What Counselear does

CounselEAR is a cloud-based SaaS practice management platform purpose-built for audiology clinics, operating as Fullsteam Software Holdings LLC DBA CounselEAR (a subsidiary of Fullsteam Operations LLC). The company sells two subscription products: CounselEAR Complete OMS at $249.99 per clinic per month — a full office management suite covering scheduling, billing, insurance claims, device tracking, telehealth, fax, call tracking, marketing automation, and QuickBooks/Xero integrations — and CounselEAR Connect at $89.99 per clinic per month, a focused report-writing and patient-comms module. Both tiers are sold month-to-month following a free 30-day trial via a product-led self-serve website, supplemented by inside sales, weekly live webinars, and an embedded referral network of audiology buying groups (AuDNet, AuDConnex, Audigy, Fuel Medical, CQ Partners) and hearing aid manufacturers.

Its architecture is fully browser-based SaaS with HIPAA-compliant infrastructure (BAA included, TLS 1.2 256-bit in transit, encryption at rest), and it differentiates on domain specialization rather than horizontal PMS features: deep Noah (HIMSA) hearing-data integration via CounselEAR Synergy bi-directional transfer and the paid CounselEAR Noah Cloud add-on, a MIPS Wizard for Medicare reporting, a Virtual Claims Assistant, AI-driven Counseling Summaries (designed to address the ~25% patient recall gap of verbal-only counseling), and CounselEAR Insight for pre-populated reports. The company also runs a University Alliance Program for accredited audiology programs and a tiered volume discount structure (20-40% off for 5-50+ clinics) to court multi-site practices.

CounselEAR's go-to-market is primarily US-based with potential international reach via Noah compatibility; target customers are independent audiologists, ENT-based audiology departments, multi-location hearing-care chains, and academic programs. Revenue is not publicly disclosed, headcount is in the 1-10 range, and there are no disclosed external funding rounds — operating characteristics consistent with a profitable niche SaaS asset integrated into a diversified SMB software parent rather than a venture-backed growth company.

Name

Counselear

Legal name

Fullsteam Software Holdings LLC DBA CounselEAR

Website

https://counselear.com

Company type

Private

Founded year

2006

Operating status

Operating

Headcount range

1–10 employees

Short description

CounselEAR is a cloud-based audiology-focused SaaS practice management platform (CounselEAR Complete OMS at $249.99/clinic/month and Connect at $89.99/clinic/month), serving independent US audiologists, ENT clinics, multi-location hearing groups, and academic audiology programs with scheduling, billing, Noah-integrated audiology data, MIPS reporting, and AI-assisted report writing.

Ownership category

akta.pro rank

Product category

Audiology Practice Management Software

NAICS

Software Publishers (5132), Software Publishers (513210)

SIC

Services-Prepackaged Software (7372), Services-Misc Health & Allied Services, Nec (8090)

akta.pro primary industry

Audiology & Hearing Services (ENT-Affiliated) (HLAKAMAI)

akta.pro secondary industry

Software/SaaS Subscriptions (Consumer & Prosumer) (CRAFAIAB)

Keywords

• Audiology practice management
• Hearing healthcare software
• Office management system
• Audiologic report writing
• Cloud-based OMS

Headquarters

HQ city

Evanston

HQ country

United States

HQ region

North America

Offices2 records

Markets served

GTM type

B2B

Offering type

Software

Cost components

Technology or R&D, Personnel, Operations, Infrastructure, Marketing or Sales

Revenue model

1. CounselEAR Connect Subscription: Monthly SaaS subscription for report writing and patient communication tool. Priced at $89.99/month per clinic. Includes professional reports, patient reports, chart notes, MIPS wizard, medications tracker, patient portal, unlimited document storage, free emailing/faxing, Noah compatibility, and free customer support. Additional add-ons: Noah Cloud ($54.99/mo per location).
2. CounselEAR Complete OMS Subscription: Full-featured practice management suite priced at $249.99/month per clinic. Includes all Connect features plus scheduling, billing, insurance claims, virtual super bill, QuickBooks integration, business reporting, inventory tracking, to-do tool, marketing automation, telehealth, call tracking, fax center, Noah Cloud, and more. Add-on charges for messaging services ($19.99/mo), marketing automation ($39.99/mo), call tracking ($9.99/mo per phone number), and fax center ($19.99/mo per location). TeleHealth currently free. One-time conversion fee of $199.95 for clinics switching from existing OMS.
3. Volume/Premium Pricing Discounts: Tiered volume discounts for multi-clinic operations: 20% discount for 5+ clinics, 30% for 10+ clinics, 40% for 50+ clinics. Half-price rate available for clinics utilizing less than 50% during a month.
4. Payment Processing Integration: Integrated payment processing through Gravity Payments, enabling clinics to process credit card transactions directly within CounselEAR. Clients must enroll in integrated payments processing within 60 days of contract, with potential non-integration fees for non-compliance.

Pricing tiers

Go-to-market motion3 records

Distribution channels3 records

Marketing channels6 records

Core offering

CounselEAR sells cloud-based SaaS practice management and clinical reporting software for audiology clinics. Its two core subscriptions are CounselEAR Connect (a report writing and patient communication tool at $89.99/month) and CounselEAR Complete OMS (a full office management suite at $249.99/month), covering scheduling, billing, insurance claims, hearing device tracking, telehealth, fax, marketing automation, and AI-assisted report generation.

Product overview

CounselEAR is a cloud-based audiology practice management platform with two core products: CounselEAR Complete OMS (a full-featured Office Management System with scheduling, billing, claims, device tracking, telehealth, fax, call tracking, and AI Assist) and CounselEAR Connect (a report writing module for professional audiologic reports, patient counseling summaries, and chart notes). Connect can be used independently or as an integrated component within Complete OMS. The platform integrates with Noah (hearing healthcare EHR), QuickBooks/Xero (accounting), multiple payment processors (Gravity Payments, Square, CareCredit, Allegro Credit), insurance claims clearinghouses (Claim.MD, Apex EDI), EHR systems (Lifepoint Informatics, Modernizing Medicine), and marketing/reputation tools (Darwill, GatherUp, MedPB). Additional paid modules include Noah Cloud, TeleHealth, Fax Center, Call Tracking, and Marketing Automation.

Differentiator

Problem solved

Functional benefit

Brands

• CounselEAR Connect: Online tool enabling audiologists to rapidly create customized counseling summaries, chart notes, and professional audiologic reports. Reports can be easily faxed/emailed directly from the system.
• CounselEAR Complete OMS
• CounselEAR AI Assist
• CounselEAR Noah Cloud
• CounselEAR TeleHealth
• CounselEAR Call Tracking
• CounselEAR Fax Center
• CounselEAR Insight
• CounselEAR Synergy
• CounselEAR Patient Portal

Products and services

• CounselEAR Complete OMS Comprehensive cloud-based Office Management System for audiology clinics covering scheduling with email/text/call reminders, billing with integrated credit card processing, insurance claims processing, hearing device tracking with warranty dates and serial numbers, document storage, QuickBooks integration, business reporting, marketing automation, telehealth, fax center, call tracking, patient portal, Noah Cloud access, and AI Assist. Priced at $249.99/month per clinic.
• CounselEAR Connect Online report writing and patient communication system enabling audiologists to rapidly create customized counseling summaries, chart notes, and professional audiologic reports using templates; reports can be faxed or emailed directly from the platform. Includes professional reports, patient reports, chart notes, questionnaires/intake forms, patient portal, Noah Synergy bi-directional data transfer, MIPS Wizard, medications tracker, and unlimited document storage. Priced at $89.99/month per clinic.

Quantifiable outcome

• Report writing time reduced by approximately 50%
• +4 more outcomes

Named customers7 records

Segments4 records

Ideal customer profiles4 records

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration22 records

AI capability2 records

Feature11 records

Partnerships

25 partnerships are on record, tiered core, strategic and minor.

• Noah (HIMSA)coreTechnology or IntegrationNoah is the hearing care industry's leading software platform. CounselEAR offers Noah Cloud (cloud-based Noah access) as a paid add-on, and Noah Synergy (free bi-directional data transfer) enabling audiometric data to flow between CounselEAR and Noah without double data entry. This is a foundational integration for audiologic practices.
• QuickBooks (Intuit)coreTechnology or IntegrationSeamless integration with QuickBooks Pro to synchronize invoices and payments directly within the OMS. Clinics can avoid manual reconciliation of billing data.
• Claim.MDcoreTechnology or IntegrationClaims clearinghouse integration for submitting clean insurance claims. Designed to help practices meet collection goals with visual tracking of claims status and collection trends.
• Gravity PaymentscoreTechnology or IntegrationIntegrated payment processing platform for processing credit card transactions directly within CounselEAR. Eliminates manual processing, recording, and reconciliation with 24/7 customer support.
• Allegro CreditcoreTechnology or IntegrationDirect integration with CounselEAR Complete OMS enabling patient financing for hearing care. Patients can access care through installment payment plans, expanding affordability.
• Apex EDIcoreTechnology or IntegrationClaims processing integration helping audiologists submit clean claims the first time with visual tracking for issues and collection trends.
• AuDNetstrategicStrategic or Co-development PartnerHealthcare group purchasing organization (GPO) focused on lowering costs of providing professional Audiology Care. Member practices benefit from volume purchasing discounts.
• AuDConnexstrategicStrategic or Co-development PartnerNetwork of independent hearing practices united outside typical buying group models. Offers buying power, peer networking, and shared resources.
• AudigystrategicStrategic or Co-development PartnerPractice growth and culture alignment partner helping audiology practices improve efficiency, reduce patient attrition, and build resilient foundations amid industry changes.
• Fuel MedicalstrategicStrategic or Co-development PartnerAward-winning insights, tools, and solutions enhancing practice performance and patient outcomes. Dedicated CounselEAR integration resources available.
• CQ PartnersstrategicStrategic or Co-development PartnerPractice growth partner helping with exit strategies, business expansion, hiring, digital presence, and other practice objectives. Offers CounselEAR-integrated consulting.
• Entheos Audiology CooperativeminorStrategic or Co-development PartnerCollective of hearing professionals committed to private practice values. Provides peer support and shared resources for member audiology practices.
• Audiology Practice BuildersminorImplementation/ SI/ Consulting PartnerPractice management consulting with customized models unique to each client's needs, sustainable over time. Offers CounselEAR implementation support.
• Pivot HearingminorImplementation/ SI/ Consulting PartnerConsulting firm helping audiologists make right decisions for their business and execute on those decisions. May include CounselEAR implementation.
• HearWorksminorGTM or Marketing PartnerMarketing and practice ownership consulting team with 45+ years combined experience in hearing healthcare. Provides CounselEAR-integrated marketing strategy.
• HearUSAminorChannel Partner/ Reseller/ DistributorLeading US hearing health company providing quality customer service and hearing aid brands. May refer patients or integrate with CounselEAR for practice management.
• AlpacaminorGTM or Marketing PartnerNetwork of hearing health brands and community-based clinics focused on innovation and talent. May include co-marketing or referral relationships.
• Hear Now ChannelminorGTM or Marketing PartnerMedical media network featuring Hear Now CounselEAR promotional announcements. Promotional video content partner.
• DarwillminorGTM or Marketing PartnerTrigger-based patient and prospect marketing plans driven by up-to-date data from CounselEAR. Marketing results and ROI visible directly within CounselEAR account.
• MedPB.comminorGTM or Marketing PartnerAudiology-specific marketing platform leveraging patient psychology and behavior insights to attract more audiology patients to CounselEAR-using practices.
• GatherUpminorGTM or Marketing PartnerReputation management platform integrated with CounselEAR for collecting online reviews and patient feedback to build customer loyalty.
• 5 KeysminorGTM or Marketing PartnerEducation, training, counseling, and resources for auditory rehabilitation delivered through an online program and patient handbook. May drive patient referrals to CounselEAR practices.
• AmptifyminorGTM or Marketing PartnerHearing healthcare services platform allowing clinics to outsource aural rehabilitation programs via evidence-based digital therapeutics. Integration may route patients to CounselEAR practices.
• Audiology IncorporatedminorStrategic or Co-development PartnerOrganization focused on developing improved methods for testing human hearing and eliminating barriers to access that result in undiagnosed and untreated hearing impairments.
• HearingTracker.comminorGTM or Marketing PartnerAmerica's #1 hearing aid resource founded by a Doctor of Audiology. May cross-promote CounselEAR-using audiologists to consumers seeking hearing care.

Scale indicators4 records

Recent moves8 records

Expansion highlights6 records

Emerging players

• DrChrono (EverHealth): Cloud-based EHR and practice management platform targeting small and mid-sized medical practices with mobile-first workflows; competes in adjacent specialty PM segments with a similar SMB PLG motion.

Direct peers

• Blueprint Solutions (Blueprint OMS): Audiology practice management and marketing software vendor that competes head-to-head with CounselEAR in independent and group audiology practices; referenced by CounselEAR customers as a direct comparison.
• HearForm (Hearing Software Solutions): Audiology-focused electronic medical records and practice management software; competes directly with CounselEAR in the same Au.D. customer segment and is named by CounselEAR customers as an evaluated alternative.
• Sycle (GN Hearing): One of the most widely used audiology office management systems in the U.S., directly competing with CounselEAR Complete OMS for the same independent and chain audiology practice customers; customer testimonials on CounselEAR's site explicitly benchmark against Sycle.
• Audigy: Practice management and growth services partner for audiology practices that also offers its own operational and software stack; competes for the same independent practice customers and is also a CounselEAR GTM partner, creating a coopetitive dynamic.

Broad incumbents

• Tebra (Kareo + PatientPop): Broad medical practice management and EHR/marketing platform for independent practices; not audiology-specialized but competes for the same independent practice dollar with a wider portfolio of features.
• athenahealth: Large cloud-based EHR and practice management vendor serving ambulatory practices, including specialties adjacent to audiology; competes primarily with CounselEAR's broader practice management positioning rather than its audiology-specific depth.
• Modernizing Medicine (ModMed): Specialty-specific EHR and practice management vendor (already a CounselEAR integration partner) that overlaps with CounselEAR in ENT/audiology-adjacent workflows and could expand its audiology footprint over time.

Others

• Lifepoint Informatics: Healthcare data integration and HL7 interoperability vendor (already a CounselEAR partner) whose broader EHR connectivity and analytics offerings could be bundled by competitors to challenge CounselEAR's integration story.
• HIMSA (Noah): Provider of the Noah hearing care database standard that anchors CounselEAR's audiology integration; a strategic platform partner rather than direct competitor, but its roadmap decisions materially shape CounselEAR's differentiation.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat6 records

Key risks6 records

Key highlights6 records

Customer concentration

• Xx.com/CounselEAR
• Facebookfacebook.com/counselear
• LinkedInlinkedin.com/company/counselear-llc

Compliance1 record

Revenue estimate

Valuation estimate

Number of profiles

Profiles2 records

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Counselear