For therapy practices ready to grow without burning out

If you're running a therapy practice, you feel the squeeze: thin margins, inconsistent evaluations, payers asking for outcomes, and clients who need more support than talk therapy alone. Zenara helps you build a sustainable, high-quality behavioral health practice—starting with intake and outcomes, and expanding only if and when you're ready.

Our first priority is helping you do a good job and stay sustainable. The revenue follows from that.

The reality of running a modern therapy practice

Thin, session-by-session margins

Your business lives or dies by session volume and no-show rates. A bad week of cancellations wipes out profit.

Inconsistent evaluations

Each clinician has their own intake style. 90791/90792 documentation varies, which makes audits and QA stressful.

Limited supervision visibility

Clinical leaders can’t easily see which cases are high-risk, which clients are stuck, or which programs are working.

Psychiatric coverage gaps

Clients often need medication support, but you dont have a clear way to provide or coordinate it. You lose them to other organizations or watch them struggle.

Payer pressure without data

Payers talk about outcomes and value-based contracts. Youre doing good work—but documenting and proving it feels out of reach.

Zenara Assist exists to close that gap—clinically, financially, and humanly.

What a sustainable therapy practice can look like

Consistent, defensible evaluations

Every intake meets a standard your clinical leaders are proud of—risk, context, and goals documented clearly.

Supervision with real visibility

Supervisors can see which clinicians are carrying high-risk or complex cases, and where extra support is needed.

Outcomes you can stand behind

PHQ-9, GAD-7, and other measures collected routinely so you can talk to payers with both stories and numbers.

Optional med-management that fits your values

When and if you choose to add a psychiatrist or NP, you can do it in a thoughtful way—supporting your therapists and clients, not turning your practice into something unrecognizable.

Sustainable economics

Your clinicians can keep doing therapy well, while your practice gradually adds service lines and care models that make your work financially viable long-term.

A grounded evolution path for therapy practices

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Step 1 — Standardize intake with Assess

Start by implementing a shared intake backbone across your therapists. Assess helps you capture a whole-person view, document risk consistently, and generate clean 90791/90792 notes.
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Step 2 — Add outcomes with Monitor (when ready)

When you're comfortable, we can help you adopt simple, routine measurement—PHQ-9, GAD-7, and others—across your programs. This creates the outcomes layer payers and supervisors have been asking for.
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Step 3 — Explore med-management and care management (optional)

For practices with enough demand, adding psychiatric coverage (via a nurse practitioner or psychiatrist) can give clients the support they need and allow you to offer more comprehensive care. Care can then help you organize and document between-visit work that supports care-management models.
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Step 4 — Refine and grow at your pace

This isn't an overnight transformation. It's a series of grounded steps, tailored to your values, your market, and your team's capacity.
  • Variable depth and style across clinicians
  • Risk sometimes buried in long notes
  • Medical, social, and functional context often under-documented
  • Consistent coverage of key domains—symptoms, history, medical context, social determinants, safety, function—while still allowing therapist voice and nuance
  • Clear risk documentation, easier supervision, and stronger audit posture
  • Better handoffs when you do collaborate with psychiatry or PCPs

Sustainability first, economics aligned

The primary goal is to help you deliver excellent therapy in a way that doesn’t run your practice into the ground. As intake, supervision, and outcomes improve, you also open doors to additional service lines—evaluations, testing, health-behavior work, and, if you choose, med-management and care management.

In many therapy practices, even a modest number of clients enrolled in care-management models can support sustainable models—often enough to support psychiatric coverage or additional supervision capacity. We’ll help you model what’s realistic for your size, payer mix, and state, so you can decide what feels right.

* Our focus is on a sustainable, ethical, high-quality practice. The financial improvements follow from getting the care and workflows right.

How Zenara Assist helps therapy practices specifically

Intake that respects your style

Assess gives you a shared structure without forcing every clinician into the same tone or approach. There’s room for nuance and rapport, with a consistent backbone underneath.

Supervision visibility

Leaders can see complexity, risk, and outcomes across clinicians and programs. Supervision can be guided by data, not just memory.

Program and group readiness

For group programs and IOPs, standardized intake and outcomes make it easier to plan cohorts, monitor progress, and report value to payers or partners.

Collaboration-ready

When you bring in psychiatric coverage or partner with prescribing clinicians, Zenara makes it easier to share the right information and document joint care—without making therapists feel medicalized.

We’ve heard what therapy practice owners are asking for

  • They wanted standardized evaluations, real outcomes, and thoughtful psychiatric coverage—not a hard pivot into being a medical factory. Zenara is being shaped with that reality in mind.
  • With experience integrating therapists and psychiatry at Headspace Health and in collaborative care models, we know how delicate this balance is. Our goal is to support your growth without erasing your identity.

* In our clinical partnership with Texas Center for Lifestyle Medicine, comprehensive assessments were conducted by therapists using our methodology. The therapist noted:
“The AI-assisted assessment freed me from digging through notes and let me spend more of the session on exploration and planning, not transcription.”

Assessments identified findings that changed treatment trajectories—including trauma that patients hadn’t disclosed in previous therapy relationships.

We don't want to become a medical clinic

You don’t have to. You can use Zenara for better intakes, supervision, and outcomes—without changing who you are. If you later decide to add psychiatric coverage, we’ll help you do it in a way that fits your culture and values.

Our therapists are already stretched

Assess is designed to make first sessions easier, not harder. It reduces repetitive questions and gives therapists a clearer starting point. We’re not asking them to do more admin—we’re helping them do less.

We're nervous about payer expectations

We’ll help you understand which service lines and care models are a fit for your contracts and state. You stay in control of how far you go; our job is to give you options and clean documentation.

We don't have internal IT capacity

Most therapy practices we work with don’t have dedicated IT. Zenara is designed to be implemented with light support, starting alongside your existing systems.

Your practice can stay true to its heart—and still be sustainable

You've built a place where people come to heal. You deserve workflows, documentation, and service lines that support that mission without exhausting your team. Let's explore what a grounded evolution could look like for your practice.

Ready to talk? Get a practice checkup. Want to stay informed as Assess launches? Join the waitlist.