After earning his Doctorate in Psychology, Roy would began his own counseling practice the year following.

Pennsylvania Psychological Services was founded by Roy & Jan Smith in 1983 and would evolve into Pennsylvania Counseling Services in 1993, and finally become incorporated in 1995.

From humble beginnings as a sole proprietorship in 1983 out of the home of Roy and Jan Smith, PCS has grown into a business that employs ~650 Pennsylvanians across 11 counties and 26 mental health and addiction clinics.