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Bookkeeping software for therapists in private practice

You bill clients on a schedule, work alone, and want something that stays out of the way at tax time.

US list prices in USD, read from each vendor's public pricing page on Nov 14, 2026. Intro discounts are not counted. Sources.

Top matches for therapists in private practice

We scored a typical setup: 1 user, about 30 invoices a month, an accountant. Your answers may differ, so the quiz is the better test.

Your match

1. FreshBooks

  • Strong invoicing
  • Easy to learn

Paid plans from $23/mo.

Visit FreshBooks

2. Wave

  • Strong invoicing
  • Easy to learn
  • Free or low-cost entry

Free plan available. Paid plans from $19/mo.

Visit Wave

3. Xero

  • Widely used by accountants

Paid plans from $27/mo.

Visit Xero

All five, scored

ToolFit scoreCheapest option
FreshBooks13Paid plans from $23/mo.
Wave13Free plan available. Paid plans from $19/mo.
Xero12Paid plans from $27/mo.
Zoho Books12Free plan available. Paid plans from $20/mo.
QuickBooks Online7Paid plans from $38/mo.

Fit score is the sum of weighted ratings on How we score. Higher is a better fit.

Fit ratings

Our fit ratingQuickBooks OnlineXeroFreshBooksZoho BooksWave
PayrollStrongGoodLimitedLimitedLimited
InventoryStrongGoodMinimal or noneStrongMinimal or none
InvoicingGoodGoodStrongGoodStrong
Accountant accessStrongStrongGoodGoodLimited
Several usersStrongStrongLimitedGoodLimited
Ease of learningGoodGoodStrongGoodStrong
Free planMinimal or noneMinimal or noneMinimal or noneGoodStrong

Ratings are our editorial judgments, published on How we score. They are not vendor claims.

Take the 90-second quiz  The quiz needs no email or phone number.

General software matching only. For tax rules that apply to therapists in private practice, ask a tax professional.

How we are paid. Vendor links on this site go straight to each vendor's own pricing page. They are not referral links today, so we earn no commission from them. We plan to join vendor referral programs. When those links go live they will earn us a commission, this notice will say so, and results will still ignore commissions. This is software matching, not accounting or tax advice. Read the details.