PSYPACT allows telehealth counseling services to be offered in the following 42 states as July 1, 2024:
- Alabama
- Arizona
- Arkansas
- Commonwealth of the Northern Mariana Islands
- Connecticut
- Colorado
- Delaware
- District of Columbia
- Georgia
- Florida
- Idaho
- Illinois
- Indiana
- Kansas
- Kentucky
- Maine
- Maryland
- Michigan
- Minnesota
- Mississippi
- Missouri
- Nebraska
- Nevada
- New Hampshire
- New Jersey
- North Carolina
- North Dakota
- Ohio
- Oklahoma
- Pennsylvania
- Rhode Island
- South Carolina
- South Dakota
- Tennessee
- Texas
- Utah
- Vermont
- Virginia
- Washington
- West Virginia
- Wisconsin
- Wyoming