Handheld S/L-band things like Thuraya, Iridium, Globalstar, Inmarsat phones don't transmit in a very directional way at all. Or things like a Garmin inreach that have an Iridium modem in them. They're omnidirectional enough that the broad requirement for a user is to be outdoors with a good view of the sky.

If you have a NSA-type geostationary satellite somewhere in approximately a 1/5th arc of azimuth along the equator of the earth that can 'see' an area on the ground, with antenna systems aimed at the area of interest (let's say, Afghanistan), it's not necessary for your NSA satellite to be anywhere close to the actual service provider's satellite.

Note that Thuraya BGAN-like devices and handheld phones talk to geostationary, Iridium is LEO (but likely some combination of LEO, molniya orbit and geostationary can "sniff" it), Globalstar is similarly LEO in its service provider architecture, and Inmarsat is geostationary.

Also lots of conjecture out there that sigint platforms exist which are good enough to capture ordinary handheld device cellular traffic or VHF/UHF radio traffic that's not intended by its users or terrestrial operators to go into space at all. This is probably done from a combination of low earth orbit platforms and more complicated orbits or what we would call MEO (maybe about the same height as an o3b satellite?) to achieve longer dwell times over an area of interest.