Who it's for
Practice Management Software for Counselors and LPCs
Prexella is practice management software for counselors, LPCs and LMHCs in private practice: online booking, e-signed intake, group sessions, prepaid credits and superbills, all under your own practice name.
- Runs on your own domain
- ESIGN and UETA e-signatures
- Group and individual sessions in one calendar
- Set up for you
Last updated 10/10/2026 · Competitor pricing and features verified 10/10/2026
Why counselors outgrow separate tools
Counselors in private practice often juggle a scheduler, a forms service, a card reader, a reminder service and a spreadsheet, plus a separate template for superbills. Group clients and individual clients end up in different places, consent forms are tracked by hand, and every tool adds its own monthly fee.
Prexella keeps one record per client, whether they come to an individual session, a weekly group or both. The booking creates the client, forms are signed in the portal, sessions appear in one calendar, payment attaches to the session, and the superbill is built from sessions that already happened. It is designed for private-pay and out-of-network counseling practices, and for counselors who want their practice, not a software vendor, to be the name clients see.
Built for counselors
Three workflows cover most of a counselor's week. Here is how each runs in Prexella.
Workflow 1
Intake and informed consent signed before the first session
A new client books online and is guided straight into the client portal, where your intake form, informed consent, telehealth consent and privacy notice wait to be signed. Each signature records the typed name, the drawn signature, a timestamp, IP address and device, so you have an ESIGN and UETA audit trail without printing anything.
Workflow 2
Group counseling alongside individual clients
Offer a weekly group as its own session type with its own fee, next to your individual sessions in the same calendar. When you build a superbill, sessions named as groups are suggested as 90853, and you can change any line before the PDF is generated.
Workflow 3
Prepaid credits and reduced-fee spots
Clients who come weekly buy a block of session credits in the portal, and each completed session draws one down, so you are not chasing payments. For reduced-fee spots, create a promo code that discounts the session at checkout instead of keeping a separate list of who pays what.
What practice management software for counselors should include
- Online bookingPrexella is online booking software for therapists that lets new and returning clients choose a session, telehealth or in office, an open time and pay by card, on your own domain and without a phone call.
- Client portalPrexella is client portal software that gives every client one place, on your domain, to book and reschedule, sign forms, pay, message you and complete check-ins between sessions.
- ESIGN and UETA e-signaturesPrexella gives you e-signature for therapy intake forms built into the practice: clients sign intake, consent, telehealth and financial forms online, and each signature is stored with an ESIGN and UETA audit trail.
- Prepaid session creditsPrexella turns prepaid therapy sessions into a credit balance: clients buy credits or a package up front, every session they book draws from that balance, and the reminders to top up go out automatically.
- One-click superbillsPrexella is superbill software for therapists that builds an insurance-ready PDF from a client's completed sessions in one click, with CPT, ICD-10, NPI and EIN already filled in.
- Telehealth in the same calendarPrexella handles telehealth scheduling for therapists in the same calendar as in-office sessions: clients choose the visit type when they book, and the right video link reaches them by email and in their portal.
- PHQ-9, GAD-7 and C-SSRS screeningsPrexella puts PHQ-9 GAD-7 online screening in the client portal: clients complete validated check-ins between sessions, each one is scored when it is submitted, and the result is saved to the client's record for you to review.
- White-label on your own domainPrexella is white-label practice management software: booking, the client portal and every email run on your own domain under your practice's name, on an instance that belongs to your practice alone.
Online booking checks every slot on the server before confirming it, so two clients cannot take the same hour and no one can book a date in the past. E-signatures cover intake, consent and releases. Session credits let weekly clients prepay. The client portal brings it together for clients, under your own name.
Superbills for out-of-network clients
Many counseling clients pay privately and claim part of the fee back from their insurer. A superbill missing an NPI, tax ID or diagnosis code gets rejected, and building one by hand each month takes unbilled time.
The CPT codes counselors bill most, ready on every superbill
Prexella suggests a code from each session's length and type, and you confirm or change it before the PDF is generated. You choose the diagnosis; Prexella formats it.
| Code | What it covers |
|---|---|
| 90791 | Psychiatric diagnostic evaluation (the intake session) |
| 90832 | Psychotherapy, 30 minutes |
| 90834 | Psychotherapy, 45 minutes |
| 90837 | Psychotherapy, 60 minutes |
| 90853 | Group psychotherapy |
Every Prexella superbill carries your practice name, credentials, NPI, EIN, license number and taxonomy code, the client's details, the ICD-10 diagnosis you enter, each date of service with its CPT code and place of service, and the fees paid. The full field list is on the superbill feature page.
How Prexella compares with SimplePractice
SimplePractice is the system many counselors start with. The full side-by-side is in Prexella vs SimplePractice, and a wider comparison is in SimplePractice alternatives.
| Prexella | SimplePractice | |
|---|---|---|
| Pricing model | One flat fee for the practice | $49–$99/mo per account; extra clinicians from $74/mo each (Plus) |
| Your own domain and branding | Yes, on every client-facing page and email | Not listed on their pricing page |
| Superbills | One click from completed sessions | Not listed on their pricing page |
| Group sessions | Group session types and 90853 on superbills | Group telehealth on Plus |
| Prepaid session packages | Session credits in the client portal | Not listed on their pricing page |
SimplePractice is a strong choice if you bill insurance heavily or want its clinical documentation and AI add-ons. Prexella fits better when most clients pay privately, you want your practice's own brand on booking and the portal, and you want marketing in the same system.
Pricing
Prexella is priced as one flat fee for the practice rather than per clinician, so bringing on an associate counselor does not multiply your software bill. Request a demo and you will get a quote for your practice on the call.
What switching looks like
Export what your current system lets you export, have your services, forms and branding set up in Prexella, send new bookings to your new booking page, and let existing appointments finish in the old system. The steps are on how to switch to Prexella. For colleagues, see the pages for therapists, psychologists and marriage and family therapists.
Frequently asked questions
Does Prexella work for LPCs, LMHCs and LCPCs?
Yes. The license title does not change how the system works. Your credentials, NPI, license number and taxonomy code are entered once in billing settings and appear on every superbill.
Can I run group counseling sessions?
Yes. Create a group session type with its own fee and duration. Group sessions sit in the same calendar as individual clients and are suggested as CPT 90853 on superbills.
Are the e-signatures legally valid?
Signatures are collected with the consent, typed name, drawn signature, timestamp, IP address and device recorded, the elements the ESIGN Act and UETA rely on. Check your state board's rules for any form that needs extra steps.
Can clients choose between telehealth and in-person sessions?
Yes. Clients pick the visit type when they book. Telehealth clients get your video link by email; the session runs in the HIPAA-ready video tool you already use, such as Doxy.me or Zoom for Healthcare.
Can I offer a sliding scale?
There is no separate sliding-scale table, but you can create promo codes that discount a session at checkout, or set up a reduced-fee session type, so each client pays the agreed rate when they book.
See Prexella with your own workflow
A live, one-on-one walkthrough of scheduling, superbills, the client portal and marketing tools. Free, no obligation.