HIPAA Compliant Messaging heading and sentence are replaced by plain ones, and the Secure Messaging line uses the sentence from their FAQ. Pricing: three table rows (see the Pricing table row). Articles: see the Articles row. Security: the FAQ 'What makes practice software HIPAA-ready?' is shown, with their phrase 'provides a BAA for healthcare customers' changed to 'has a BAA available where applicable'. Their Products page says LedgerCare has 'no insurance workflows', while the Practice and Clinic plans list an Advanced claim tracker; the demo keeps each where they put it, and the LedgerCare card on /products/ adds '(the claims tracker is on the Practice and Clinic plans)' so the two read together. Cohessra confirms the wording.
Old addressesTheir existing links redirect permanently to the new pagesEach of their 12 posts at /blog/<post> goes to /resources/<post>/, /blog to /resources/, /products/ledger-care to /products/ledgercare/, /products/client-connect to /products/clientconnect/, /book-demo to /book-a-demo/ and /support to /contact/, so none of those ranked addresses is lost when the new site goes live. Their four legal pages (/legal, /legal/privacy, /legal/baa and /legal/authorized-user-policy) are out of this demo's scope and stay as they are on their current site; there is no redirect for them.
Product screensInvoice numbers, amounts, the message and intake.pdf are illustrativeTaken from the coded screens on Cohessra's own home page.
Home FAQ'Which practice management software is best for therapists?' is left outThe question asks which software is best, a superlative the demo does not repeat. Cohessra can restore it.
Product FAQsSome LedgerCare questions are left out, two ClientConnect scheduling questions are backLedgerCare's 'What is the best billing software for private practices?' is left out (a superlative, as on the home page). Its 'How does subscription billing software work in LedgerCare?' is left out because automatic charging and 'save hours' appear on none of their product or pricing pages. ClientConnect's two scheduling questions ('How does scheduling work for therapists?' and 'How do automatic appointment reminders work?') are back, with only the reminder-cadence clause aligned to their pricing table: automatic reminders on every plan, configurable reminder cadence on the Practice and Clinic plans. Cohessra can restore any of them.
Articles12 articles, their words, with the changes listed hereText is verbatim except for the following. Dashes became commas or hyphens; question headings that were H1s became H2; five page titles are shortened to 60 characters; web addresses written out in article text show without https://. Nine of the 12 articles open with their answer-first summary above the byline; the other three (Who Owns Your Client Data, Why Solo Cash-Pay Therapists Don't Need an EHR, Why Are Top Private Practices Switching) have no such summary on their site and open on their own text. Six article meta descriptions that their site cut mid-word, cut short or left without a full stop now end at the end of a sentence, using only their own words: Google Forms (the first two sentences of its summary), Secure File Sharing and Out-of-Network (their own sentence with its missing full stop added), Medical Billing (one sentence from the article, 'Each state sets its own covered CPT codes, modifier rules, and enrollment steps, so software that bills Medicaid cleanly in Texas can fail in New York.'), Best EMR (its first Key takeaways sentence) and How to Get Private Pay Clients (the second sentence of its summary). The Why Do Cash-Pay Therapy Practices description is the first sentence of theirs, and the two articles with no meta description on their site (Why Solo, Why Are Top Private Practices Switching) use the article's opening sentences. Where an article states something their own Pricing or Security page does not, the sentence is cut or reworded to those pages' words. (1) Trial: 'no credit card required' (Why Solo Cash-Pay Therapists Don't Need an EHR, Out-of-Network vs. Cash-Pay), 'setup takes about 15 minutes' and 'start your free trial' (Why Solo) and 'runs the same trial' (Best EMR for Cash-Based Practice) now say to book a demo, with every plan's 30-day free trial after it, or are cut where a demo line already follows. (2) Pricing: per-provider pricing and 'six times the solo rate' (Best EMR, with its pricing table), 'up to nine practitioners' and an unlimited Clinic plan (Why Do Cash-Pay Therapy Practices Need Different Software), and a line saying Cohessra does not suit group practices (Google Forms) now match the plan table: Solo 1 practitioner, Practice up to 3, Clinic up to 10. The $39/month line in Why Solo Cash-Pay Therapists Don't Need an EHR now names the Solo plan and says it covers invoicing and payments, with superbills starting on the Practice plan at $89/month, and in Best EMR's pricing table Cohessra's Solo cell adds 'superbills from Practice', and Why Solo's savings line adds the Practice plan figure (about $720-$2,520 a year), because both articles list superbills among what a cash-pay practice needs. In Secure File Sharing, the opening paragraph and the folder paragraph no longer read as if clients download superbills on every plan: superbills are on the Practice and Clinic plans only, as the plan table shows (file sharing itself stays on every plan, and the first Key takeaways line is their own sentence). (3) HIPAA, BAA and encryption: HIPAA-compliant became HIPAA-ready (Out-of-Network vs. Cash-Pay); 'every plan includes a BAA you sign during setup', what the BAA covers, AES-256 and TLS, per-file access logs, 'BAA framework published for review' and the 'BAA template' address now use their Security page words (encrypted transport, secure storage practices, role-based access, BAA available where applicable). Also in this group: in Why Solo Cash-Pay Therapists Don't Need an EHR, 'HIPAA compliance with a signed BAA is included' and 'not bundled, but both covered' now say HIPAA-ready, with a BAA available where applicable; in Who Owns Your Client Data, 'You can review the Business Associate Agreement before purchasing' now says you can request it, where applicable; in Secure File Sharing, the headings 'Encryption in transit and at rest' and 'Audit logs and access history' now read 'Encrypted transport and secure storage' and 'Access controls and accountability'; in Best EMR, the FAQ answer that names Cohessra adds 'HIPAA-ready, with a BAA available where applicable'; in Are Google Forms HIPAA Compliant, 'handles intake under its own BAA' now says where a BAA applies, and 'access controls and audit logging' reads role-based access controls; in Secure File Sharing, the opening line and the meta description say 'encrypted transport, secure storage practices and role-based access' (the description in a shorter form) where they said 'encrypted, access-controlled storage'. (4) Claims about Cohessra their site does not make: superbills on the Solo plan (now said to be on the Practice and Clinic plans in Why Solo, Dietitian, Out-of-Network, Secure File Sharing, Google Forms, Medical Billing, Best EMR and Private Pay, wherever Cohessra is said to do them), claim scrubbing and eligibility checks, SOAP notes, and notes as part of the Solo plan (Dietitian), a support team that maps SOAP templates (SOAP Notes), card-on-file automatic charging and autopay (Why Solo now says payment processing; Best EMR drops its 'fixed session fee' trade-off), package pricing (Best EMR now says to ask to see it in the demo), 'Clean financial reporting' as a LedgerCare feature (their pricing table lists reports as coming soon), 'fifteen years of advising independent clinics', 'dozens of independent practices', practices 'switching to Cohessra', the LedgerCare days-in-A/R figures with the paragraph built on them and the 'drawn from HFMA and MGMA' line (Why Are Top Private Practices Switching), 'exactly the gap Cohessra was designed to close' (now: LedgerCare includes a claims tracker on its Practice and Clinic plans so claims don't quietly disappear), and a help center are cut or reworded. The rest of (4), by article. SOAP Notes: Cohessra is no longer named as a place to keep SOAP notes, and the competitor names that stood beside it in the vendor lists went with it, so the sentences now say an EHR under a signed BAA, with no link. The line offering the Solo plan's pricing for documentation is cut. Medical Billing: 'including us' is cut from 'Any vendor worth a switch', the offer from Cohessra Support to walk through a state's claim requirements is cut (no claim submission), and where the article said Cohessra does superbills, eligibility checks and claim scrubbing it now says cash-pay invoicing and payments, with superbills on the Practice and Clinic plans. Also in Medical Billing: 'SOAP notes' is cut from the core loop the three tools share, 'is built for that workflow' reads 'covers invoicing, payments, and a client portal', and the sentence that set the Solo plan against the superbill-and-spreadsheet gap now says the Solo plan covers the invoicing and payments side, with superbills on the Practice and Clinic plans. Private Pay: 'Your billing stack only needs superbills, card payments...' now reads card payments, invoices and a client portal, which LedgerCare and ClientConnect cover, the portal no longer 'handles superbill delivery', 'strips billing down to invoices and superbills' reads invoices and payments, and 'our tools breakdown covers what that looks like at $39/month' loses its price (superbills are on the Practice and Clinic plans, not the $39 Solo plan). Why Are Top Private Practices Switching: in the comparison table, Cohessra's cells 'One-click from session data' and 'Built-in for billing health visibility' now read 'Practice and Clinic plans' and 'MFA-supported sign-in, role-based access', the claims tracker cell reads 'Built-in claims tracker with status flow (Practice and Clinic plans)', as the superbill cell does, and the Days in A/R and A/R Over 90 Days rows are cut; 'The shift to Cohessra's purpose-built billing software' no longer names Cohessra. Secure File Sharing: 'alongside your SOAP notes' reads 'inside the client's record', 'about five minutes' is cut, and the per-file audit-log answers are replaced by role-based permissions and authentication controls plus 'We'll confirm what access history is available during your demo'. The line saying current limits are documented on their support page is cut (their support page documents no file limits). Google Forms: 'superbill-ready SOAP notes', 'superbill data and SOAP notes pull from the same record' and 'superbills generate from the same record' are cut or reworded, and superbill generation is said to be on LedgerCare's Practice and Clinic plans. Best EMR: automatic superbill delivery to the client's portal, card-on-file automatic charging and package pricing as built-in features are cut or reworded, 'at $39/month it usually costs less than the time it replaces' loses its price, since it sat beside superbills, and with the automated delivery gone the heading 'Superbill workflow: manual PDF vs automated delivery' reads 'Superbill workflow: what to check' and 'The honest tradeoff: a superbill does not submit claims for you' reads 'Either way, a superbill does not submit claims for you'. Also in Best EMR, 'Every option in this comparison, including Cohessra, gets measured on those four criteria' reads 'Every option in this comparison gets measured on those four criteria', because with superbills on the Practice and Clinic plans, package pricing left to the demo and no automatic card-on-file charging, Cohessra's Solo plan would not meet the article's own four tests; Cohessra confirms whether the article or their pricing table is right. Dietitian: 'package tracking' is cut from the line saying the Solo plan handles invoicing and package tracking. (5) 'See our BAA overview' (Google Forms) and the BAA template mention in Who Owns Your Client Data now go to the Security page. Their links to their BAA page are dropped in SOAP Notes (the sentence now names no vendor and links nothing) and in Why Do Cash-Pay Therapy Practices Need Different Software, where 'Demand the BAA' stays as words. In Who Owns Your Client Data, after the article's test ('A platform that publishes its BAA template openly') one sentence is added, 'Cohessra publishes a BAA template on its legal pages' (their site has that page, marked a draft template, v0.1, and this demo does not link it), and the two near-identical request sentences under Where Cohessra Stands are now one: 'You can request the Business Associate Agreement, where applicable, before any PHI enters the platform.' Cohessra decides whether to keep the new sentence while that page is a draft. (6) Dates: all 12 articles carry edits listed in this row, so each shows 'Updated Nov 9, 2026' beside its published date, and its structured-data dateModified and its sitemap lastmod are 2026-11-09; the published dates stay theirs. That date is the day this aligned text ships and moves if Cohessra approves it later. Their plain slips (a product name written 'Ledger Care', stray quote marks, a heading run into a paragraph, a second title run into the Best EMR summary, a sentence split across two paragraphs, a link that went to the home page where it meant pricing) are corrected without a note. Cohessra confirms every line.
Competitor pricesShown as their articles state them, with their datesCompetitor prices in the articles are as Cohessra published them, with their dates; worth re-checking before launch.
Topic hubsOne resource hub with four topic filters; topic pages come with more articlesTheir 12 articles sit in four topics today: Billing 4, Practice growth 4, Compliance 3, Client portal 1. A topic page with one article would be a thin page, so the demo filters the topics on /resources/ instead. Once each topic holds enough articles, each gets its own crawlable page (such as /resources/topic/billing/) from the same card template, linked from the filter, listed in the sitemap and marked up as a collection with breadcrumbs.
AnalyticsTheir GA4 and Apollo tags are not loaded in this demoAt launch they need a consent banner like the one on their current site; the build already pushes CTA and demo events to a dataLayer for them, and the report-only CSP needs their analytics domains added before it is enforced.
Contact formSends nothing in this demoThe form checks its fields and then says plainly that nothing was sent; the phone number and the support email are the way to reach Cohessra. Where the live form sends its messages is for Cohessra to supply.
Support FAQsThree of their five support questions are on the Contact page, two are left outTheir Support page (the address /support now goes to /contact/) has five questions. 'How does private practice software onboarding work?', 'Do you offer dedicated support?' and 'Is clinic software training included?' are on the Contact page with FAQPage data, in their words with stacked search phrases cleaned ('practice software customers can rely on', 'founder onboarding software'). 'How do I contact Cohessra support?' and 'Where can I get help with therapy software?' are left out: they point to a Support page of sign-in, billing and client portal articles that does not exist in this demo, and the Contact page already gives the phone number, the email and the support tiers by plan. Cohessra can restore them.
Booking flowSends nothing, books nothingThe three steps check the visitor's answers, then open the confirmation page, which is filled from the name, email, date and time kept in that browser tab. Nothing leaves the browser. The live site books against Cohessra's own calendar; opened with no request in the tab, the confirmation page shows a plain prompt to book instead.

This is a demo build. Values marked * are samples until Cohessra confirms them. Facts, prices, product words and articles are taken from their own site; section headings and short labels are ours.